Diagnose und Therapie myofaszialer Triggerpunkte

Simons, David; Mense, Siegfried

doi:10.1007/s00482-003-0253-7

Cited by 69 publications

(34 citation statements)

References 17 publications

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“…Considering the low level of interrater reliability and agreement on the presence of MTrPs [20][21][22][23][24] and the lack of uniformity in using the diagnostic criteria [27], the results of different studies and reviews show various modalities and techniques as effective or ineffective. Noninvasive methods of treatment are vapocoolant spray and stretch, manual stretching by TrP pressure, contract-release method, transcutaneous electrical stimulation, traditional physical therapy, and massage; invasive methods are dry needling and TrP injection [58][59][60]. Vernon and Schneider [61] reviewed a total of 112 articles and concluded that there is strong evidence for laser therapy; moderate evidence for transcutaneous electrical nerve stimulation, acupuncture, and magnet therapy; and weak evidence for electrical muscle stimulation, highvoltage galvanic stimulation, interferential current, frequency-modulated neural stimulation, and ultrasound therapy.…”

Section: Treatmentmentioning

confidence: 99%

Effect of Treatment on Trigger Points

Majlesi

Ünalan

2010

Curr Pain Headache Rep

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Patients with muscle pain complaints commonly are seen by clinicians treating pain, especially pain of musculoskeletal origin. Myofascial trigger points merit special attention because its diagnosis requires examinations skills and its treatment requires specific techniques. If undiagnosed, the patients tend to be overinvestigated and undertreated, leading to chronic pain syndrome. Patients with myofascial pain syndrome present primarily with painful muscle(s) and restricted range of motion of the relevant joint. Palpable painful taut bands are named trigger points and are the main and pathognomonic finding on physical examination. Eliciting local twitch response and referred pain requires experience and examination skills. It may be useful to classify the patient as having acute or chronic, and as having primary or secondary, myofascial pain so the decision on the details of treatment can be curtailed to the needs of each patient. Effective treatment modalities are local heat and cold, stretching exercises, spray-and-stretch, needling, local injection, and high-power pain threshold ultrasound.

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Section: Treatmentmentioning

confidence: 99%

Effect of Treatment on Trigger Points

Majlesi

Ünalan

2010

Curr Pain Headache Rep

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“…More recently, biopsies of myofascial tissue in the vicinity of TPs have revealed 'contraction knots', described as large, rounded, darkly staining muscle fibres, and a statistically significant increase in the average diameter of muscle fibres 65 . In another study, biopsies demonstrated segmental shortening of groups of sarcomeres in individual muscle fibres, and possibly waves of contracted sarcomeres to account for palpable taut bands 86 . Other morphological disorders include formation of hyaline bodies in muscle fibres and deposition of non-specific inflammatory factors.…”

Section: Discussionmentioning

confidence: 98%

Myofascial pain syndromes in the maxillofacial area: a common but underdiagnosed cause of head and neck pain

Manolopoulos¹,

Vlastarakos²,

Georgiou³

et al. 2008

International Journal of Oral and Maxillofacial Surgery

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“…In the recent years, central sensitization mechanisms are thought to play a role in the physiopathology of MPS. [27,28] The effect of US therapy on central pathways has also been evaluated. In their in vivo rat study, Hsieh et al demonstrated the impact of therapeutic US on the central mechanisms of pain by demonstrating that US therapy modifies the number of dorsal horn neuronal nitric oxide synthase like neurons (nNOS-LI).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of conventional ultrasound therapy on myofascial pain syndrome: a placebo controlled study

Kavadar¹,

Caglar²,

Özen³

et al. 2015

Agri

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Summary objectives:Myofascial pain syndrome (MPS) is a complex pain syndrome characterized with trigger points (TP) in skeletal muscles. We aimed to assess the efficacy of ultrasound (US) therapy, which is one of the main devices used in physical medicine and rehabilitation, for the treatment of TP in MPS. Methods: Fifty nine patients (49 females, 10 males) with active TP on the upper trapezius fibers were randomized into the treatment (n=30) and the control groups (n=29). The treatment group received conventional US therapy for 6 minutes, on 1.5 Watt/cm 2 dose with 1 MHz frequency for 15 days whereas a placebo US therapy was administered to the control group. Prior to the treatment, immediately and 3 months later pain severity during rest and physical activity was assessed with visual analog scale (VAS), TP tenderness was measured with 0-5 scale, pressure pain threshold (PPT) was analyzed with algometer and the depression level was evaluated with Beck's depression questionnaire (BDP) by a clinician blinded to the groups. Results: The mean age of the patients were 37.43±9.07 and 35.83±5.68 years, in the treatment and control groups, respectively. Compared to the pre-treatment values VAS, 0-5 scale and BDP scores decreased (p<0.01) along with an increase in PPT (p<0.01) in both groups at the follow-up visits. 0-5 scales and BDP scores were significantly lower and PPT was significantly higher in the treatment group, compared to the control group (p<0.001). conclusion: Our results revealed that US treatment is effective on MPS.Keywords: Myofascial pain syndrome; placebo ultrasound; ultrasound. Özet amaç:Miyofasiyal ağrı sendromu (MFAS), çizgili kas içinde tetik noktalar ile karakterize bir kompleks ağrı sendromudur. Ça-lışmamızda, fizik tedavide kullanılan temel cihazlardan biri olan ultrasonun (US) tetik nokta tedavisindeki etkinliği araştırıldı. Gereç ve Yöntem: Trapez kası üst liflerinde saptanan tetik noktalara bağlı MFAS tanısı konulan 59 hasta (49 kadın, 10 erkek) randomize olarak tedavi (n=30) ve kontrol grubu (n=29) olarak iki gruba ayrıldı. Tedavi grubuna 15 gün boyunca, günde bir kez 6 dakika süreyle 1.5 Watt/cm 2 dozunda, 1 MHz devamlı konvansiyonel US tedavisi, kontrol grubuna ise aynı sürede plasebo US tedavisi uygulandı. Tedavi öncesi, tedavi sonrası ve tedaviden üç ay sonra vizüel analog skala ile olguların istirahat ve aktivite sırasındaki ağrı düzeyi, sıfır-beş skalası ile tetik nokta hassasiyeti, algometre ile tetik nokta üzerindeki basınç ağrı eşiği ve Beck depresyon ölçeği ile depresyon düzeyleri, tedavi grubunu bilmeyen bir klinisyen tarafından değerlendirildi. Bulgular: Olguların yaş ortalaması tedavi grubunda 37.43±9.07, kontrol grubunda 35.83±5.68 idi. Tedavi öncesi değerlerle karşılaştırıldığında, tedaviden sonra ve üç ay sonraki kontrollerde her iki grupta da ağrı yakınmaları, tetik nokta hassasiyeti ve depresyon düzeyinde anlamlı bir azalma (p<0.01), basınç ağrı eşiğinde anlamlı artış (p<0.01) saptanmakla birlikte, grupların birbiriyle karşılaştırılmasında ağrı, tetik nokta hassasiyeti ve...

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Diagnose und Therapie myofaszialer Triggerpunkte

Cited by 69 publications

References 17 publications

Effect of Treatment on Trigger Points

Effect of Treatment on Trigger Points

Myofascial pain syndromes in the maxillofacial area: a common but underdiagnosed cause of head and neck pain

Efficacy of conventional ultrasound therapy on myofascial pain syndrome: a placebo controlled study

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