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muscle trigger point therapy

Ira Tabas
Atherosclerosis is initiated by the subendothelial accumulation of apoB-containing lipoproteins, which initiates a sterile inflammatory response dominated by monocyte-macrophages but including all classes of innate and adaptive immune cells. These inflammatory cells, together with proliferating smooth muscle cells and extracellular matrix, promote the formation of subendothelial lesions or plaques. In the vast majority of cases, these lesions do not cause serious clinical symptoms, which is due in part to a resolution-repair response that limits tissue damage...
December 15, 2016: Arteriosclerosis, Thrombosis, and Vascular Biology
Marzieh Mohammadi Kojidi, Farshad Okhovatian, Abbas Rahimi, Alireza Akbaezade Baghban, Hadi Azimi
OBJECTIVE: The purpose of this study was to investigate the effects of passive versus active soft tissue therapies on pain and ranges of motion in women with latent myofascial trigger points. METHODS: Forty-two female patients, aged 18 to 64 years, with a history of neck pain and latent myofascial trigger points in the upper trapezius muscle were randomly assigned to 3 groups: group A received passive soft tissue therapy, group B received active soft tissue therapy, and a control group C received a sham procedure...
December 2016: Journal of Chiropractic Medicine
M Mohammadi Kojidi, F Okhovatian, A Rahimi, A A Baghban, H Azimi
OBJECTIVE: The purpose of the present study was to investigate the effect of Positional Release Therapy (PRT) in computer users via latent trigger points (LTrPs) of the upper trapezius muscle. MATERIALS AND METHODS: Twenty-eight women with the upper trapezius MTrPs participated in this study. Subjects were randomly classified into two groups (14 in each group): the subjects in the Group 1 received PRT in shortened position while those in the group 2 received sham control in the neutral position of the upper trapezius muscle...
October 2016: Journal of Bodywork and Movement Therapies
Nicola Marchili, Eleonora Ortu, Davide Pietropaoli, Ruggero Cattaneo, Annalisa Monaco
Stomatognathic system is strictly correlated to other anatomical regions; many studies investigated relationship between temporomandibular joint and posture, several articles describe cranio-facial pain from dental causes, such as trigger points. Until now less interest has been given to connections between dental occlusion and ophthalmology, even if they are important and involving. Clinical experience in dental practice claims that mandibular latero-deviation is connected both to eye dominance and to defects of ocular convergence...
2016: Open Dentistry Journal
Vitsarut Buttagat, Thitipong Narktro, Kamonporn Onsrira, Chaithawat Pobsamai
OBJECTIVE: To investigate effects of traditional Thai massage (TTM) on electromyographic (EMG) activity, muscle tension and pain intensity in patients with upper back pain associated with myofascial trigger points (MTrPs). DESIGN: A single-blind, randomized clinical trial. SETTING: The Department of Physical Therapy, School of Health Science, Mae Fah Luang University, Thailand. INTERVENTION: Fifty patients were randomly assigned to receive a 30-min session of either TTM or control (sham microwave diathermy)...
October 2016: Complementary Therapies in Medicine
G Shankar Ganesh, Harshita Singh, Shagoofa Mushtaq, Patitapaban Mohanty, Monalisa Pattnaik
Studies have shown a clinical relationship between trigger points and joint impairments. However the cause-and effect relationship between muscle and joint dysfunctions in trigger points could not be established. The purpose of this study was to investigate effects of mobilization and ischemic compression therapy on cervical range of motion and pressure pain sensitivity in participants with latent trigger point in the upper trapezius muscle. Ninety asymptomatic participants with upper trapezius latent trigger point were randomized in to 3 groups: mobilization, ischemic compression and a control...
July 2016: Journal of Bodywork and Movement Therapies
Ester Cerezo-Téllez, María Torres Lacomba, Isabel Fuentes-Gallardo, Orlando Mayoral Del Moral, Beatriz Rodrigo-Medina, Carlos Gutiérrez Ortega
BACKGROUND: Neck pain is a frequent complaint in office workers. This pain can be caused by myofascial trigger points (MTrPs) in the trapezius muscle. This study aimed to determine the effectiveness of deep dry needling (DDN) of active MTrPs in the trapezius muscle. METHODS: A randomized, single blinded clinical trial was carried out at the Physical Therapy Department at Physiotherapy in Women's Health Research Group at Physical Therapy Department of University of Alcalá, in Alcalá de Henares, Madrid, Spain...
