Effectiveness of a Home Program of Ischemic Pressure Followed by Sustained Stretch for Treatment of Myofascial Trigger Points

Hanten, William P.; Olson, Sharon L.; Butts, Nicole L; Nowicki, Aimee L

doi:10.1093/ptj/80.10.997

Cited by 220 publications

(78 citation statements)

References 20 publications

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“…Myofascial pain syndrome is a common source of discomfort and disability for many patients, however, it is generally ignored or misdiagnosed leading to chronic painful conditions. The aim of treatment in MPS is to decrease the trigger point sensitivity [14,15]. Vapocoolant spray with stretching the involved muscle and local anaesthetic injection with muscle stretching were the main methods which were proposed by Travell and Simons [15]as specific treatments.…”

Section: Discussionmentioning

confidence: 99%

“…Jaeger et al [2] suggested that stretching is the major and effective part of the treatment which we already used in both groups. Besides these so called specific methods, various physical modalities such as ice, heat, ultrasound, transcutaneous electrical nerve stimulation (TENS), ischaemic compression and massage have been used to treat trigger points [14][15][16]. Despite the widely use of therapeutic modalities, Hanten et al [14] claimed the quality of the studies on the efficacy of these modalities were low and the supporting results reported only temporary relief for many of the modalities.…”

Section: Discussionmentioning

confidence: 99%

“…Besides these so called specific methods, various physical modalities such as ice, heat, ultrasound, transcutaneous electrical nerve stimulation (TENS), ischaemic compression and massage have been used to treat trigger points [14][15][16]. Despite the widely use of therapeutic modalities, Hanten et al [14] claimed the quality of the studies on the efficacy of these modalities were low and the supporting results reported only temporary relief for many of the modalities. Low level laser therapy has often been applied in various musculoskeletal and soft tissue pain syndromes [8].…”

Section: Discussionmentioning

confidence: 99%

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Efficacy of low level laser therapy in myofascial pain syndrome: An algometric and thermographic evaluation

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“…In order to present this problem more closely it must be stressed that not all the TrPare characterized by the same ability to provoke pain. Due to that, in the literature we can find a division to: 1) latent/lethal/passive/retained) TrP; and 2) active TrP [7,8,22,24,25,26]; while Chaitow and Fritz [27] distinguish additionally embryonic TrP.…”

Section: Tender Points and Trigger Points -Controversiesmentioning

confidence: 99%

Differential diagnosis between fibromyalgia syndrome and myofascial pain syndrome

Chochowska

Szostak

Marcinkowski

et al. 2015

J Pre Clin Clin Res.

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Chochowska M, Szostak L, Marcinkowski JT, Jutrzenka-Jesion J. Differential diagnosis between fibromyalgia syndrome and myofascial pain syndrome. J Pre-Clin Clin Res. 2015; 9(1): 82-86. AbstractIntroduction. Fibromyalgia syndrome (FMS) and myofascial pain syndrome (MFPS) can be ranked among disease entities being difficult to diagnose clinically, manifesting themselves mainly through pain in specific hypersensitivity points. Aim. To present the current state of medical knowledge about pain spots appearing on hypersensitive points of soft tissue in the context of selected disease entities. Summary of the knowledge. MFPS is defined as sensory, motor and autonomic complaints, caused by the occurrence of trigger points (TrP). Yet the FMS is stated during the anamnesis on the basis of generalized pain, and pressure achiness of at least 11 out of 18 tender points (TP) of precisely determined location. Patients with FMS report numerous additional complaints -apart from the above mentioned ones; these are however highly non-specific and are not confirmed during routine medical check-ups. There are also no laboratory tests that can confirm presence of TrP being characteristic to MFPS and differentiating it from other muscles' disease entities. Such points are identified only with the use of palpation. Unfortunately while examining a patient this way TrP -being symptoms of MFPS -can be quite easily confused with TPbeing symptoms of FMS. Patients with MFPS which is developing in consequence of long-lasting global disorder of muscle tension balance and sensitivity of nociceptors as a result of chronically remaining pain, frequently suffer from achiness fulfilling the criteria of generalized pain. Moreover -in effect of static overload of soft tissues (especially of tonic muscles) -there occur hypersensitive palpable areas (points). Stimulating them cause lively reaction of the patient. Described symptoms can suggest a suspicion of FMS -the more so that making a diagnosis of MFPS does not exclude its coexistence. Having this in mind, there is a pretty large group of authors who raise a supposition that the differential diagnosis between TrP and TP should be observed in the quantitative rather than in the qualitative categories, despite the still binding definition and nomenclature. Recapitulation. Looking at the MFPS and at the FMS from the perspective of evolution of knowledge about them and from the point of view of period when scientific researches were conducted and their results published, it must be stated that during last years a considerable progress has been obtained in scope of better understanding of pathogenesis and pathophysiology of pain in specified points of soft tissue hypersensitivity, and the parallel clinical studies -confirming the hypotheses that were made -clearly increased the diagnostic and therapeutic capabilities of clinical practice.

