Dissertations / Theses on the topic 'Myofascial pain syndrome'
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Cheatham, Scott William. "Validation of a Pressure Pain Threshold Scale in Patients Diagnosed with Myofascial Pain Syndrome and Fibromyalgia." Diss., NSUWorks, 2016. https://nsuworks.nova.edu/hpd_pt_stuetd/53.
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Background: Palpation is an examination technique used to diagnose and treat myofascial pain syndrome (MPS) and fibromyalgia (FM). Currently, there is no validated technique for classifying the results. A valid and reliable pressure pain threshold scale (PPTS) may provide a means for clinicians to grade, document, and report findings. The purpose of this dissertation was to validate a PPTS in patients diagnosed with MPS and FM. Design and Methods: An observational study. Participants who met the inclusion criteria were placed into three equal groups: MPS, FM, and control. All participants underwent one, two-part testing sessions using the American College of Rheumatology criteria. Part-I consisted of palpation with a digital pressure sensor and part-II utilized an algometer. For each tender point (18-total), the participants graded their level of discomfort using the visual analog scale (VAS) and manual tender point rating survey (MTPS) and the examiner graded their response using the PPTS (e.g. ordinal scale with increasing severity from 0-4). Analysis: Intrarater reliability was calculated using the intraclass correlation coefficient model 3, k. Concurrent validity between the PPTS, VAS, and MTPS was calculated using the spearman rank correlation coefficient. A receiver operating characteristic curve was used to determine the minimal cut-off value between groups. Results: Eighty-four participants were included in the analysis. The PPTS had good intrarater reliability (ICC ≥.88). A moderate to excellent relationship was found between the PPTS and VAS for all groups with the algometer and digital pressure sensor (rho ≥.61). A moderate to excellent relationship was found between the PPTS and MTPS for all groups with the algometer (rho≥.68) and for the MPS and control group with the digital pressure sensor (rho ≥.71). There was a little to moderate relationship (rho=.01-.50) between the PPTS and MTPS for the FM group with the digital pressure sensor. A cut-off value of 2 on the PPTS differentiated participants with MPS and FM from controls. Discussion: The results provide preliminary evidence validating the PPTS for patients with MPS and FM. Future research should determine interrater reliability, diagnostic accuracy, and efficacy of the PPTS with other chronic pain and orthopedic conditions.
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Marshall-McKenna, Rebecca. "An evaluation of the pain experience and the effectiveness of myofascial release for pain relief in people with chronic fatigue syndrome." Thesis, Glasgow Caledonian University, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.547408.
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Couto, Cláudio Luiz Mendes. "Eficácia da estimulação intramuscular no tratamento da dor miofascial crônica." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2009. http://hdl.handle.net/10183/19021.
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Cenário clínico: A síndrome dolorosa miofascial (SDM) pode ser incapacitante e desafiadora terapeuticamente, devido à ineficácia dos tratamentos convencionais para a dor. Objetivos: O objetivo deste estudo foi avaliar a eficácia da estimulação intramuscular (EIM) na redução da dor e melhora da saúde física e mental de pacientes com SDM. Conduzimos um ensaio clínico randomizado controlado em 60 mulheres, com idades entre 20 e 40 anos, que foram randomizadas para receber EIM, infiltração com lidocaína e falsa eletroneuroestimulação transcutânea (TENS-placebo), duas vezes por semana, durante 4 semanas. Resultados: A redução do percentual de alívio de dor observada na escala análogo-visual de dor (EAVD) durante a primeira semana após o final do tratamento no grupo TENS-placebo foi de 14,01 [intervalo de confiança (IC) 95%; 2,89 a 25,12], o que foi significativamente menor em comparação com o observado nos grupos de infiltração com lidocaína e de EIM, de 43,86% [IC 95%; 26,64 a 61,08] e de 49,74% (IC 95%, 28,95 a 70,54), respectivamente. O tamanho do efeito (TE) sobre a dor, na comparação de TENS-placebo com a EIM e infiltração com lidocaína foi de 1,48 [IC 95%; 0,76 a 2,19] e de 1,20 [0,43 a 1,40], respectivamente. O tamanho do efeito (TE) sobre a dor, na comparação de TENS-placebo com a EIM e infiltração com lidocaína foi de 1,48 [IC 95%; 0,76 a 2,19] e de 1,20 [0,43 a 1,40], respectivamente. A EIM melhorou significativamente os escores da saúde física e mental e o limiar de dor à pressão (LDP). Valores baixos do LDP, antes do tratamento, preveem uma redução do risco de 43% para apresentar um TE pequeno/moderado na dor no grupo da EIM e atitudes positivas, em todas intervenções, aumentaram a probabilidade para uma redução significante na intensidade da dor relatada.. Conclusões: A EIM foi mais efetiva do que o TENS-placebo e pelo menos equivalente à infiltração com lidocaína no tratamento da SDM e na melhora dos sintomas depressivos e da saúde física e mental.Background: Myofascial pain syndrome (MPS) can be disabling and therapeutically challenging, because of the inefficacy of traditional pain treatment. Objectives: The objective of this study was to evaluate the efficacy of intramuscular stimulation (IMS) in reducing pain and improving physical and mental health in patientes with MPS. Methods: We conducted a controlled trial in 60 females, aged 20 to 40 years, where the participants were randomized to receive IMS, lidocaine infiltration or TENS-placebo twice a week for 4 weeks. Results: The reduction in the percent pain on a VAS (Visual Analogue-Scale) after the end of the first week of treatment in the TENSplacebo group was 14.01 [95% confidence interval (CI); 2.89 to 25.12], which was significantly lower than for the lidocaine infiltration and IMS groups, which reported 43.86% [95% CI; 26.64 to 61.08] and 49.74 % (95% CI, 28.95 to 70.54), respectively. The ES (effect size) on pain comparing TENS-placebo vs. IMS and TENS-placebo vs. lidocaine-infiltration were 1.48 [95% CI; 0.76 to 2.19] and 1.20 [0.43 to 1.40], respectively. IMS significantly improved the mental and physical health scores and the PPT. Lower PPT values pretreatment predicted a reduction of the risk by 43% of the small/moderate ES in terms of pain in the IMS group and positive attitudes, in all interventions, improved the probability a significant reduction in current pain intensity. Conclusions: IMS was more effective than TENS-placebo and at least equivalent to lidocaine infiltration in treating MPS and improving physical and mental health.
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Vidor, Liliane Pinto. "Eficácia da melatonina no tratamento da dor miofascial crônica facial : ensaio clínico randomizado, duplo-cego, controlado com placebo." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2010. http://hdl.handle.net/10183/26945.
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Cenário clínico: A síndrome dolorosa miofascial (SDM), causa comum de dor musculoesquelética, pode ser incapacitante e desafiadora terapeuticamente, devido à ineficácia dos tratamentos convencionais para dor. Intervenções terapêuticas alternativas precisam ser pesquisadas para alcançar vias do processo de doença não contempladas com a terapêutica clássica. Dentre estas, o uso da melatonina, com efeitos cronobiótico, ansiolítico e analgésico, tem se apresentado como uma opção terapêutica atrativa no tratamento da SDM, que cursa com alterações de sono, dor, sintomas depressivos e de ansiedade. Objetivos: Avaliar a eficácia da melatonina exógena na redução da dor, no limiar de dor à pressão (LDP) e na qualidade de sono de pacientes com SDM facial. Métodos e Resultados: Um estudo randomizado, controlado foi realizado em 45 mulheres com dor miofascial, com idades entre 18 e 40 anos, segundo critérios Research Diagnostic Criteria for Temporomandibular Disorder (RDC/TMD). A eficácia da melatonina oral foi avaliada na redução da dor e melhora tanto do limiar de dor a pressão (LDP) como da qualidade do sono. Os participantes foram randomizados para receber 5 mg / dia de melatonina, 5 mg / dia ciclobenzaprina, ou placebo durante um período de quatro semanas. O efeito absoluto das intervenções, apresentado como ES (tamanho do efeito) sobre a dor: placebo versus melatonina foi de 2,08 (1,17-2,97) e de ciclobenzaprina vs placebo foi de -1,25 (0,45-2,06)]. O número de pacientes necessários para tratar (NNT) para evitar a dor moderada a intensa foi 3 (95% CI, 2-4) e 18 (95% IC, 9 a a) nos grupos de melatonina e de ciclobenzaprina, respectivamente, em relação ao placebo. O ES no LDP melatonina vs placebo e ciclobenzaprina vs placebo foi de 2,72 (1,69-3,75) e 1,01 (0,23-1,79), respectivamente. O ES na escala visual analógica de Qualidade de Sono (VASQS) utilizada para avaliar a forma como as pacientes se sentiram ao acordar, durante o período de tratamento, foi nos grupos melatonina versus placebo de 2,47 (1,49-3,45) e 1,01 (0,23-1,79), respectivamente. Conclusão: Melatonina foi mais eficaz do que placebo para melhorar a dor miofascial crônica facial e ambos os tratamentos foram mais eficazes do que placebo para melhorar o LDP e a qualidade de sono.Background: The Myofascial Pain Syndrome (SDM), a common cause of musculoskeletal pain, can course with disability and can be a therapeutical challenge, due to the ineffectiveness of conventional treatments for pain. Alternative therapeutic interventions must be researched to achieve the process of the disease process that in not dealt with the classical therapy. Among these, the use of melatonin, which takes effect chronobiotic, anxiolytic and analgesic, has been presented as an attractive therapeutic option in the treatment of SDM, which leads to sleep disturbances, pain, anxiety and depressive symptoms. Objectives: Evaluate the efficacy of exogenous melatonin in reducing pain, pain pressure threshold (PPT) and the sleep quality of patients with chronic myofascial face pain. Methods and Results: A randomized, controlled trial was conducted with 45 females, aged 18 to 40 years who presented myofascial pain according to the Research Diagnostic Criteria for Temporomandibular Disorder (RDC/TMD) guidelines. The efficacy of oral melatonin was evaluated in reducing pain and improving both the pain pressure threshold (PPT) and sleep quality. Participants were randomized to receive 5 mg/day melatonin, 5 mg/day cyclobenzaprine, or a placebo during a four-week period. The absolute effect of interventions, presented as ES (effect size) on pain for melatonin vs. placebo was 2.08 (1.17 to 2.97) and for cyclobenzaprine vs. placebo -1.25 (0.45 to 2.06)], respectively. The Number of Patients Needed to be Treated (NNT) to prevent moderate to intense pain was 3 (95% CI, 2 to 4) and 18 (95% CI, 9 to ) in the melatonin and cyclobenzaprine groups, respectively compared to the placebo. The ES on the PPT for melatonin vs. placebo and cyclobenzaprine vs. placebo was 2.72 (1.69 to 3.75) and 1.01 (0.23 to 1.79), respectively. The ES on the Visual Analog Sleep Quality Scale (VASQS) scores used to assess how they felt when they woke up during the treatment period for the melatonin vs. placebo were 2.47 (1.49 to 3.45) and 1.01 (0.23 to 1.79), respectively. Conclusion: Melatonin was more effective than placebo for improving chronic myofascial face pain and both treatments were more effective than placebo for improving sleep quality and the PPT.
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Miranda, Francisco José Areias de. "Efectividade do tratamento das ondas de choque na síndrome de dor miofascial: revisão da literatura." Bachelor's thesis, [s.n.], 2014. http://hdl.handle.net/10284/4763.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em FisioterapiaObjetivo: Este estudo analisou um conjunto de planos de intervenção com ondas de choque extracorporais, no tratamento da síndrome de dor miofascial, no sentido de definir as características que parecem evidenciar um melhor resultado. Métodos: Foi efetuada uma pesquisa bibliográfica através da base de dados, PEDro, utilizando os seguintes termos de pesquisa: “Ondas de choque extracorporais”, “Extracorporal Shock wave”, “Síndrome de dor miofascial” e “Myofascial pain syndrome”. Resultados: Foram selecionados 3 ensaios clínicos com design aleatório controlado que analisaram o efeito de ondas de choque extracorporais em pacientes com síndrome de dor miofascial, com idades entre os 25 e os 74 anos de idade, em ambos os sexos. Conclusão: O protocolo de tratamento com ondas de choque extracorporais, que parece apresentar melhores resultados caracteriza-se por um baixo nível de densidade de fluxo energético, compreendidas entre os 0,056mJ/mm2 e 0,12mJ/mm2 entre os 700-1500 impulsos por sessão. Deverão ser efetuados 1-2 tratamentos por semana, num mínimo total de 3 tratamentos. Para obter os máximos proveitos de um protocolo de tratamento dever-se-á incluir exercícios de estabilização para o músculo afetado, nas sessões de tratamento.