September 2016: Journal of Manual & Manipulative Therapy
Kelly M Scott, Lauren W Fisher, Ira H Bernstein, Michelle H Bradley
BACKGROUND: Coccydynia is a challenging disorder that often is refractory to treatments such as medications and injections. Physical therapy for coccydynia rarely has been studied. OBJECTIVE: To evaluate the efficacy of pelvic floor physical therapy for reducing pain levels in patients with coccydynia. DESIGN: Retrospective chart review. SETTING: The pelvic floor rehabilitation clinic of a major university hospital. PATIENTS: A total of 124 consecutive patients over age 18 with a chief complaint of coccydynia between 2009 and 2012...
August 24, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
John S Halle, Rob J Halle
BACKGROUND: Dry needling is an evidence-based treatment technique that is accepted and used by physical therapists in the United States. This treatment approach focuses on releasing or inactivating muscular trigger points to decrease pain, reduce muscle tension, and assist patients with an accelerated return to active rehabilitation. ISSUE: While commonly used, the technique has some patient risk and value of the treatment should be based on benefit compared to the potential risk...
August 2016: International Journal of Sports Physical Therapy
Jing Chen, Wei Jin, Wen Shuai Dong, Yan Jin, Feng Lei Qiao, Ya Fei Zhou, Cheng Chuan Ren
OBJECTIVE: The aims of this work were to evaluate the effects of home-based telesupervising rehabilitation on physical function for stroke survivors with hemiplegia and to determine if the rehabilitation therapy can relieve the burden on caregivers. DESIGN: This study is a randomized, controlled, assessor-blinded trial. Stroke survivors were randomly assigned to either home-based telesupervising rehabilitation group or conventional rehabilitation group to receive physical exercise and electromyography-triggered neuromuscular stimulation...
July 6, 2016: American Journal of Physical Medicine & Rehabilitation
Michelle A Laframboise, Howard Vernon, John Srbely
OBJECTIVE: To investigate the summative effect of two consecutive spinal manipulative therapy (SMT) interventions within the same session on the pain pressure sensitivity of neurosegmentally linked myofascial tissues. METHODS: 26 participants were recruited and assessed for the presence of a clinically identifiable myofascial trigger point in the right infraspinatus muscle. Participants were randomly assigned to test or control group. Test group received two consecutive real cervical SMT interventions to C5-C6 segment while controls received one real SMT followed by one validated sham SMT intervention to C5-C6 segment...
June 2016: Journal of the Canadian Chiropractic Association
P Iodice, G Lessiani, G Franzone, G Pezzulo
Myofascial pain syndrome (MPS) is characterized by chronic pain in multiple myofascial trigger points and fascial constrictions. In recent years, the scientific literature has recognized the need to include the patient with MPS in a multidimensional rehabilitation project. At the moment, the most widely recognized therapeutic methods for the treatment of myofascial syndrome include the stretch and spray pressure massage. Microcurrent electric neuromuscular stimulation was proposed in pain management for its effects on normalizing bioelectricity of cells and for its sub-sensory application...
April 2016: Journal of Biological Regulators and Homeostatic Agents
Sirous Momenzadeh, Vahid Akhyani, Zahra Razaghi, Asghar Ebadifar, Mohammadzaki Abbasi
INTRODUCTION: Myofascial pain syndrome (MPS) treatment is challenging with a high recurrence rate and still lacks a clear treatment frame. Therefore research on new, more efficient and long lasting effect treatment modalities is necessary. This study looked at the effects of intravenous laser therapy (IVL) and percutaneous low level laser (PLLL) in the management of shoulder MPS. METHODS: In this randomized controlled trial, 30 patients fulfilling inclusion criteria were randomly equally allocated to 3 groups, control, IVL and PLLL...