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“…11 Persistence of MTrPs in the neck and shoulder muscles for long periods may result in headache, neck and shoulder pain, dizziness or vertigo, limited neck and shoulder range of motion, abnormal sensation, and dysfunction, and disability. 14,15 To the best of our knowledge there are no studies regarding the prevalence of MTrPs in patients after stroke with shoulder pain. Such findings could open up new therapeutic perspectives in this group of patients, as Tang et al have done when they studied the intervention of dry needling to resolve MTrPs in poststroke patients with shoulder pain.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Myofascial Trigger Points in Poststroke Patients With Painful Shoulders: A Cross‐Sectional Study

Villafañe

López-Royo

Herrero

et al. 2019

PM&R

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Background In patients with stroke, hemiplegic shoulder pain can be a major problem. One source of shoulder pain can be myofascial trigger points (MTrPs). Objective To determine the prevalence of myofascial trigger points (MTrPs) and the correlation between MTrPs and pain and function in patients presenting with shoulder pain following a stroke. Design Cross‐sectional study. Setting Department of Physical Therapy. Patients Fifty patients with stroke with shoulder pain. Intervention Not applicable. Main Outcome Measurements The prevalence of the MTrPs located in infraspinatus, supraspinatus, teres minor, and upper trapezius was studied, using the diagnosis criteria recommended by Simons et al. The pressure pain threshold was also evaluated. Pain and function were assessed with the Visual Analogue Scale (VAS) and the Disability of the Arm, Shoulder and Hand (DASH) scale, respectively. Results The prevalence of latent MTrPs was 68%, 92%, 40%, and 62% for supraspinatus, infraspinatus, teres minor, and upper trapezius muscle, respectively. The prevalence of active MTrPs was 34%, 50%, 12%, and 20% for supraspinatus, infraspinatus, teres minor, and upper trapezius muscle, respectively. Pain was moderately correlated with the prevalence of latent MTrPs (r = 0.35; P = .01) and active MTrPs (r = 0.31; P = .03) in the supraspinatus muscle. Disability was measured with the DASH scale and was moderately correlated with latent MTrPs in the infraspinatus (r = 0.31; P = .03) and active MTrPs of the supraspinatus (r = 0.32; P = .02). Conclusions This study shows that the prevalence of MTrPs is high in patents following a stroke. MTrPs in this population are moderately associated with pain and function. Level of Evidence II.

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Effectiveness of a Home Program of Ischemic Pressure Followed by Sustained Stretch for Treatment of Myofascial Trigger Points

Cited by 220 publications

References 20 publications

Efficacy of low level laser therapy in myofascial pain syndrome: An algometric and thermographic evaluation

Efficacy of low level laser therapy in myofascial pain syndrome: An algometric and thermographic evaluation

Differential diagnosis between fibromyalgia syndrome and myofascial pain syndrome

Prevalence of Myofascial Trigger Points in Poststroke Patients With Painful Shoulders: A Cross‐Sectional Study

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