Objective: This study analyzed different therapeutic plans with extracorporeal shock waves in the treatment of myofascial pain syndrome aiming to define the plan whose characteristics show the best results. Methods: A literature search was performed through the database, PEDro, using the following keywords: “Ondas de choque extracorporais”, “Extracorporeal shock waves”, “Síndrome de dor miofascial” and “Myofascial pain syndrome”. Results: Three randomized controlled trials were selected to examine the effect of extracorporeal shock waves in patients with myofascial pain syndrome. The subjects comprised individuals with diagnosis of miofascial pain syndrome, aged between 25 and 74 years, where both sexes were equally represented in the study samples. Conclusion: The extracorporeal shock waves treatment protocol that seems to show better results would consist of a low level of energy flux density, ranging between 0,056mJ/mm2 and 0,12mJ/mm2, summing 700-1500 pulses per session. One to two treatments per week summing a minimum of 3 treatments should be made. To achieve maximum therapeutic outcome protocol treatment must include stabilization exercises for the inured muscles.
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Treaster, Delia E. "An investigation of postural and visual stressors and their interactions during computer work." Connect to this title online, 2003. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1055885997.
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Thesis (Ph. D.)--Ohio State University, 2003.Title from first page of PDF file. Document formatted into pages; contains xvii, 211 p.: ill. (some col.). Includes abstract and vita. Advisor: William S. Marras, Dept. of Industrial, Welding, and Systems Engineering. Includes bibliographical references (p. 177-206).
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Lago-Rizzardi, Camilla Domingues do. "A espiritualidade em mulheres com síndrome dolorosa miofascial crônica do segmento cefálico comparada a um grupo controle." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/5/5138/tde-24022012-135613/.
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Apesar da antiga visão mecanicista ao longo do século passado a dor passou a ser avaliada e tratada de forma biopsicossocial, uma vez que diversos aspectos emocionais e sociais podem modular sintomas físicos. A partir da década de 80, a espiritualidade foi incluída neste contexto. Entende-se por espiritualidade a parte essencial individual que controla a mente e o corpo, aquilo que traz significado e propósito para a vida das pessoas. Seu mecanismo é modulatório e aparenta envolver diversas vias endócrinas e imunológicas. Este trabalho teve como objetivo avaliar a espiritualidade em mulheres com síndrome dolorosa miofascial no segmento cefálico comparada a um grupo controle. Foram avaliadas 24 doentes que freqüentam a Equipe de Dor Orofacial e Centro Interdisciplinar de Dor do Departamento de Neurologia do Hospital das Clínicas da Faculdade de Medicina da USP, usando os seguintes instrumentos: 1. Ficha clínica da Equipe de Dor Orofacial (EDOF), incluindo a EVA Escala Visual Analógica; 2. Critérios de Diagnóstico em Pesquisa para Disfunções Temporomandibulares (RDC/TMD); 3. Escala de Perspectiva Espiritual (SPS). Também foram avaliadas as concentrações hematológicas de cortisol, ACTH, C3 e C4, hormônios tireoidianos (TSH, T4L, T3, T4), imunoglobulina total, além de proteína C reativa, fator reumatóide e hemograma completo. Ao final, os dados foram tabulados e analisados estatisticamente. O grupo de estudo apresentou-se mais espiritualizado do que o grupo controle (P=0,048). No grupo de estudo, os indivíduos que apresentaram maior pontuação na escala espiritual apresentaram menos dor miofascial à palpação, menos hábitos parafuncionais como o bruxismo (P=0,049), faziam menos uso de anti-alérgicos (P=0,035), tiveram menos queixas de falta de energia ou lentidão (P=0,016), e menor número de morbidades associadas (P=0,005). Também apresentaram valores menores para ACTH, IgE e plaquetas e maiores para hemoglobina. Em conclusão, abordar a espiritualidade pode ser uma ferramenta no enfrentamento da dor miofascial crônica do segmento cefálicoDespite the old mechanistic view over the last century pain started to be assessed in a biopsychosocial model which included emotional aspects. In the last 30 years, spirituality was included in this context, and it means the essential part under control of the mind and body and that brings purpose to peoples lives. Spirituality can modulate pain by endocrine and immune mechanisms. The objective of this study was to investigate the spirituality in women with myofascial pain syndrome on the head and face compared to a control group. We evaluated 24 patients from the Orofacial Pain Team and the Interdisciplinary Pain Center of the Neurology Department of the Hospital das Clinicas from the Medical School of the University of São Paulo, with the following instruments: 1. Orofacial Pain Questionnaire (EDOF), including the Visual Analogue Scale (VAS); 2. Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD); 3. The Spiritual Perspective Scale (SPS). All patients and controls were also investigated about the blood concentration of the following substances: cortisol, ACTH, C3 and C4, thyroid hormones (TSH, FT4, T3, T4), total immunoglobulin, and C-reactive protein, rheumatoid factor and CBC. After all, the data were tabled and statistically analyzed. The study group was more spiritualized than the control group (P=0,048). In both groups, individuals with higher score of spirituality had less myofascial pain at palpation, less parafunctional habits such as bruxism (P=0,049), less use of antiallergic drugs (P=0,035) and fewer complaints of lack of energy (P=0,016) or associated morbidities (P=0,005). They also had lower levels of ACTH and IgE and higher platelet and hemoglobin concentrations. In conclusion, assessing spirituality can be a mechanism of coping with the chronic myofascial pain at the head and face
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Haddad, Denise Sabbagh. "Correlação clínica e termográfica do ponto-gatilho miofascial nos músculos da mastigação." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/23/23139/tde-30112011-170129/.
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A síndrome dolorosa miofascial (SDM) é uma disfunção musculoesquelética não articular caracterizada por pontos-gatilho miofasciais. Estes pontos, identificados por meio da palpação, são descritos como bandas tensas na fibra muscular, podendo apresentar dor referida à compressão. Sabe-se que os pontos-gatilho miofasciais provocam hiperatividade simpática regional de temperatura local devido à atividade vasoconstritora cutânea. Para documentação objetiva por imagem desta alteração funcional, a termografia tem sido proposta como método auxiliar diagnóstico. O objetivo deste estudo foi correlacionar os exames clínico e termográfico dos pontos-gatilho nos músculos da mastigação masseter e temporal parte anterior. A amostra constituiu-se por 26 mulheres voluntárias com 41 ± 15 anos. Os resultados demonstraram correlação diretamente proporcional entre algometria e termografia na avaliação do ponto-gatilho miofascial, onde, quanto menor a força aplicada, menor a temperatura local (p<0,001). As áreas com dor referida apresentaram níveis de limiar de dor à pressão (1.28±0.45 kgf) menores quando comparados às áreas de dor local (1.73±0,59 kgf; p<0.001). Sendo assim, a imagem termográfica de um ponto-gatilho apresentou-se hiporradiante quando comparada à região de ausência de ponto-gatilho (ΔT>0,4ºC; p<0.001). Além disso, a avaliação termográfica dos pontos-gatilho nos músculos masseter e temporal pelo gradiente térmico (ΔT e Δθ) apresentou maior sensibilidade e especificidade em comparação com a temperatura absoluta (T), mesmo quando corrigidos estes valores para a temperatura ambiente e temperatura timpânica da voluntária durante o exame (θ). A termografia isoladamente identificou pontos-gatilho com sensibilidade de 62,5% e especificidade de 71,31%. Os autores concluíram que a termografia é um método de imagem não invasivo, com potencial de identificação de pontos-gatilho miofasciais na região facial.Myofascial pain syndrome is a myalgic dysfunction characterized by myofascial trigger points (MTP). The taut band is a constant feature of a trigger point characterized by referred pain when stimulated. It is known that the myofascial trigger points cause regional sympathetic hyperactivity in local temperature due to the cutaneous vasoconstrictor activity. For detection of functional changes, thermography may be used as an auxiliary diagnostic imaging. The aim of this study was to correlate clinical and thermographic myofascial trigger points in the masticatory muscles masseter and temporalis. Twenty six women volunteers were included, having a mean age of 41 ± 15 years. The results showed directly proportional relationship by algometry and thermography in the assessment of MTP, where smaller the force applied, lower the local temperature will be (p<0.001). Moreover, when the soreness was evaluated and local vasomotor response, the temperature decreases as the worst local situation. PPT (pressure pain threshold) levels measured at the points of referred pain in MTP (1.28±0.45 kgf) were significantly lower than the areas of local pain in MTP (1.73±0,59 kgf; p<0.001). Thus, the thermographic image of a MTP presented colder than the area without trigger point (ΔT>0,4ºC; p<0.001). In the thermographic assessment of MTP in the masseter and temporalis muscles, the results suggest that the parameters of thermal asymmetry (ΔT and Δθ) show greater sensitivity and specificity in comparison to local absolute temperature values (T), even when corrected for the volunteer\'s core temperature and the temperature of the room during the exam (θ). Thermography can identify trigger points (referred pain) with sensitivity of 62,50% and specificity of 71,31%. The authors concluded that thermography is a noninvasive imaging method with potential for screening patients with MTP in the facial region.
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McGregor, Neil Roland. "An investigation of the association between toxin producing staphylococcus, biochemical changes and jaw muscle pain." University of Sydney. Prosthetic Dentistry, 2000. http://hdl.handle.net/2123/369.
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Objectives: To assess the expression of the symptoms of jaw muscle pain and its association with alterations in biochemistry, other symptoms and the carriage of staphylococci. Methods: Three different study populations were assessed. The first was selected and examined by the author and consisted of 43 pain and 41 age and sex matched controls. The second was a study of CFS patients who were blinded to the author and the author subsequently examined the associations between jaw muscle symptom reporting and the standardised biochemistry measures. The third study was also blinded to the author but included an investigation of staphylococci and certain cytokine and biochemistry measures. Results: The three studies clearly establish an association between the carriage of toxicogenic coagulase negative staphylococci and the expression of jaw muscle pain in both males and females. These associations were homogeneous and were found whether the patients were selected on the basis of having jaw muscle pain or selected from within a population of patients selected on the basis of having Chronic Fatigue Syndrome. The studies associated the changes with variations in biochemistry and these were in turn associated with symptom expression within the jaw muscle pain patients. These biochemical alterations included the dysregulation of immune cell counts, cytokines, electrolyte and protein metabolism. These symptoms and biochemical changes were associated with pain severity and illness duration and staphylococcal toxin production. From the data a model was developed which shows the mechanisms involved in the development of chronic pain in the jaw muscles. Conclusions: The carriage of toxicogenic coagulase-negative staphylococci were found to be associated with the expression of jaw muscle pain and the alterations in biochemistry associated with these symptoms.
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McGregor, Neil Roland. "An investigation of the association between toxin producing staphylococcus, biochemical changes and jaw muscle pain." Thesis, The University of Sydney, 1999. http://hdl.handle.net/2123/369.
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Objectives: To assess the expression of the symptoms of jaw muscle pain and its association with alterations in biochemistry, other symptoms and the carriage of staphylococci. Methods: Three different study populations were assessed. The first was selected and examined by the author and consisted of 43 pain and 41 age and sex matched controls. The second was a study of CFS patients who were blinded to the author and the author subsequently examined the associations between jaw muscle symptom reporting and the standardised biochemistry measures. The third study was also blinded to the author but included an investigation of staphylococci and certain cytokine and biochemistry measures. Results: The three studies clearly establish an association between the carriage of toxicogenic coagulase negative staphylococci and the expression of jaw muscle pain in both males and females. These associations were homogeneous and were found whether the patients were selected on the basis of having jaw muscle pain or selected from within a population of patients selected on the basis of having Chronic Fatigue Syndrome. The studies associated the changes with variations in biochemistry and these were in turn associated with symptom expression within the jaw muscle pain patients. These biochemical alterations included the dysregulation of immune cell counts, cytokines, electrolyte and protein metabolism. These symptoms and biochemical changes were associated with pain severity and illness duration and staphylococcal toxin production. From the data a model was developed which shows the mechanisms involved in the development of chronic pain in the jaw muscles. Conclusions: The carriage of toxicogenic coagulase-negative staphylococci were found to be associated with the expression of jaw muscle pain and the alterations in biochemistry associated with these symptoms.
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Vidor, Liliane Pinto. "Associação da ansiedade com inibição intracortical e modulação descendente da dor na síndrome dolorosa miofascial." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2014. http://hdl.handle.net/10183/97725.