2016: Journal of Lasers in Medical Sciences
Samuele Passigli, Giuseppe Plebani, Antonio Poser
BACKGROUND AND PURPOSE: Posterior shoulder tightness has been associated with numerous shoulder disorders. Methods to increase posterior shoulder mobility may be beneficial. The purpose of this case report is to report the outcomes of a subject with posterior shoulder tightness treated with dry needling as a primary intervention strategy. CASE DESCRIPTION: The subject was a 46-year-old man who was referred to physical therapy with primary symptoms of shoulder pain and loss of motion consistent with subacromial impingement syndrome...
April 2016: International Journal of Sports Physical Therapy
Karl Bechter, Martin Wieland, Gerhard F Hamann
INTRODUCTION: Cervicogenic tinnitus is not a generally accepted pathogenetic subtype, which might be subsumed under the concept of somatosensory tinnitus. After the personal experience of therapy-resistant tinnitus in context with a cervical pain syndrome (CPS) and successful add-on treatment with cervical collar (CC), the idea was pursued in several individual treatments in patients. PATIENTS AND METHODS: Reporting one particular case with chronic tinnitus, considered untreatable, that rapidly improved with exclusive treatment by CC use...
2016: Frontiers in Psychiatry
Robert Boyles, Rebecca Fowler, Derek Ramsey, Erin Burrows
BACKGROUND: Trigger point dry needling (TDN) is commonly used to treat musculoskeletal pain related to myofascial trigger points (MTrPs). To date, no systematic review of high-quality randomised controlled trials (RCTs) investigating TDN to multiple body regions exists. PURPOSE: The aim of this review is to determine the effectiveness of TDN based on high-quality RCTs for all body regions. METHODS: To ensure thorough reporting, Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed as the methodological basis for this systematic review...
December 2015: Journal of Manual & Manipulative Therapy
Ana Paula Santos Dos Bispo, Christine Ploger, Alessandra Fernandes Loureiro, Hélio Sato, Alexander Kolpeman, Manoel João Batista Castello Girão, Eduardo Schor
PURPOSE: To assess function and prevalence of spasms and trigger points of the pelvic floor muscles in women with deep endometriosis. METHODS: One hundred and four (104) patients were assessed. Group 1 (G1) was composed of 52 subjects diagnosed with deep endometriosis proven by magnetic resonance imaging (MRI); Group 2 (G2) was composed of 52 women with no signs of endometriosis. Subjects from both G1 and G2 were seen at the Division of Pelvic Pain and Endometriosis and at Center for Prevention of Sexually Transmitted Diseases, both at Federal University of São Paulo (UNIFESP), respectively...
September 2016: Archives of Gynecology and Obstetrics
B V Oleinikov, A N Knyazhishche, D B Oleinikov
The authors draw attention to the role of a whiplash injury in the pathogenesis of scapulohumeral periarthrosis (SHP). Peculiarities of the specific pathological biomechanical changes associated with this condition are described. The study included a group of 64 patients in whom the localization of the myofascial trigger points (MFTT) of the shortened muscles is described with reference to the differential techniques for soft-tissue manual therapy. Spatial emphasis is laid on the diagnostic dynamic ischemic compression of trigger points (TT) for their inactivation using the method proposed by J...
November 2015: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
V O Malanchuk, O S Volovar, N M Timoshchenko, T M Kostiuk
Existing treatment methods of zygomatic complex fractures, which are complicated by contrac- ture of the masseter as a result of displaced bone fragments, have to be improved. Lack of muscle relaxation leads to the formation of local hypertonicity. In spasmodic muscle fibers varies perfusion and hypoxia occurs, which is accompanied by the release of inflammatory mediators and activation of pain receptors. Over time, areas formed local hypertonicity specific trigger points that contain multiple sensory loci and include one or more sensitive nerve endings...
April 2015: Likars'ka Sprava
Rob A B Oostendorp, Iem Bakker, Hans Elvers, Emilia Mikolajewska, Sarah Michiels, Willem De Hertogh, Han Samwel
Tinnitus can be evoked or modulated by input from the somatosensory and somatomotor systems. This means that the loudness or intensity of tinnitus can be changed by sensory or motor stimuli such as muscle contractions, mechanical pressure on myofascial trigger points, transcutaneous electrical stimulation or joint movements. The neural connections and integration of the auditory and somatosensory systems of the upper cervical region and head have been confirmed by many studies. These connections can give rise to a form of tinnitus known as somatosensory tinnitus...
June 2016: Manual Therapy
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