A critical overview of the current myofascial pain literature – January 2016

Dommerholt, Jan; Finnegan, Michelle; Grieve, Robert; Hooks, Todd

doi:10.1016/j.jbmt.2015.12.014

Cited by 10 publications

(5 citation statements)

References 39 publications

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“…This testable hypothesis provides a new framework for understanding both BPS and MPP, outlined in Table . MPP would result from perturbation in local blood flow and loss of available energy within the muscle, as has been observed for FM . Muscle stiffness and tenderness would result from lack of energy resources, and pelvic floor therapy would work by reestablishing normal pelvic muscle flow to patients with MPP, another testable clinical hypothesis.…”

Section: Discussionmentioning

confidence: 93%

Autonomic neurophysiologic implications of disorders comorbid with bladder pain syndrome vs myofascial pelvic pain

Chelimsky

Yang

Sanses

et al. 2019

Neurourology and Urodynamics

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Aims The neuropathophysiology of a debilitating chronic urologic pain condition, bladder pain syndrome (BPS), remains unknown. Our recent data suggests withdrawal of cardiovagal modulation in subjects with BPS, in contrast to sympathetic nervous system dysfunction in another chronic pelvic pain syndrome, myofascial pelvic pain (MPP). We evaluated whether comorbid disorders differentially associated with BPS vs MPP shed additional light on these autonomic differences. Methods We compared the presence and relative time of onset of 27 other medical conditions in women with BPS, MPP, both syndromes, and healthy subjects. Analysis included an adjustment for multiple comparisons. Results Among 107 female subjects (BPS alone = 32; BPS with MPP = 36; MPP alone = 9; healthy controls = 30), comorbidities differentially associated with BPS included irritable bowel syndrome (IBS), dyspepsia, and chronic nausea, whereas those associated with MPP included migraine headache and dyspepsia, consistent with the distinct autonomic neurophysiologic signatures of the two disorders. PTSD (earliest), anxiety, depression, migraine headache, fibromyalgia, chronic fatigue, and IBS usually preceded BPS or MPP. PTSD and the presence of both pelvic pain disorders in the same subject correlated with significantly increased comorbid burden. Conclusions Our study suggests a distinct pattern of comorbid conditions in women with BPS. These findings further support our hypothesis of primary vagal defect in BPS as compared with primary sympathetic defect in MPP, suggesting a new model for chronic these pelvic pain syndromes. Chronologically, PTSD, migraine, dysmenorrhea, and IBS occurred early, supporting a role for PTSD or its trigger in the pathophysiology of chronic pelvic pain.

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Section: Discussionmentioning

confidence: 93%

Autonomic neurophysiologic implications of disorders comorbid with bladder pain syndrome vs myofascial pelvic pain

Chelimsky

Yang

Sanses

et al. 2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

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“…In addition, similar outcomes—that is, PPT, CROM and strength perception—have been demonstrated following these kinds of treatments. 1,14,15,17,18,40 43…”

Section: Discussionmentioning

confidence: 99%

“…14–16 On the one hand, ischaemic compression is a questionable technique for MTrP inactivation because hypoxia and low pH could be increased by excessive compression over the PPT. 17 On the other hand, the pressure release technique is suggested to be a better treatment option than ischaemic compression because its lower compression under PPT depends on soft tissue release. Thus, the pressure release technique may be considered an acupressure and manual therapy technique that utilises pressure under the PPT, in which the compression may be increased when the physical therapist feels a reduction in soft tissue resistance.…”

Section: Introductionmentioning

confidence: 99%

Immediate effects of variable durations of pressure release technique on latent myofascial trigger points of the levator scapulae: a double-blinded randomised clinical trial

et al. 2019

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Objective: Latent myofascial trigger points (MTrPs) of the levator scapulae have a high prevalence and may influenceconditions of the neck and shoulder. The pressure release technique is one of the most recommended manual therapy techniques. The aim of this study was to determine the effect of varying durations of the pressure release technique application on latent MTrPs of the levator scapulae. Methods: In a three-arm (1:1:1 ratio), double-blinded, parallel, randomised clinical trial, 60 healthy university students (23 men, 37 women) with a mean±SD age of 20.0±2.67 years were recruited. Subjects were assigned to receive pressure release in one latent MTrP of the levator scapulae lasting 30s (T30s; n=17), 60s (T60s; n=22) or 90s (T90s; n=21). Active cervical range of movement (CROM), strength, pressure pain threshold (PPT) and neck pain intensity at full stretch were measured immediately before and after treatment. Results: Mixed-model analyses of variance showed statistically significant differences for PPT (P=0.045; partial Eta2=0.103), comparing T60s versus T30s (P=0.009; Cohen’s d=1.044) and T90s versus T30s groups (P=0.001; Cohen’s d=1.253), and for left side bending strength (P=0.043; partial Eta2=0.105), comparing T90s versus T30s (P=0.023; Cohen’s d=0.907). The rest of the comparisons did not present any significant differences (P⩾0.05). Conclusions: The 60 s and 90 s applications of the pressure release technique may be recommended to increase PPT and strength, respectively, in latent MTrPs of the levator scapulae in the short term. Trial registration number: NCT03006822.

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“…In recent years, self-massage through foam rolling (FR) has become an increasingly popular treatment in managing muscular injuries and pain [ 1 – 3 ]. FR involves an individual applying their own body weight to a neoprene-coated cylinder, using small repetitive undulating movements to exert pressure on the muscle.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Foam Rolling for Three Consecutive Days on Muscular Efficiency and Range of Motion

et al. 2018

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BackgroundFoam rolling (FR) has been shown to alleviate some symptoms of exercise-induced muscle damage and has been suggested to increase range of motion (ROM) without negatively impacting strength. However, it is unclear what neuromuscular effects, if any, mediate these changes.MethodsIn a randomized, crossover design, 16 healthy active males completed 2 min of rest or FR of the knee extensors on three consecutive days. Mechanical properties of vastus lateralis (VL) and rectus femoris (RF) were assessed via Tensiomyography. Knee extension maximal voluntary contraction (MVC) and knee flexion ROM were also assessed, and surface electromyography amplitude (RMS) was recorded during a submaximal isometric contraction (50% of MVC). Measures were performed before and after (0, 15, and 30 min) FR or rest.ResultsMVC was reduced on subsequent days in the rest condition compared to FR (p = 0.002, pη2 = 0.04); ROM was not different across time or condition (p = 0.193, pη2 = 0.01). Stiffness characteristics of the VL were different on the third day of FR (p = 0.002, pη2 = 0.03). RMS was statistically reduced 0, 15, and 30 min after FR compared to rest (p = 0.006, pη2 = 0.03; p = 0.003, pη2 = 0.04; p = 0.002, pη2 = 0.04).ConclusionsFollowing FR, MVC was elevated compared to rest and RMS was transiently reduced during a submaximal task. Excitation efficiency of the involved muscles may have been enhanced by FR, which protected against the decline in MVC which was observed with rest.

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A critical overview of the current myofascial pain literature – January 2016

Cited by 10 publications

References 39 publications

Autonomic neurophysiologic implications of disorders comorbid with bladder pain syndrome vs myofascial pelvic pain

Autonomic neurophysiologic implications of disorders comorbid with bladder pain syndrome vs myofascial pelvic pain

Immediate effects of variable durations of pressure release technique on latent myofascial trigger points of the levator scapulae: a double-blinded randomised clinical trial

The Effect of Foam Rolling for Three Consecutive Days on Muscular Efficiency and Range of Motion

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