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Introdução: Níveis elevados de ansiedade têm sido associados com intensidade e comportamento da dor em pacientes com dores aguda e crônica. Foi observado, em indíviduos com síndrome dolorosa miofascial (SDM), que o estresse e a ansiedade aumentam a predisposição para o desenvolvimento de pontos-gatilhos miofasciais. Adicionalmente a isto, existe a tendência do indivíduo experimentar emoções negativas em situações de estresse (neuroticismo), característica de personalidade associada ao traço de personalidade, que pode influenciar negativamente na experiência de dor. Indivíduos com alta ansiedade-traço são geralmente hipersensíveis a estímulos e psicologicamente mais reativos. É concebível supôr a coexistência de alteração na excitabilidade cortical, entre dor crônica e ansiedade nestes pacientes. Para melhorar a compreensão dos mecanismos centrais relacionados à ansiedade e à dor crônica, avaliou-se os parâmetros de excitabilidade cortical, usando estimulação magnética transcraniana (EMT), pulso único e pareado. Nossa hipótese é que a excitabilidade corticoespinhal seja modulada pela ansiedade favorecendo a perda de influxo inibitório descendente. Objetivos: O presente estudo teve como objetivo responder a três perguntas relacionadas à síndrome dolorosa miofascial (SDM): 1) A excitabilidade do córtex motor está relacionada com a ansiedade-traço? 2) A ansiedade-traço modula alterações da excitabilidade corticoespinhal, após dor evocada pelo Quantitative Sensory Testing (QST)? 3) A ansiedade-traço prevê resposta à dor evocada pelo QST, se receber simultaneamente um estímulo heterotópico [Conditioned Pain Modulation (CPM)]? Pacientes e métodos: Foram incluídas mulheres com SDM (n = 47) e controles saudáveis (n = 11), com idade entre 19 e 65 anos. A excitabilidade do córtex motor foi avaliada pela EMT, e a ansiedade foi avaliada com base no Inventário de Ansiedade Traço-Estado (IDATE). A incapacidade relacionada à dor foi avaliada pelo perfil da escala de dor crônica para a população brasileira (B:PCP:S), e as medidas psicofísicas da dor foram medidas pelo QST e CPM. Resultados: Nas pacientes, a ansiedade-traço foi positivamente correlacionada com a facilitação intracortical (FIC) no baseline e após a dor evocada pelo QST (β = 0,05 e β = 0,04, respectivamente) e negativamente relacionada com o período de silêncio cortical (PSC) no baseline e após a dor evocada pelo QST (β = -1,17 e β = -1,23, respectivamente) (P <0,05 para todas as comparações). Após dor evocada pelo QST, a incapacidade relacionada à dor crônica foi positivamente correlacionada com a FIC (β = 0,02) (P <0,05). Os escores de dor durante o CPM foram positivamente correlacionados com a ansiedadetraço, quando a incapacidade relacionada à dor crônica foi igualmente alta (β = 0,39, P = 0,02). A excitabilidade cortical das controles saudáveis permaneceu inalterada após o QST. Conclusões: Estes resultados sugerem que, na SDM, o desequilíbrio entre os sistemas excitatórios e inibitórios descendentes do trato corticoespinhal está associado concomitantemente a maiores níveis de ansiedade-traço e maiores níveis de incapacidade funcional ocasionados pela dor crônica.Background: High levels of anxiety have been associated with the intensity and pain behavior in patients with acute and chronic pain. It was observed that in subjects with myofascial pain (SDM), stress and anxiety syndrome increase the predisposition for the development of myofascial trigger points. In addition to this, there is a tendency of individuals to experience negative emotions in stressful situations (neuroticism), personality characteristic associated with trait personality that may negatively influence in the experience of pain. Individuals with higher trait anxiety are usually hypersensitive to stimuli and more psychologically reactive. It is conceivable to assume the co-existence of change in cortical excitability, chronic pain and anxiety, in these patients. To improve the understanding of the central mechanisms related to anxiety and chronic pain, we assessed cortical excitability parameters by single and paired pulse transcranial magnetic stimulation (TMS). We hypothesize that corticospinal excitability is modulated by anxiety favoring loss of descendent inhibitory influx. Objectives: This study aimed to answer three questions related to chronic myofascial pain syndrome (MPS): 1) Is the motor cortex excitability, as assessed by transcranial magnetic stimulation parameters (TMS), related to state-trait anxiety? 2) Does anxiety modulate corticospinal excitability changes after evoked pain by Quantitative Sensory Testing (QST)? 3) Does the state-trait anxiety predict the response to pain evoked by QST if simultaneously receiving a heterotopic stimulus [Conditional Pain Modulation (CPM)]? Patient and methods: We included females with chronic MPS (n=47) and healthy controls (n=11), aged from 19 to 65 years. Motor cortex excitability was assessed by TMS, and anxiety was assessed based on the State-Trait Anxiety Inventory. The disability related to pain (DRP) was assessed by the Profile of Chronic Pain scale for the Brazilian population (B:PCP:S), and the psychophysical pain measurements were measured by the QST and CPM. Results: In patients, trait-anxiety was positively correlated to intracortical facilitation (ICF) at baseline and after QST evoked pain (β= 0.05 and β= 0.04, respectively) and negatively correlated to the cortical silent period (CSP) (β= -1.17 and β= -1.23, respectively) (P <0.05 for all comparisons). After QST evoked pain, the DRP was positively correlated to ICF (β= 0.02) (P<0.05). Pain scores during CPM were positively correlated with trait-anxiety when it was concurrently with high DRP (β= 0.39; P= 0.02). Controls’cortical excitability remained unchanged after QST. Conclusions: These findings suggest that, in chronic MPS, the imbalance between excitatory and inhibitory descending systems of the corticospinal tract is associated with higher trait-anxiety concurrent with higher DRP.
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Erasmus, Estelle Annette. "The effect of soft tissue mobilization techniques on the symptoms of chronic posterior compartment syndrome in runners a multiple case study approach /." Thesis, Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-09252008-113736.
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Ribeiro, Nádia Raquel da Silva. "Evidência da compressão isquémica na síndrome de dor miofascial: uma revisão sistemática." Bachelor's thesis, [s.n.], 2014. http://hdl.handle.net/10284/4437.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaObjetivo: Determinar a efectividade da compressão isquémica na Síndrome de Dor Miofascial (SDM). Metodologia: Pesquisa computorizada nas bases de dados Pubmed/Medline, ScienceDirect e PEDro com o intuito de encontrar artigos randomizados controlados que verificassem a efectividade da compressão isquémica na SDM. Resultados: Nesta revisão foram encontrados oito artigos randomizados controlados com um total de 466 elementos nas amostras e com um score de 6,37 na escala de PEDro. Em todos os artigos pesquisados, a técnica de compressão isquémica foi comparada com outras técnicas sendo que, também avaliaram a dor dos sujeitos da amostra, em todas as investigações. Conclusões: Os estudos inseridos nesta revisão sugerem que a compressão isquémica tem um papel fundamental no tratamento dos trigger point presentes na SMD.
Objective: To determine the effects of ischemic compression in Myofascial pain syndrome. Methods: Research on computurized databases on PubMed/Medline, ScienceDirect and PEDro in order to find randomized controlled trials that screen the effectiveness of ischemic compression in MPS. Results: This review included 8 randomized controlled trials involving 466 patients with methodological classification with a 6,37 rating on PEDro. In all the searched articles, ischemic compression was compared to other technique, just as the pain that was also evaluated in all researches. Conclusion: The studies included in this review suggest that ischemic compression has key role in the treatments of trigger points in MPS.
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Dall'Agnol, Letizzia. "Efeito da estimulação magnética transcraniana na modulação da dor crônica miofascial : ensaio clínico, sham controlado, randomizado e duplo-cego." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2014. http://hdl.handle.net/10183/110234.
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Introdução: Embora a completa fisiopatologia da SDM permaneça desconhecida, evidências sugerem que na dor crônica os sistemas inibitórios são deficitários, como demonstrado pelo enfraquecimento da inibição intracortical do córtex motor. No entanto, a desinibição intracortical pode ser parcialmente revertida pelo tratamento com técnicas de estimulação cerebral não invasiva, tais como a estimulação magnética transcraniana repetitiva (EMTr). Embora estudos com EMTr tenham mostrado resultados promissores, poucos têm avaliado simultaneamente seus efeitos em medidas comportamentais, bioquímicas e neurofisiológicas. Assim, neste estudo avaliamos o efeito da EMTr na dor e, considerando a sua ação na função dos sistemas inibitórios corticais e intra-corticais, também investigamos parâmetros de excitabilidade cortical e níveis do mediador de neuroplasticidade BDNF, após tratamento com EMTr ou intervenção sham, em indivíduos com SDM crônica. Objetivos: Comparar o efeito de 10 sessões de EMTr ao da intervenção sham na função das vias nociceptivas cortical e subcortical (limiares de excitabilidade cortical e limiares termoalgésicos periféricos), na capacidade funcional, na qualidade do sono, nos níveis de dor, no sistema modulatório descendente de dor e nos níveis séricos de BDNF, em indivíduos com dor crônica miofascial do complexo craniocervicomaxilar. Assim, a hipótese deste estudo é que 10 sessões de EMTr, quando comparada com intervenção sham está associada com melhora nos níveis de dor, em indivíduos com dor crônica miofascial do complexo craniocervicomaxilar. Métodos: Vinte e quatro participantes do sexo feminino, com idades entre 19-65 anos, diagnosticadas com SDM do complexo craniocervicomaxilar por pelo menos 3 meses anteriores ao recrutamento e que evidenciaram componente neuropático (escore igual ou maior a quarto no DN4 – questionário para diagnóstico de dor neuropática), foram randomizadas para receber dez sessões de estimulação magnética transcraniana repetitiva (EMTr) (n = 12) de 10 Hz ou intervenção sham (n = 12). O estudo avaliou se a dor [limiares termoalgésicos (QST)], o sistema inibitório descendente [modulação condicionada da dor (QST + CPM)], a excitabilidade cortical (parâmetros da EMT) e o BDNF foram alterados após a intervenção. Resultados: Houve interação significativa (tempo versus grupo) em relação aos escores de dor, evidenciados pela escala análoga visual analógica de dor (EVA) (análise de variância, P<0,01). Análise post hoc mostrou que, em comparação com intervenção sham, o tratamento com EMTr reduziu em 30,21% os escores diários de dor (95% intervalo de confiança [IC] de -39,23 - -21,20) e em 44,56% o uso de analgésicos (-57,46 - -31,67). Comparado com o sham, o grupo que recebeu EMTr ativa aprimorou o sistema corticoespinal inibitório (redução de 41,74% no QST+CPM, P<0,05), reduziu em 23,94% a facilitação intracortical (P=0,03), aumentou em 52,02% o potencial evocado motor (P=0,02) e apresentou aumento de 12,38 ng/ml no nível sérico de BDNF (IC 95%=2,32-22,38). O grupo que recebeu EMTr demonstrou aumento na média dos escores B-PCP:S (P<0.03), redução de 45% no número de doses analgésicas diárias (P<0.003) e melhora na qualidade do sono (P<0.01). Nenhum efeito adverso foi observado. Conclusões: O tratamento com 10 sessões de EMTr de alta frequência (10 Hz) foi associado com significativa melhora na SDM crônica. EMTr reduziu os escores de dor, diminuiu o uso de analgésicos e melhorou a qualidade do sono. Os resultados do estudo também sugerem que os efeitos analgésicos da EMTr na SDM crônica foram mediados por mecanismos top-down regulation, que aumentaram a atividade do sistema corticoespinal inibitório, bem como a secreção de BDNF.Introduction: Although the complete pathophysiology of MPS remains unknown, cumulative evidences suggest that in chronic pain the inhibitory systems are defective, as indexed by the weakening motor cortex intracortical disinhibition. The intracortical disinhibition can be partially reverted by treatment with noninvasive brain stimulation techniques such as repetitive transcranial magnetic stimulation (rTMS). Although rTMS studies have shown promising results, few ones have assessed simultaneously its effect on behavioral, biochemical and neurophysiological measures. Thus, this study assessed the effect of rTMS on pain and, considering its action on the function of the inhibitory cortical and intracortical systems, this trial also evaluated cortical excitability parameters and levels of a neuroplasticity mediator BDNF, after rTMS treatment or a sham intervention in patients with chronic MPS. Objectives: To compare the effect of 10 sessions of rTMS with sham intervention effects in the cortical and subcortical nociceptive pathways (cortical excitability parameters and peripheral thermoalgesic thresholds), in the functional capacity, quality of sleep, pain levels, descending pain modulatory system and in BDNF serum levels in patients with chronic myofascial pain of jaw-cranial-cervical complex. Thus, the hypothesis of this study is that 10 sessions of rTMS, when compared with sham intervention result in improvement in pain levels in subjects with chronic myofascial pain of jaw-cranial-cervical complex. Methods: Twenty-four female aged 19-65 diagnosed with MPS of jaw-cranial-cervical complex for at least three months prior to recruitment and with neuropathic pain component (score equal or higher than four in the DN4 - neuropathic pain diagnostic questionnaire) were randomized to receive ten sessions of repetitive transcranial magnetic stimulation (rTMS) (n = 12) at 10 Hz or a sham intervention (n = 12). The study tested if pain [quantitative sensory testing (QST)], the descending inhibitory systems [conditioned pain modulation (QST+CPM)], the cortical excitability (TMS parameters) and the brain-derived neurotrophic factor (BDNF) have changed after intervention. Results: There was a significant interaction (time vs. group) regarding the main outcomes of the pain scores as indexed by the visual analogue scale on pain (analysis of variance, P<0.01). Post hoc analysis showed that compared with sham intervention, the treatment decreased daily pain scores by 30.21% (95% confidence interval [CI] -39.23 - -21.20) and analgesic use by 44.56 (-57.46 - -31.67). Compared to sham intervention group, the rTMS group enhanced the corticospinal inhibitory system (41.74% reduction in QST+CPM, P<0.05), decreased by 23.94% the intracortical facilitation (P=0.03), and showed an increase of 52.02% the motor evoked potential (P=0.02) and presented 12.38 ng/mL higher serum BDNF (95%CI=2.32 - 22.38). rTMS group showed an increase in mean scores B-PCP: S (P <0.03), 45% reduction in the number of daily analgesic doses (P <0.003) and significantly better sleep quality (P <0.01). No adverse event was observed. Conclusions: The treatment with 10 sessions of high-frequency rTMS (10 Hz) was associated with significant improvement in chronic MPS. rTMS reduced pain scores, lowered analgesic use and improved sleep quality. The results also suggested that the rTMS analgesic effects in chronic MPS were mediated by top-down regulation mechanisms enhancing the activity of the corticospinal inhibitory system and that this effect involved an increase in BDNF secretion.
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Treutiger, Victoria. "Behandling av myofasciella triggerpunkter med ”dry needling” hos personer med impingement i axelleden : En prospektiv randomiserad interventionsstudie." Thesis, Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:gih:diva-3782.
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Abstract Aim: The aim of this study was to investigate if treatment with “dry needling” in myofascial triggerpoints (MTrPs) in the rotatorcuff muscles may affect impingement symptoms such as pain during provocative tests, shoulder mobility, and function. The research questions were: Does the value of pain change on the Visual Analog Pain Scale (VAS) between before and after treatment? Do the positive provocative tests for impingement change between before and after treatment? Does the active shoulder mobility change between before and after treatment? Does the self-rated function change between before and after treatment? Method: The study was a prospective randomized intervention study and 19 persons with impingement symptoms (mean ± standard deviation; 58 ± 18 years, and shoulder pain duration 3.9 ± 1.6 months) were randomized into two groups. The groups were tested before, directly after and 3 weeks after treatment. The intervention group was treated twice, with a week in between, with “dry needling” in MTrPs. The control group was also treated on two occasions but was instead given a superficial needle in the infraspinatus muscle. All subjects were treated by the same physiotherapist. Pain was evaluated on the VAS when subjects performed active shoulder flexion before and after treatment. Provocative tests for shoulder impingement (Neer sign, Hawkins-Kennedy test and Jobe test) as well as range of motion tests were performed before, after and three weeks after treatment. The frequencies of positive/negative provocative tests were presented. Shoulder function was evaluated with the QuickDASH questionnaire. Significance level p≤0.05 was used in the study and a tendency was identified between 0.05 ≤ p < 0.1. Results: There was a tendency (p=0.086) with decreased pain (VAS) in the intervention group after the treatment. Among the impingement tests only significant improved results was observed for Neer sign test three weeks after the treatment (p=0.025) No significant difference could be seen on the active shoulder mobility between before and after the treatment. The perceived function in the intervention group, measured with the Quick DASH questionnaire, showed a tendency (p=0.086) towards a better function. Conclusions: The study showed a tendency towards that”dry needling” in MTrPs may affect impingement symptoms such as pain and function. The provocative tests for shoulder impingement, Neer sign, showed a significant decrease in pain after treatment. More studies with larger population is needed to make a statement about the effect of “dry needling” in MTrPs as a treatment for shoulder impingement symptoms.Sammanfattning Syfte och frågeställningar: Syftet med studien var att undersöka om behandling med ”dry needling” (intramuskulär nålstimulering) i myofasciella triggerpunkter (MTrPs) i rotatorcuffmuskulaturen kan påverka impingementsymptom såsom smärta vid provokationstester, axelledsrörlighet och funktion. Frågeställningarna var: Förändras smärtskattning på visuell analog skala(VAS) vid aktiv axelflexion efter jämfört med före behandling? Förändras de positiva provokationstesterna för impingement efter jämfört med före behandling? Förändras den aktiva axelledsrörligheten efter jämfört med före behandling? Förändras den självskattade funktionen efter jämfört med före behandling? Metod: Studien var en prospektiv randomiserad interventionsstudie, 19 forskningspersoner (fp) med impingementsymptom, (medelålder 58 ± 18 år, besvärsdurationens medeltid 3.9 ± 1.6 mån), randomiserades till två grupper. Grupperna undersöktes före, direkt efter och tre veckor efter avslutad behandling. Interventionsgruppen behandlades vid två tillfällen, med en veckas mellanrum, med ”dry needling” i MTrPs medan kontrollgruppen vid två tillfällen istället fick en ytlig akupunkturnål i m infraspinatus. Behandlingen av alla fp utfördes av en och samma fysioterapeut. Smärta utvärderades med (VAS) vid aktiv axelflexion direkt före och efter behandling. Provokationstester (Neer sign, Hawkins-Kennedy test och Jobe test) samt rörlighetsmätning utfördes före, efter och tre veckor efter avslutad behandling. Frekvensen positiva/negativa provokationstesttest summerades. Funktionen utvärderades med frågeformuläret QuickDASH. Signifikansnivå p< 0.05 används i studien och en tendens identifierades mellan 0.05 ≤ p < 0.1. Resultat: Det fanns en tendens (p=0.086) till minskad smärta (VAS) i interventionsgruppen efter jämfört med före behandling. Bland impingementtesterna sågs enbart ett signifikant förbättrat resultat för Neers sign tre veckor efter avslutad behandling jämfört med före behandling (p=0.025). Ingen signifikant skillnad kunde ses gällande rörligheten före och efter behandling. Den upplevda funktionsförmågan mätt med frågeformuläret QuickDASH visade en tendens (p=0.086) mot bättre funktion i interventionsgruppen. Slutsats: Studien har visat tendenser på att ”dry needling” i MTrPs kan påverka impingementsymptom såsom minskad smärta och bättre självskattad funktion efter behandling jämfört med före. Impingementtestet Neer sign visade en signifikant minskad smärta efter behandling. Fler studier med större grupper, större ålderspann och längre behandlingstid behövs för att kunna uttala sig om effekten av ”dry needling” i MTrPs som behandlingsmetod vid impingementsymptom i axeln.
Fristående kurs i Idrottsvetenskap inriktning idrottsmedicin 2013-2015
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Redomero, Cabaleiro Pablo Julio. "Compressão isquémica vs. agulhamento seco no tratamento da cervicalgia associada à síndrome de dor miofascial: revisão da literatura." Bachelor's thesis, [s.n.], 2020. http://hdl.handle.net/10284/9188.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em FisioterapiaObjetivo: O objetivo desta revisão é analisar a efetividade das técnicas de compressão isquémica (CI) e agulhamento seco (AS) na cervicalgia associada à Síndrome de Dor Miofascial (SDM). Metodologia: Foi realizada uma pesquisa eletrônica nas bases de dados Pubmed/Medline, ScienceDirect e PEDro. A chave de pesquisa utilizada foi: ((((ischemic compression”) OR “compression technique”) OR “dry needling”) AND “trigger points”) AND “myofascial pain syndrome). Foram incluídos estudos experimentais randomizados controlados, publicados entre 2013 e 2020, que comparassem a efetividade das técnicas CI e AS na cervicalgias. Resultados: Foram incluídos 6 estudos, com um total de 251 participantes e com uma qualidade metodológica média de 7.8 na escala de PEDro. A intervenção consistiu na inibição de PG ativos associados à SDM na cervicalgia crônica, bem como, à dor de ombro e enxaquecas. A efetividade das duas técnicas foi avaliada ao nível da dor, amplitude de movimento cervical, funcionalidade e qualidade de vida. Conclusão: Na SDM tanto a CI como AS são igualmente efetivos na diminuição da dor, avaliada pela Escala Visual Analógica (EVA) e Escala Visual numérica (EVN). O mesmo acontece na amplitude de movimento (ADM) da cervical, funcionalidade e qualidade de vida. No entanto, o AS parece ser mais efetivo no aumento do limiar de dor sobre pressão (LDP).
Objective: The aim of the present review is to analyze the effectiveness of ischemic compression (IC) and dry needling (DN) techniques in neck pain associated with Myofascial Pain Syndrome (SDM). Methods: An electronic research was performed in databases Pubmed/Medline, ScienceDirect and PEDro. The research key used was: (((((“ischemic compression”) OR “compression technique”) OR “dry needling”) AND “trigger points”) AND “myofascial pain syndrome”). Randomized controlled trials, published between 2013 and 2020, comparing the effectiveness of CI and DN techniques in cervical pain were included. Results: Six studys met the inclusion criteria, with a total of 251 participants and a methodological quality average of 7.8 on the PEDro scale. The intervention consisted of inhibiting active PG associated with SDM in chronic neck pain, as well as shoulder pain and headaches. The effectiveness of both techniques was assessed in terms of pain, range of cervical movement, functionality, quality of life. Conclusion: In the SDM, IC and DN are equally effective in reducing pain, assessed by the Visual Analogue Scale (VAS) and Visual Numeric Scale (VNS). The same happens in the cervical range of motion (ROM), functionality and quality of life. However, DN seems to be more effective increasing the pain pressure threshold (PPT).
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Medeiros, Liciane Fernandes. "Efeito de técnicas de neuromodulação sobre parâmetros bioquímicos e neurofisiológicos em pacientes com dor crônica musculoesquelética." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2014. http://hdl.handle.net/10183/101646.
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A dor crônica musculoesquelética é um importante problema de saúde pública, pois, além de ter alta prevalência, suas consequências são nefastas à condição física, psicológica e comportamental, levando ao afastamento do trabalho e aposentadoria precoce. Considerando que quadros de dor crônica são relacionados a alterações biológicas em importantes sistemas endógenos, a busca de biomarcadores sistêmicos interrelacionados com este processo podeser útil para o entendimento dos possíveis efeitos terapêuticos e adversos de técnicas de neuromodulacão, tanto centrais quanto periféricas. Baseado nisto, o objetivo principal deste estudo foi avaliar o efeito dos tratamentos com estimulação magnética transcraniana repetitiva (rTMS) e eletroestimulação intramuscular (DIMST) na intensidade da dor e em parâmetros bioquímicos e neurofisiológicos em pacientes com dor crônica musculoesquelética,e, secundariamente, buscar possíveis biomarcadores em quadros de dor crônica musculoesquelética. Este estudo foi dividido em dois experimentos. No experimento 1, comparou-se o efeito das técnicas de neuromodulação periférica (DIMST) e central (rTMS) sobre os parâmetros de excitabilidade cortical e níveis séricos de BDNF, S100β, citocinas e parâmetros de estresse oxidativo em pacientes com SDM. Foram recrutadas 46 mulheres, com idade entre 19 e 75 anos e diagnóstico de síndrome dolorosa miofascial (SDM). Trata-se de um ensaio clínico randomizado, cego, em paralelo, controlado com placebo-sham. As pacientes foram randomizadas em 4 grupos: (1) rTMS+DIMST, (2) rTMS +sham-DIMST, (3) sham-rTMS+DIMST e (4) sham-rTMS + sham-DIMST. No experimento 2, avaliou-se parâmetros neurofisiológicos de excitabilidade cortical e níveis séricos de BDNF como marcadores de dor crônica musculoesquelética. Foram recrutadas 72 mulheres, com idade entre 19 e 75 anos e diagnóstico de osteoartrite (OA) e SDM. Os parâmetros mensurados foram: dor pela escala análogo-visual (EAV), limiar de dor por algometria (PPT) e excitabilidade cortical pelo TMS. No experimento 1, as pacientes mostrarem-se iguais entre os grupos no basal. Houve uma redução na dor mensurada pela EAV nos grupos 1, 2 e 3 em relação ao grupo 4. O parâmetro de excitabilidade, potencial evocado motor (MEP), apresentou um aumento de amplitude ao final da intervenção 2. Não foram observadas mudanças nos parâmetros bioquímicos analisados durante e ao final das intervenções, seja entre as intervenções e dentro das intervenções. No experimento 2, observou-se que o PPT apresenta uma correlação positiva com inibição intracortical (ICI) e negativa com a facilitação intracortical (ICF). As pacientes com SDM apresentam o período silente (CSP) mais longo que pacientes com OA. O BDNF e estradiol apresentam relação positiva com PPT; no entanto, quando foi avaliada a interação destes fatores, o efeito sobre o PPT foi em direção oposta. Em resumo, os tratamentos ativos, central e/ou periférico, mostraram-se eficazes no alívio da dor, porém, dentre os parâmetros bioquímicos analisados, não se observouum biomarcador responsivo a estas técnicas. Sugere-se uma relação entre dor crônica musculoesquelética e alterações na excitabilidade cortical do córtex motor. Além disto, é importante ressaltar que estes tratamentos não alteraram nenhum dos parâmetros de avaliação de dano celular, como, por exemplo, o aumento de proteína glial (S100β), sugerindo que são técnicas seguras no que se refere aos parâmetros avaliados nesta tese. Posteriores estudos são necessários buscando novos biomarcadores que permitam um melhor diagnóstico, prognóstico e avaliação da resposta ao tratamento com técnicas de neuromodulação na dor crônica musculoesquelética.Chronic musculoskeletal pain is a major public health problem with high prevalence, because, besides its high prevalences, its consequences are harmful to the physical, psychological and behavioral condition, leading to absence from work and early retirement. Taking into account that chronic pain processes are related to biological changes in endogenous systems, searching systemic biomarkers interconnected with this process can be useful to understand the potential therapeutic and adverse effects of the neuromodulation techniques, both central and peripheral. Based on that, the aim of this study was to evaluate the effect of treatment with repetitive transcranial magnetic stimulation (rTMS) and intramuscular electrical stimulation (DIMST) on pain intensity, biochemical and neurophysiological parameters in chronic musculoskeletal pain patients. Secondly, the aim was to find possible biomarkers in chronic musculoskeletal pain conditions. This study was divided into two protocols. Protocol 1, it was compared the effect of central (rTMS) and peripheral (DIMST) neuromodulation techniques on pain intensity, cortical excitability parameters and serum levels of BDNF, S100β, cytokines and oxidative stress parameters in patients with myofascial pain syndrome (MPS.) Fourty women, aged between 19 and 75 years, MPS diagnosis were recruited. This is a randomized, blind, parallel, placebo - sham clinical trial. The patients were randomized into four groups: (1) rTMS + DIMST, (2) rTMS + sham-DIMST, (3) sham-rTMS + DIMST, and (4) sham-rTMS + sham-DIMST. Protocol 2, we assessed the neurophysiological parameters of cortical excitability and BDNF serum levels as markers of chronic musculoskeletal pain. Seventy-two women, aged between 19 and 75 years diagnosed with osteoarthritis (OA) and MPS were recruited. The measured parameters were: pain intensity by visual analogue scale (VAS), pain pressure threshold (PPT) and cortical excitability by TMS. In protocol 1, the patients presented similarities in the baseline between the four groups. The patients presented a reduction in painintensity measured by VAS in the groups 1, 2 and 3 in relation to group 4. After rTMS intervention, there was an increase in the MEP amplitude. There were no changes in biochemical parameters analyzed during and after the interventions. In protocol 2, it was observed that PPT has a positive correlation with intracortical inhibition (ICI) and negative correlation with intracortical facilitation (ICF). Patients with MPS exhibit longer silent period (CSP) than OA patients. BDNF and estradiol serum levels presented a positive correlation with PPT; however, when their interaction was assessed, the effect on the PPT was in the opposite direction. In summary, the active, central and/ or peripheral treatments were effective in relieving the pain; however, among the biochemical parameters analyzed, there was no biomarker responsive to these techniques. It is suggested a relationship between chronic musculoskeletal pain and changes in cortical excitability of the motor cortex. Furthermore, it is important to note that these treatments did not alter any of the parameters of cellular damage assessment, such as the increase of glial protein (S100β), suggesting that they are safe as to the parameters evaluated in these techniques. Further studies are needed to find new biomarkers that allow better diagnosis, prognosis and assessment of treatment response with neuromodulation techniques in chronic musculoskeletal pain.
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Харченко, Г. "Динамическая электростимуляция - новая технология в комплексной реабилитации спортсменов." Thesis, Сумский государственный университет, 2017. http://essuir.sumdu.edu.ua/handle/123456789/63562.
Full textAbstract:
Myofascial a pain syndrome is widely widespread in sport practice. For him a
muscular spasm and presence of trigger points are characteristic, at palpation of
that strengthening of pain is marked. Basic principles over of renewal of sportsmen
are brought with myofascial by a pain syndrome.Myofascial zespół bólowy jest szeroko rozpowszechniony w praktyce sportowej. Dla niego ma charakterystyczny skurcz mięśni i obecność punktów spustowych charakterystycznych, na palpacji tego wzmocnienia bólu jest zaznaczone. Podstawowe zasady odnowy sportowców przynoszą myofascial przez zespół bólu.
В настоящее время одним из наиболее приоритетных направлений физической терапии является комплексная реабилитация. Разработка научно обоснованных, эффективных нелекарственных методов при миофасциальном болевом синдроме является одной из приоритетных задач реабилитации спортсменов. Технологии реабилитации включают в себя большой арсенал традиционных и нетрадиционных оздоровительных методов, среди которых широко используются природные и преформированные физические факторы. Одним из наиболее перспективных методов, на сегодняшний день, является метод динамической электростимуляции (ДЭНС). Простота применения, неинвазивность, высокая эффективность метода дает возможность использовать ДЭНС в комплексной реабилитации спортсменов
19
Basson, Reneda A. "The significance of subthreshold symptoms of anxiety in the aetiology of bruxism." Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_8155_1248236519.
Full textAbstract:
Bruxism is an oral parafunctional habit involving clenching and grinding of the teeth that occurs mainly unconsciously, diurnally and nocturnally. It is considered an important contributory factor in the aetiology of myofascial pain (MFP) and temporomandibular disorders (TMD). The aetiology of bruxism is considered to be multifactorial, involving physiological and psychological factors. The aim of this study was to examine the relationship between the subthreshold symptoms (subtle, prodromal, atypical and subclinical symptoms of which the severity precludes diagnosis as a disorder) of anxiety and bruxism in a sample of subjects using a spectrum model.
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Machado, Eduardo. "INFILTRAÇÃO DE DIFERENTES SUBSTÂNCIAS OU AGULHAMENTO À SECO EM DOR MIOFASCIAL UMA REVISÃO SISTEMÁTICA." Universidade Federal de Santa Maria, 2015. http://repositorio.ufsm.br/handle/1/6162.
Full textAbstract:
The temporomandibular myofascial pain presents a major challenge in the
diagnosis of temporomandibular disorders. Due to the characteristics of this
condition, intramuscular injection procedures are often needed for adequate control
of symptoms and treatment. Thus, the aim of this study was to evaluate the
effectiveness of injection with different substances or dry needling in
temporomandibular myofascial pain. The study design consisted of a systematic
review of randomized clinical trials and research databases consulted were: Pubmed,
EMBASE, CENTRAL/Cochrane, Lilacs, Scopus and Web of Science until October
2014. The selection of studies was carried out by two independent reviewers, who
applied eligibility criteria to obtain the final sample of primary studies. After
application of the inclusion criteria were selected fifteen studies. Due to the
heterogeneity of the primary studies it was not possible to perform a meta-analysis.
The narrative analysis of the results showed that most of the studies had
methodological limitations and biases that have compromised the quality of its
findings. Thus, there is a need of conducting further randomized clinical trials, with
follow-up and larger samples, to evaluate the real effectiveness of the technique and
evaluated substances.A dor miofascial temporomandibular apresenta um grande desafio diagnóstico dentro das Disfunções Temporomandibulares. Devido às características dessa condição, procedimentos de infiltração intramuscular muitas vezes são necessários para o adequado controle e tratamento dos sintomas. Assim, o objetivo desse estudo é avaliar a efetividade de infiltrações com diferentes substâncias ou agulhamento à seco em dor miofascial temporomandibular. O delineamento do estudo consistiu em uma revisão sistemática de ensaios clínicos randomizados e as bases de pesquisa consultadas foram: Pubmed, EMBASE, CENTRAL/Cochrane, Lilacs, Scopus e Web of Science no período até outubro de 2014. A seleção dos estudos foi realizada por dois avaliadores independentes, que aplicaram critérios de elegibilidade para a obtenção da amostra final de estudos primários. Após a aplicação dos critérios de inclusão quinze estudos foram selecionados. Devido à heterogeneidade dos estudos primários não foi possível realizar uma meta-análise. A análise narrativa dos resultados mostrou que a maioria dos estudos apresentava limitações metodológicas e vieses que comprometeram a qualidade de seus achados. Assim, existe a necessidade da condução de novos ensaios clínicos randomizados, com tempo de acompanhamento e amostras maiores, para avaliar a real efetividade da técnica e das substâncias avaliadas.
21
Jones, Andrew D. "The effectiveness of myofascial trigger point therapy on myofascial pain syndrome trigger points." Thesis, 1994. http://hdl.handle.net/10321/2741.
Full textAbstract:
Dissertation presented in partial fulfilment of the requirements for the Master's Diploma in Technology: Chiropractic, Technikon Natal, 1994.The efficacy of myofascial trigger point therapy in treatment of myofasciitis was evaluated in a single blind, randomised, placebo controlled trial. The patient population consisted of twenty individuals who presented with one of the following: upper-back pain, shoulder pain, and neck-pain and or headaches and who were diagnosed as having myofasciitis.
M
22
Walker, Caileen. "The efficacy of myofascial adhesion manipulation in the treatment of myofascial pain syndrome." Thesis, 2002. http://hdl.handle.net/10321/1800.
Full textAbstract:
Submitted in fulfilment of the requirements for the Degree of Master of Technology: Chiropractic, Technikon Natal, 2002.The purpose of this study was to determine the efficacy of Myofascial Adhesion Manipulation (grip and rip) in the treatment of Myofascial Pain Syndrome. The study was a prospective, unblinded, randomized, placebo-controlled, clinical trial. The sample size used was 60 patients selected from the Durban Metropolitan Area. Only patients diagnosed with active trigger points in either the Trapezius and/or the Levator Scapulae muscles were accepted into the study. The sample was divided into two groups of 30 patients each. One group received Myofascial Adhesion Manipulation, whilst the other group received placebo ultrasound. Each patient received four treatments over a maximum period of 3 weeks. Data was obtained from the patients at the first and second consultations, prior to treatments, and at the fourth consultation, immediately following the treatment. Subjective data was obtained with the Numerical Pain Rating Scale (NRS 101) and the Short-Form McGill Pain Questionnaire (S-FMPQ). Objective data was obtained from pressure threshold algometry and the Myofascial Diagnostic Scale (MDS)
M
23
Chou, Li-Wei, and 周立偉. "Effective of Remote Acupuncture in Treating Myofascial Pain Syndrome." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/87202980290592486271.
Full textAbstract:
博士中國醫藥大學
中醫學系博士班
101
Objective: To investigate the remote effect of acupuncture (AcP) on the pain intensity and the irritability of the myofascial trigger point (MTrP) in the upper trapezius muscle. Design: Forty-five patients were equally divided into 3 groups: patients in the “placebo control (PC)” group received sham AcP; “simple needling (SN)” group was treated with simple needling, and “modified acupuncture (MAcP)” received AcP with the rapid “screwed in-and-out” into multiple sites to elicit local twitch responses. The acupoints of Wai-guan and Qu-chi were treated. The outcome assessments included changes in subjective pain intensity (PI), pressure pain threshold (PPT), range of motion (ROM) and mean amplitude of endplate noise (EPN) in the MTrP region. Results: Immediately after acupuncture, all measured parameters improved significantly in the SN and MAcP groups, but not in the PC group. There were significantly larger changes in all parameters in the MAcP group than that in the SN group. Conclusions: The MTrP irritability could be suppressed after a remote acupuncture treatment. It appears that needling to the remote AcP points with multiple needle insertions of MAcP technique is a better technique than simple needling insertion of SN technique in terms of the decrease in pain intensity and prevalence of EPN and the increase in PPT in the needling sites (represented either AcP points and or MTrPs). We have further confirmed that the reduction in EPN showed good correlation with a decreased in pain.
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Fu, Chung-Jung, and 傅仲蓉. "Pain Relief Study of Bio-Resonance Wave Applied on Myofascial Pain Syndrome." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/58040091180035478330.
Full textAbstract:
博士國立臺灣大學
生醫電子與資訊學研究所
103
Myofascial pain syndrome (MPS) is a common pain issue that disturbs many people. The MPS not only causes the painful condition but affects the patient’s mood state and even life function. There have been many studies show variety of treatment approaches including invasive and noninvasive. However the efficiency of noninvasive therapies has its limitation. Application of bio-resonance wave (BRW) with microcurrent electrical nerve stimulator (MENS) may work on respective cells by means of charged molecule polarization into both electric potential and resonant action potential in order to open the electric gate channel of gap junction intercellular communication. An integration effect of neighboring cells may form semiconductor-like tissue block and cellular changes of cytoskeleton and morphology conformity. This study wants to discuss whether the bioresonance therapy is considered as a new treatment to myofascial pain syndrome. The BRW electric field energy of applied wave frequency and cycle frequency (WF/CF Hz) included an 8min easing phase of 25,000 ~500 /100 along with an 8min healing phase of 500 ~10 /10. The applied BRW energy was of assorted WF bank including single frequency, sweep decreasing, and spread contraction with same monophasic positive square waves of 50% wave duty (WD) based on same specifications of 600uA current at 6.2V mean peak potential despite of different cycle duty (CD) in test group (C1) 70% and in control group (C2) 1%. With 0.24W BRW energy of single frequency combinations (WF Hz /CD %), the MCF-7 cell line with 2/70 energy showed better cellular morphology conformity of round-up discrete cell and homogeneous grouped cells based on statistics morphology data among four applied energy combinations of 2/50, 2k/50, 2/70, and 2k/70. With the stated treatment of BRW energy, the ICF-like buffer system showed better oxidative tolerance under H2O2 challenges based on trend difference of oxidation reduction potential (ORP) data. The MLE-15 cell line with stated treatment and with added 30min of 100uM H2O2 challenge showed better physiological metabolism based on likely differences of increased oxygen consumption rate (OCR) and decreased extra cellular acidification rate (ECAR) from extracellular flux analyzer XF-24. Sixty patients with MPS were divided into two groups: bioresonance group and control group. After twelve times interventions, the bioresonance group shows significant decreases in VRS, NDI, SF-12 and PPT, while the control group only shows significant decreases in PPT. This study suggests that bioresonance therapy might be considered as a new intervention to myofascial pain syndrome. Key words: Myofascial Pain Syndrome, Bio-resonance electric field wave, Trigger Point, Muscle Spindle Hypothesis, In Vivo Resonance.
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Chou, Ying-Yu, and 周盈妤. "Assessment of Pain in Myofascial Pain Syndrome Patients Using Multiple Physiological Parameters." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/98422568364873962778.
Full textAbstract:
碩士中原大學
生物醫學工程研究所
104
Background: Chronic pain, although not immediately fatal crisis, but seriously affect the lives of patients. And chronic pain in myofascial pain syndrome (MPS) is most common. Pain in terms of MPS patients is depravity solution complaint, is the main reason of patient visits. However, due to differences between individuals filled, quantitating subjective sensation of pain it is very difficult. Therefore, how to effectively assess pain is an extremely important issue to be resolved. Purpose: This study through the electrocardiography (ECG), photoplethysmography (PPG) and galvanic skin response (GSR) signal before and after the non-invasive method of measuring treatment, further analysis parameters Compare the differences before and after treatment, and then with facial expressions commonly used in clinical scale method Wong -Banker, oral rating scale (VRS), visual analogue scale (VAS) and pain pressure threshold (PPT) to do based on the assessment, hoping to induce myofascial pain syndrome patients get better quality of pain management. Methods: The study collected 37 MPS patients, with multiple signal acquisition system, this study measured the myofascial pain patients before and after treatment ECG, PPG and GSR three physiological signals processed by LabVIEW software analysis .The physiological parameter value, and then use the SPSS statistical software (Statistic Package for Social Science, SPSS) for statistical analysis. It will focus on three physiological signals in myofascial pain before and after treatment efficacy were discussed. Results: Results Statistical analysis showed that the pain scale and PPT of the results are all significant of decline, representing the pain relief. And as well as almost all of the PPG and ECG autonomic nervous parameters before and after treatment, by autonomic nervous system activity observed with the same pain relief and significant changes in the trend, but sympathetic parameters of the GSR decreased. Conclusion: This study constructed a multiple physiological parameters measurement system that can measure the difference of GSR, PPG and ECG three physiological signals, and compare myofascial pain syndrome before and after treatment in the case of non-invasive. The results of this study with previous literature shows that the parameters of the ECG and PPG assessment relieve chronic pain of MPS are valid.
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Vaghmaria, Vinesh. "The inter-examiner reliability and validity of the Myofascial Diagnostic Scale as an assessment tool in the diagnosis of myofascial pain syndrome." Thesis, 2005. http://hdl.handle.net/10321/173.
Full textAbstract:
Thesis (M.Tech.:Chiropractic)-Dept. of Chiropractic, Durban Institute of Technology, 2005
x, 80 leavesThe aim of this study was to evaluate the Myofascial Diagnostic Scale, for its inter-examiner reliability and to assess its reliability and validity as an assessment tool in the diagnosis and treatment of Myofascial Pain Syndrome.
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Ramsunder, Leah. "The effectiveness of integrated neuromuscular inhibition technique in the treatment of gluteus medius myofascial pain and dysfunction syndrome." Thesis, 2012. http://hdl.handle.net/10210/4610.
Full textAbstract:
M.Tech.The aim of this study was to compare the effectiveness of two different treatment methods for myofascial pain and dysfunction syndrome of the Gluteus Medius muscle. This was done in order to determine whether or not a combined treatment of the integrated neuromuscular inhibition technique (INIT) and sacroiliac joint (SIJ) adjustive therapy was more effective than the INIT applied in isolation, in the treatment of the Gluteus Medius myofascial pain and dysfunction syndrome (GMMPDS). Participants were recruited using advertisement posters placed throughout the University of Johannesburg Doornfontein Campus and were treated at the University of Johannesburg Chiropractic Day Clinic. Thirty participants, between the ages of eighteen and fifty years, who were suffering from lower back pain and presented with Gluteus Medius myofascial trigger points (TrPs) and an SIJ dysfunction were selected for the study. They were randomly assigned into one of two groups, consisting of fifteen subjects each, as they entered into the study. Group one received the INIT to the affected Gluteus Medius muscle. Group two received a combination of the INIT to the affected Gluteus Medius muscle and an SIJ adjustment. Patients attended four sessions over a period of eight days and were treated on all of these sessions. Subjective and objective data were recorded on all sessions. Subjective data was recorded using the McGill Pain Questionnaire and the Numerical Pain Rating Scale. Objective data was recorded using the Universal Goniometer, to measure hip ranges of motion of the affected Gluteus Medius muscle, and the Wagner Pressure Algometer to measure pain-pressure threshold of the affected Gluteus Medius muscle TrPs. All of the data were statistically analyzed using Repeated Measures and Independent t-Tests. P-values were calculated to determine the statistical significance of the data. The results of the study indicate that both treatment methods are effective in treating GMMPDS, however a combined treatment approach of INIT and SIJ adjustive therapy was more effective in achieving a greater therapeutic response compared to INIT alone.
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Georgiou, Marcus. "The influence of component materials on Graston technique effectiveness during the treatment of myofascial pain syndrome." Thesis, 2006. http://hdl.handle.net/10321/206.
Full textAbstract:
Thesis (M.Tech.: Chiropractic)- Dept.of Chiropractic, Durban Institute of Technology, 2006
xxiv, 139, [17] leavesThis pilot study was a pre-post clinical investigation assessing the influence of component materials on the effectiveness of GTISTM in the treatment of MPS, in terms of clinical outcomes.
29
Brunham, Candice, Kelly McNabney, Jody Wiebe, and Jeff Norwood. "Efficacy of specific needling techniques in the treatment of myofascial pain syndrome." 2008. http://hdl.handle.net/2429/1456.
Full text
30
Wu, Chien-Lung, and 吳建隆. "Efficacy of Acupuncture Treatments On Myofascial Pain Syndrome in the Upper Trapezius." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/40865257121654978715.
Full textAbstract:
博士國立陽明大學
生物醫學工程學系
104
Background: Ｍyofascial pain syndrome (MPS) in the upper Trapezius is a common disease. The most of clinical feature is that the pain stimulates particularly at the Trigger Point (TrP), which spontaneously makes the subject uncomfortable. In Western medicine, the oral medicine, drug injections or the physical therapy will be applied to patients’ MPS. In Traditional Chinese Medicine, Chinese herbs, external ointment, acupuncture or moxibustion are going to treat MPS. The visual analogue scale (VAS) is used to assess the therapeutic effect. This is based on personal feelings. The pressure pain threshold (PPT) can assess the therapeutic effect, too. It is recorded by using the pressure threshold meter (PTM). There are some data calculated from the surface EMG signal. The root mean square (RMS) of EMG signal shows the intensity of muscle power. The integral EMG signal (IEMG) expresses the muscle strength. The median frequency (MF) reflects the power spectral density of muscle. The onset time is the period of muscle power from 0 to 70 % of RMS. In this research, combined VAS, PPT and the surface EMG signal will be applied to the effects of the acupuncture in patients with MPS. Methods: Participants were randomly divided into the Real Acu Group (Real acupuncture, using a 1.5-inch needle, can achieve muscle layers) and the Control Group (Surface acupuncture, using a 0.1-inch auricular needle, only achieves skin layers), every subject was asked to perform a course of treatment (total 6 treatments). We recorded and analyzed the data (VAS, PPT, RMS, IEMG, MF and the onset time) before and after the 15-min acupuncture treatments. Results: The MPS subjects with higher VAS, their PPT, RMS, IEMG and MF were lower, but the onset time was longer. After treatments, the VAS, RMS, IEMG, MF and the onset time decreased in the Real Acu Group, but PPT increased. Conclusion: The real acupuncture treatment directly stimulates the affected muscles and inhibits the activity of the pain points.
31
Palm, Bryan. "Comparing the effectiveness of static myofascial dry needling versus fanning dry needling in the treatment of trapezius myofascial pain syndrome." Thesis, 2012. http://hdl.handle.net/10210/7854.
Full textAbstract:
M.Tech.Problem Statement: Myofascial Pain Syndrome (MPS) is a painful and prevalent muscular condition that is characterized by the development of myofascial trigger points (TrP’s). These are locally tender when active and are able to refer pain through specific patterns to other areas of the body distal from the trigger point (Manga, 2008). Myofascial trigger points are a frequently overlooked and misunderstood source of the distressingly ever-present musculoskeletal aches and pains of mankind and many authors have found that the trapezius muscle is most often the muscle that has frequent myofascial trigger points (Travell and Simons, 1999). Much debate and discussion has arisen on the merits of the fanning dry needling technique compared to that of the static dry needling technique, but research evidence is very limited. Some practitioners prefer the static technique over the fanning technique as it reduces the presence and amount of post-needling soreness, as well as reduces the possibility of penetrating a blood vessel resulting in hemorrhaging. Other practitioners prefer the fanning technique as it increases the chances of locating the loci of the TrP, as well as increasing the chances of eliciting a local twitch response and possibly making this method more effective in deactivating a TrP than the static technique. Aim of Study: The aim of this study was to compare the effects of static myofascial dry needling to the effects of fanning myofascial dry needling of an active trigger point (TrP1) in the upper trapezius muscle in order to determine which of the two treatments is more effective with regards to decreasing neck pain and disability as well as increasing pressure pain threshold in patients with neck pain due to Trapezius Myofascial Pain Syndrome. Method: Forty participants underwent a general screening to determine whether they had active myofascial trigger points in the upper fibers of the trapezius muscle.
32
Sookraj, Sholini. "A pragmatic clinical investigation of the comparative effectiveness of ischaemic compression and cryo-ischaemic compression in the treatment of rhomboid myofascial pain syndrome." Thesis, 2005. http://hdl.handle.net/10321/186.
Full textAbstract:
Thesis (M.Tech.:Chiropractic)-Dept. of Chiropractic, Durban Institute of Technology, 2005
xii, 62, [18] leavesThe purpose of this study was to determine the comparative effectiveness of cryo-ischaemic compression, using the Cold Tennis-ball Technique, and ischaemic compression, using normal tennis balls, in the treatment of Myofascial Pain Syndrome
33
Chen, Jo-Tong, and 陳若佟. "Electrophysiological analysis of the spontaneous electrical activity for characterizing the sensitivity of myofascial trigger points of myofascial pain syndrome." Thesis, 2001. http://ndltd.ncl.edu.tw/handle/55600586390677608772.
Full textAbstract:
博士國立成功大學
醫學工程研究所
89
Myofascial pain syndrome (MPS), the most common cause of painful muscular dysfunction in clinics, is usually caused by or associated with obvious stress episode, repeated or sustained overload. Myofascial trigger point (MTrP), a hyperirritable spot within a palpable taut band of skeletal muscle, is the most important characteristic of MPS. Referred pain and local twitch response can be elicited by mechanical stimulus to the MTrP. MPS is suggested to represent a neuromuscular disorder and there are multiple active loci (dysfunctional motor end-plates) within an MTrP area, in which the spontaneous electrical activity (SEA) is shown by electromyography. SEA is considered as end-plate noise due to excessive acetylcholine (ACh) leakage. Although magnitudes of SEA are closely related to pain intensity/MTrP sensitivity in patients, signal analysis has seldom applied to characterize the SEA for MTrP investigation. This research was to characterize the MTrP through electrophysiological analysis of SEA using a rabbit model. The hypothesis tested: “Digital signal processing is potentially useful to quantify and validate the SEA as end-plate noise due to excessive ACh leakage, and the sensitivity of MTrP modulated by sympathetic activity, calcium and mechanical stimulus”. More specifically, Phase I: study the effect of a sympathetic blocking agent (phentolamine), a calcium channel blocker (verapamil) and mechanical stimulation (dry needling) on MTrP sensitivity by the average integrated value of SEA (AIV); and Phase II: estimate the channel open time of end-plate ACh receptors (AChR) by power spectral analysis of SEA. Raw data of 1-sec SEA were recorded by electromyography for time/frequency signal analysis. The AIV and AChR channel open time were used as characteristic index. Phase I: Initially, SEA from the same active locus before and after an injection of phentolamine or verapamil into the external iliac artery was recorded from biceps femoris muscle of rabbits. Then, SEA was also recorded from 25 active loci in MTrP region. Control study was conducted on the other side with the same procedure except that normal saline was used. In dry needling study, SEA was recorded from 15 active loci before and after MTrP needling. The AIV was used to analyze the treatment effect with t-test and Two-way ANOVA (p<.05). Phase II: SEA was recorded by electromyography from 10 active loci in biceps femoris muscle of rabbits. The AChR channel open time on end-plates was estimated from the cut-off frequency by fitting the power spectrum distribution of SEA through a Lorentzian function. The results demonstrated that in the same active locus, the AIV of phentolamine or verapamil group showed a linear decay with time after injection, but control group showed no statistical change of the AIV with time. The AIV of 25 loci in phentolamine or verapamil group was significantly lower than that of control group (7.92mV vs. 9.89mV and 6.72mV vs. 8.99mV, respectively). The mean of normalized AIV of dry needling group (0.565) was significantly lower than that of control (0.983). The mean and SD of AChR channel open time was 0.414±0.010ms for 8 rabbits. The regression analysis results have revealed an inverse linear relationship between the AChR channel open time and the AIV of SEA. In conclusion, the AIV and AChR channel open time seem to provide useful index to characterize the sensitivity of MTrP. The results of this study support the research hypothesis: “SEA is abnormal end-plate noise due to excessive ACh leakage and the sensitivity of MTrP is modulated by sympathetic activity, calcium and mechanical stimulus”. The digital signal processing and spectral analysis technique developed provide a simple and rapid estimation of the dominant AChR ion channel kinetics from in vivo SEAs recording for characterizing the MTrPs.
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Glanz, Kelly. "The effectiveness of myofascial deep dry needling versus superficial dry needling in the treatment of Trapezius Myofascial Pain Syndrome." Thesis, 2012. http://hdl.handle.net/10210/5031.
Full textAbstract:
M.Tech.Purpose: The purpose of this study is to investigate whether needling active trigger points in the upper fibres of the trapezius muscle, using myofascial deep dry needling versus superficial dry needling is effective in the treatment of Trapezius Myofascial Pain Syndrome. Method: Forty participants underwent a general screening to determine whether they have active myofascial trigger points in the upper fibres of the Trapezius muscle. The general screening was done by using a pincer grip technique to find the active trigger point within the trapezius. If the pincer grip revealed that there were active trigger points, the participant was suitable for this study. Each filled in a neck disability index and a pain rating scale, with algometer readings taken Pre and Post-treatment on visit 1 to visit 4. Algometer readings were taken at the active trigger point Pre and Post-treatment (subjective data). Each participant received either myofascial deep dry needling or superficial dry needling to the active trigger point. After the two week trial, the participants had to fill out a neck disability index and a pain rating scale for a second time in order to objectively measure the participants pain. Results: The results were interpreted by Statkon at the University of Johannesburg. The data was analysed using the Mann Whitney test and the Friedman test. According to the tests, both groups improved significantly in both the objective and subjective measurements over the four visits. Overall, the mean values for both the myofascial deep dry needling group and the superficial dry needling group were P = 0.001. The superficial dry needling group showed a further increase over a short term period in the objective and subjective measurements over each visit. Conclusion: Based on the results of this study, it can be concluded that both myofascial deep dry needling and superficial dry needling is effective and can be used in the treatment of Trapezius Myofascial Pain Syndrome. This study further indicated that superficial dry needling was shown to be a significantly effective treatment short term when compared to that of myofascial deep dry needling of active trigger points in the upper fibres of the Trapezius muscle
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Cowie, Jacqueline. "An exploratory study of the immediate and short term effectiveness of dry needling the primary, active trigger point on clinical diagnostic findings in patients with myofascial pain syndrome of the biceps muscle." Thesis, 2003. http://hdl.handle.net/10321/234.
Full textAbstract:
Thesis (M.Tech.: Chiropractic)-Dept. of Chiropractic, Durban Institute of Technology, 2003
1 v. (various pagings)The purpose of this study was to investigate the immediate and short term effectiveness of dry needling the primary, active Biceps TrP on the pain experienced during shoulder flexion and abduction range of motion, as well as on an associated bicipital tendonitis and satellite TrP’s.
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Chettiar, Amarannathan. "The therapeutic efficacy of action potential therapy in the treatment of myofascial pain syndrome." Thesis, 2001. http://hdl.handle.net/10321/1810.
Full textAbstract:
A dissertation submitted in partial compliance with the requirements for a Master's Degree in Technology: Chiropractic at Technikon Natal. 2001.The purpose of this investigation was to determine the relative efficacy of Action Potential Therapy (APT) as opposed to placebo Action Potential Therapy in the treatment of myofascial pain syndrome. The study was a prospective, randomized, placebo controlled study. The study consisted of two groups of thirty subjects each, which were selected from the Durban Metropolitan area. Only subjects diagnosed as having active trigger points in either the trapezius or gluteus medius muscle were accepted into the study. Each subject received four treatments over a period of seven to ten days. Group one received an active form of Action Potential Therapy while group two received placebo Action Potential Therapy. Subjective assessment was by means of the short form McGill pain Questionnaire and the N wnerical Pain Rating Scale-l Ol. Objective assessment was by means of an algometer and the Myofascial Diagnostic Scale. Readings were taken twice for each patient. The first assessment was conducted at the initial consultation prior to the first treatment, and the second assessment was completed during the last consultation after the treatment. Intra-group comparisons were made using the parametric two-sample paired t-test and the nonparametric Wilcoxon signed rank test. For the inter-group comparison, the parametric twosample unpaired t-test and non-parametric Mann-Whitney unpaired U test were used. Statistical analysis was completed at a 5% significance level.
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Broadhurst, Michele. "An investigation into the association between the role of myofascial trigger points of the lower extremity and the clinical diagnosis of iliotibial band friction syndrome." Thesis, 2004. http://hdl.handle.net/10321/2695.
Full textAbstract:
Dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic at Durban Institute of Technology, 2004.The purpose of this study was to investigate the association between the role of Myofascial Trigger Points of the lower extremity to the clinical presentation of lIiotibialband Friction syndrome
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Broome, Richard John. "The therapeutic efficacy of invasive needling techniques in the management of myofascial pain and dysfunction syndrome." Thesis, 1996. http://hdl.handle.net/10321/1967.
Full textAbstract:
A dissertation submitted in partial compliance with the requirements for a Master's Degree in Technology: Chiropractic, Technikon Natal, 1996.Myofascial trigger points are a frequently overlooked and misunderstood phenomenon in medical curricula, yet with correct diagnosis and appropriate treatment the prognosis is usually excellent. Many effective treatments have been devised for myofascial trigger points, but the problem is that there is very little research to substantiate which of these treatments are the most effective. The aim of this randomised uncontrolled study was to justify the hypotheses which stated that both dry needling and saline injection would prove to be effective in the treatment of myofascial trigger points, with saline injection proving to be the most effective of the two. Patients were obtained for this study by convenience sampling, whereby any patients presenting to the Chiropractic clinic at Technikon Natal with neck,\xB7 upper back or shoulder pains were considered for the study. Of these patients, only those who conformed to the specified delimitations and diagnostic criteria were accepted. The sample size of thirty patients was randomly divided into two treatment groups of fifteen, one of which received saline injection and the other dry needling of active myofascial trigger points. Both groups were educated with regards to the nature and perpetuating factors of the condition, \xB7andwere instructed to follow a specific stretching programme.
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Edwards, Nicole Lauren. "The efficacy of chiropractic adjustments and PAIN®GONE therapy in the treatment of trapezius myofascial pain syndrome." Thesis, 2014. http://hdl.handle.net/10210/12364.
Full textAbstract:
M.Tech. (Chiropractic)Myofascial trigger points are very common and can become a painful part of most people’s life at one time or another. According to Travell and Simons (1999), active upper trapezius myofascial trigger points are common in patients presenting with neck pain. Myofascial pain syndrome is a regional muscle disorder that is one of the most common causes of persistent pain in the head, face and neck regions (Rachlin, 2002). The PAIN®GONE pen is a device that produces a high voltage, low frequency pulse for only a brief period of time. The electrical stimulation activates endorphins in the hypothalamus which plays a role in pain relief (Puskas, 2004). The technical system of the device is clinically proven and uses Transcutaneous Electric Nerve Stimulation (TENS), based on the pain gate control theory of Melzack and Wall (1965). The purpose of this study was to determine the efficacy of treating active upper trapezius trigger points with PAIN®GONE therapy combined with cervical spine chiropractic adjustments.This study consisted of two groups, the PAIN®GONE therapy group (Group 1) with fifteen participants and the placebo PAIN®GONE therapy group (Group 2) with fifteen participants. The participants were between the ages of 18 and 40 years of age. Prior to becoming a participant of this study, individuals were assessed according to the inclusion and exclusion criteria, a case history, physical examination, cervical regional examination and upper trapezius muscle palpation to assess for upper trapezius myofascial trigger points. Treatment was applied to the cervical spine by Chiropractic adjustments, and to the upper active trapezius myofascial trigger points via PAIN®GONE therapy or placebo PAIN®GONE therapy, from which the subjective and objective data were based.Each participant was treated six times over a period of three weeks. Prior to the initiation of treatment, each participant was requested to complete a Vernon-Mior Neck Pain and Disability Index questionnaire and Numerical Pain Rating Scale. Algometer readings were obtained for the active upper trapezius myofascial trigger points. The Cervical Range of Motion (CROM) goniometer was used to obtain numerical values for the participant’s active cervical spine ranges of motion in flexion, extension, lateral flexion androtation. Both groups, received treatment to the active upper trapezius trigger points and Chiropractic adjustments to the cervical spine for a total of six treatment sessions. Both subjective and objective data readings were obtained before the 1st, 4th and 7th final consultation...
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Cheng, Ta-Sheng, and 鄭達生. "Recognition on the SEMG of Patients with Myofascial Pain Syndrome Using Octave Energy Features." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/53168064038732686705.
Full textAbstract:
碩士國立高雄第一科技大學
電腦與通訊工程所
98
The purpose of this study is to explore wavelet-based octave energy features for recognition on surface electromyography (SEMG) of patients with myofascial pain syndrome. The method proposed in this paper includes wavelet transform, wavelet denoise scheme, feature selection, linear discriminant analysis (LDA) and receiver operating characteristic analysis (ROC). First, we decompose the signal by the wavelet transform. We further denoise the high band coefficients by using wavelet denoise scheme. The energy of each subband coefficients is used as features of myofascial pain syndrome. The ROC analysis and fisher’s estimation (FE) are used for recognition performance evaluation, where the classification scheme applied LDA. According to the experimental results, Dataset1 is the SEMG data and is suitable for analyzing with discrete wavelet transform. The Ac of DataSet1 with left and right shoulder data are 80﹪and 96﹪, respectively. DataSet2 and DataSet3 are the interference pattern and is suitable for analyzing with wavelet packet transform. The performance of Dataset2 is better than that of Dataset3. The Ac of DataSet2 with left and right shoulder data are 84﹪and 79﹪, respectively. The experimental results of DataSet1 show that the recognition performance gets higher as the decomposition level increased, which is similar to the signal characteristic of the muscular fatigue.
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Dippenaar, Donna Lisa. "The association between myofascial trigger points of the quadriceps femoris muscle and the clinical presentation of patellofemoral pain syndrome using a piloted patellofemoral pain severity scale." Thesis, 2003. http://hdl.handle.net/10321/279.
Full textAbstract:
Thesis (M.Tech.: Chiropractic) -Dept. of Chiropractic, Durban Institute of Technology, 2003. xix, 199 leavesThe purpose of this study was to investigate the role of Myofascial Trigger Points of the quadriceps femoris muscle in the clinical presentation of Patellofemoral Pain syndrome. Patellofemoral Pain Syndrome according to current literature suggests an extensor mechanism dysfunction as the most probable etiology, however this syndrome has posed many unsolved mysteries and challenges to the medical community and remains a difficult condition to treat. Myofascial pain syndrome in contrast to this is a regional muscular disorder that results from myofascial trigger points within the muscle. The presence of these trigger points could result in anterior knee pain, imbalance of the extensor mechanism and instability of the patellofemoral joint, which could present as a Patellofemoral Pain Syndrome.
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Moorcroft, Vanessa. "A comparison between myofascial dry needling with and without full post-needling protocol in the treatment of acute myofascial pain and dysfunction syndrome." Thesis, 2013. http://hdl.handle.net/10210/8314.
Full textAbstract:
M.Tech. (Chiropractic)Myofascial pain and dysfunction syndrome (MPDS) is presently considered to be the leading diagnosis amongst pain management physicians and the leading diagnosis amongst pain sufferers reporting to general practitioners (Harden, Bruehl, Gass, Niemiec & Barbick, 2000). The goal of dry needling and the other above mentioned soft tissue treatments is to alleviate the MTrP’s in the muscle, thereby restoring the muscle to its normal tissue mobility and returning it to proper functional capacity (Travell & Simons, 1999). A post-needling protocol may be used to reduce post-needling soreness at the needling site, to facilitate tissue repair after needling and to normalise muscle function and ROM after needling (Travell & Simons, 1999). The aim of this study is to compare the efficacy of dry needling on its own and in combination with a widely prescribed post-needling protocol of heat, active range of motion (ROM) exercises and passive stretches, with regards to changes in pressure pain threshold, pain and cervical spine ranges of motion, to determine which the superior treatment is. Participants who went to the University of Johannesburg Chiropractic Day Clinic were eligible to participate in the study once they met the inclusion and exclusion criteria. Participants were recruited by means of word of mouth as well as with the use of advertisements that were placed around the respective campuses of the University of Johannesburg. Thirty participants were randomly assigned into one of two groups, each consisting of 15 participants. Group A received only dry needling to the upper trapezius muscle TP1 or TP2 whereas group B received dry needling to the upper trapezius muscle TP1 or TP2, moist heat, active ROM exercises and passive stretching of the upper trapezius muscles. Participants were treated for a total of 6 visits. Subjective and objective measurements were done at visits 1, 4 and a final visit 7 during which only measurements were taken.
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Royce, Nicholas. "The effectiveness of needling of myofascial trigger points on internal- external muscle peak torque and total work ratios of the shoulder rotator myoatatic unit in overhead throwing athletes suffering from myofascial pain and dysfunction syndrome." Thesis, 2005. http://hdl.handle.net/10321/185.
Full textAbstract:
Thesis (M.Tech.: Chiropractic)-Dept. of Chiropractic,Durban Institute of Technology, 2005
xxi, 132, 34 leaves ; ill. ; 30 cmTo assess and quantify the number, severity and specific location of myofascial trigger points within the shoulder rotator muscle group. To assess the internal/external ratio of the dominant shoulder in throwing athletes using a Cybex 700 dynamometer, after intervention and to establish a comparable clinical profile of the participants.
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Hall, Thandi Antonia. "A study of the effectiveness of myofascial trigger point therapy on iliotibial band friction syndrome in sports persons." Thesis, 1997. http://hdl.handle.net/10321/2693.
Full textAbstract:
A dissertation submitted in partial compliance with the requirements for a Master's Degree in Technology: Chiropractic, Technikon Natal, 1997.Iliotibial Band Friction Syndrome is a common problem for patients as well as physicians. Many treatments have been devised for Iliotibial Band Friction Syndrome, but there is very little research to substantiate which of these treatments is most effective. Myofascial trigger points are a frequently overlooked and misunderstood phenomenon in the medical curriculae, yet with correct diagnosis and appropriate treatment the prognosis of these trogger points is usually excellent. The aim of this placebo-controlled study was to justify the hypotheses which stated that myofascial trigger point therapy would be effective in the treatment of Iliotibial Band Friction Syndrome (IBFS), as compared to detuned ultrasound as a form of treatment.
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Van, Aardenne Shaana. "The efficacy of magnesium phosphate, as an adjunct to dry needling in the treatment of myofascial pain syndrome." Thesis, 2002. http://hdl.handle.net/10321/296.
Full textAbstract:
Thesis (M.Tech.: Chiropractic) -Dept. of Chiropractic, Technikon Natal, 2002 1 v. (various pagings)The purpose of this clinical trial was to evaluate the efficacy of Magnesium phosphate, as an adjunct to dry needling, in the treatment of Myofascial Pain Syndrome (MPS), in terms of objective and subjective clinical findings. MPS is a frequently encountered condition. If not treated adequately, this condition can lead to long term, recurrent pain, as well as patient and physician frustration. Many treatment protocols have been examined with contradictory results and research into epidemiological studies and combinations of various treatment protocols are lacking.
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Hutchings, Tracey Ann. "The treatment of myofascial syndrome using transcutaneous electrical nerve stimulation (TENS) : a comparison between two types of electrode placements." Thesis, 1998. http://hdl.handle.net/10321/2801.
Full textAbstract:
Dissertation submitted in partial compliance with the requirements for the Masters Degree in Technology: Chiropractic at Technikon Natal, 1998.Myofascial syndrome is a very common condition which is frequently encountered at Chiropractic clinics. It is also a very complex condition and as such is a very frustrating one to treat effectively. Tens is resegnised as a clinically effective modality in the treatment of Myofascial syndrome, however guidelines with respect to the most effective electrode placements are lacking.
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Bedell-Sivright, Hayley Anne. "The efficacy of therapeutic faradic stimulation in patients with myofascial pain syndrome of the trapezius and levator scapula musculature." Thesis, 2005. http://hdl.handle.net/10321/502.
Full textAbstract:
Dissertation submitted in partial compliance with the requirements for the Masters
Degree in Technology: Chiropractic, Durban Institute of Technology, 2005.The purpose of this study was to determine the efficacy of Therapeutic Faradic Stimulation in patients with Myofascial Pain Syndrome of theTrapezius and Levator Scapula musculature. This study was a quantitative pilot placebo controlled clinical trial. The sample size used was 60 patients selected from the Durban Metropolitan Area. Only patients between the ages of 30 and 50, who were office workers and were diagnosed with active trigger points in either the Trapezius and/or the Levator Scapula muscles were accepted into this study. The sample was divided into 3 groups of 20. One group received Faradic Stimulation in the form of the Transeva, another group received Placebo Transeva and the third group received Pulsed Ultrasound. Each patient received 2 research treatments with a maximum of 72 hours between treatment 1 and 2, and the third free Chiropractic treatment being a week later. Data (both subjective and objective) were obtained from the patients at the first and second consultations, prior to treatments and at the third follow up before treatment. Subjective data were obtained with the Short form McGill pain questionnaire, the Numerical Pain Rating Scale and the CMCC Neck Disability Index. Objective data were obtained from the Pressure Algometer and the CROM Cervical Range of Motion Instrument. Statistical Analysis of the data was conducted using the SPSS (version 9) software suite. This Statistical software program was manufactured by SPSS Inc, 444N. Michigan Avenue, Chicago, Illinois, USA. Various Descriptive and Inferential Statistical techniques were used. The Descriptive procedures used were various tables and graphs and a few summary statistics including but not limited to means, proportions and percentages. Inferential Statistics included iv various Hypothesis testing techniques. Due to the size of our samples, namely 20 in each group, non-parametric Statistical Tests were used. All the tests were set at type 1 error at 5%, or mentioned differently = 0.05. If our p value as reported was less than 0.05 we declared a significant result and our Null Hypothesis was rejected. Evaluation of the statistical analyses revealed significant improvements with regards to subjective and objective data for mostly the Attenuated Faradic Treatment (Transeva) group. Although significant Placebo and Ultrasound effects were obtained initially after the first treatment, the Transeva group showed more favourable results between consultations two and three, giving a good indication of the progression of the treatment regimen. Comparison between groups showed a significant difference with regards to CMCC Neck Disability Index scores, NPRS 101 questionnaires, CROM extension and right lateral flexion readings and Algometer readings. It was concluded that the Transeva is an effective form of treatment for the active trigger points of Myofascial Pain Syndrome of the Trapezius and Levator Scapula musculature in terms of both subjective and objective clinical findings. Suggestions were made to double-blind further studies as this will aid in reducing researcher bias toward a favoured treatment protocol. This study and observations made by the author with respect to Myofascial Transeva treatment are hoped to contribute to the limited literature available on this modality.
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Huang, Yu-Shan, and 黃于珊. "Discriminative treatment of patients with myofascial pain syndrome of the masticatory system according to disease severity." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/28148183779507594356.
Full textAbstract:
碩士高雄醫學大學
牙醫學研究所
96
Background: Head and neck muscle pain are common symptoms of myofascial pain syndrome (MPS) of masticatory system. Though treatments of MPS of masticatory system are various, many patients have little response to the treatment. Shall we treat patients with MPS of the masticatory system according to disease severity? To evaluate the severity of MPS of masticatory system, commonly used parameters (maximum mouth opening and visual analog scale) are not enough. May we evaluate the severity of MPS of masticatory system in mandibular function impairments, pain, life quality disturbance, stress and sleep quality of patients? Methods: we divided patients into simple and complex groups, 9 patients in each group. Both groups were treated for 2 weeks, education for simple group; ultrasound, massage and education for complex group. The following parameters were taken at the beginning and ending of the TX: Brief Pain Inventory for pain details, Mandibular Function Impairment Questionnaire for jaw function assessment, Short Form 36 Health Survey for life quality evaluation, Beck Anxiety Inventory for anxiety assessment and Pittsburgh Sleep Quality Index for sleep quality evaluation. The data were analyzed with Wilcoxon Signed-Rank Test. Results: Both group have significant improvement in Mandibular Function Impairment Questionnaire and Brief Pain Inventory. Education is useful for patients with simple MPS of masticatory system; ultrasound, massage and education are useful for patients with complex MPS of masticatory system. Brief Pain Inventory and Mandibular Function Impairment Questionnaire seem useful in evaluating the treatment effects and severity of MPS of masticatory system; Beck Anxiety Inventory and Pittsburgh Sleep Quality Index are helpful in understanding Pt’s anxiety and sleep quality.. Conclusion: To our knowledge we are the first experiment to treat patients with MPS of the masticatory system according to disease severity. We focus on simple TX and blocking etiologic factors, different from the concept using multiple therapies. It seems if we both release the symptoms and block etiologic factors, may be we can shorten the treatment period of patients with MPS of masticatory system.
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Tsai, Li-Chen, and 蔡莉貞. "Comparative evaluation of various physical medicine modalities for the immediate effect on cervical myofascial pain syndrome." Thesis, 1996. http://ndltd.ncl.edu.tw/handle/32574237607174083808.
Full textAbstract:
碩士國立成功大學
醫學工程學系
84
Myofascial pain syndrome (MPS) is a common musculoskeletal pain disorder, the prevalence has been increasing dramatically in recent years. Clinically, those persons suffered from cer- vical MPS have a very high recurrence rate. The purposes of this research are to evaluate quantitatively and to investigate objectively several physical therapy modalities on immediate effect of treating active TrPs in order to provide an appro- priate home therapy that is effective, convenient and cost- effective. This research focuses on the improved degree of important clinical indexes for IThC、 IToC、 IVC and IRC, using the different medicine modalities on patients with MPS in upper trapezius.The results have showed that: 1) in ischemic the treatment pressure of middle value between pain threshold and tolerance has significant improvement in pain reduction and ROM compared to that of pain threshold value (P<0.05)；2) in ischemic compression, the 90 seconds treatment duration has significant improvement in IThC, IToC, IVC and IRC compared to the treatment durations of 30 and 60 seconds (P<0.05)； 3) B3, B5 and B6 groups have significantly higher IThC,IToC,IVC values compared to control group (B1) (p<0.05). This study concludes and suggests that an ischemic compression treatment with quan- titative pressure and duration, which is combined with pre- treatment of hot pack and active ROM exercise and post- treatment of TENS, provides the most effective home therapy in cervical MPS.
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Chao, Yu-Wen, and 趙雨雯. "Kinesio Taping on Short-Term Changes in Subjects with Myofascial Pain Syndrome: a Randomized Controlled Trial." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/33010133849348644197.
Full textAbstract:
碩士國立臺灣大學
物理治療學研究所
102
Background: Myofascial pain syndrome (MPS) characterized by the presence of trigger points (TrPs) and palpable taut band of muscle fibers is a common chronic pain disorder. Clinically, some evidence supports the application of kinesio tape in these patients. The underlying mechanism, however, is not clear. In this study, we used myotonometer (muscle stiffness measurement) and mechanomyography (MMG, muscle contraction pressure wave measurement) to validate proposed mechanism of kinesio tape in these patients. Objective: The purposes of this study are (1) to investigate the effects of manual pressure release and manual therapy plus kinesio taping on pressure pain threshold, muscle stiffness and vibration amplitude/frequency of muscle contraction in subjects with upper trapezius trigger point; (2) to examine the relationship between pressure pain threshold, muscle stiffness, and vibration amplitude/frequency following treatments involving manual pressure release and manual pressure release plus kinesio taping. Design: Thirty one subjects with upper trapezius trigger point were randomly allocated to one of the following group: manual pressure release (MPR) group and manual pressure release plus kinesio taping (MKT) group. Subjects in both groups received one session of manual pressure release, but subjects in the MKT group also received taping two times applied for 3 days and re-applied for other 4 days. Main outcome measures were pain intensity, pressure pain threshold, MMG signal, and muscle stiffness. Subjects were assessed at baseline, immediately post-intervention and after 7 days follow up. Results: Subjects in both groups improved their pain sensitivity from baseline to immediately after intervention and to follow-up (d=5.57, p<0.005; d=4.01, p<0.005). A significant improvement on tissue displacement was found in the MKT group compared to MPR group immediately after intervention and at follow-up (27% difference, p<0.05). Subjects in the MKT group showed significant higher MMG amplitude than that of MPR group immediately after intervention and follow up (at 4 and/or 5kg force level, p<0.05). However, no significant difference was found for the MMG frequency between groups (p>0.05). A poor to fair relationship was found in all of the comparison between MMG amplitude and other outcomes for both groups. A fair to excellent relationship (r= -0.30 - -0.95) was found between MMG frequency and PPT in baseline and immediately after intervention for both group. Conclusion: Manual pressure release and manual pressure release plus taping are effective in reducing pain in subjects with upper trapezius trigger point. Kinesio taping has an additional effect on muscle characteristics like tissue displacement and muscle contraction amplitude. The moderate relationship between MMG frequency and pressure pain threshold in MKT also support that trigger point muscle characteristics may be changed by taping. Long-term follow-up study is needed to validate this assumption.