Endometriosis and Abdominal Myofascial Pain in Adults and Adolescents

Jarrell, John

doi:10.1007/s11916-011-0218-y

Cited by 17 publications

(20 citation statements)

References 73 publications

(73 reference statements)

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“…Mense47 describes allodynia, hyperalgesia and referred pain of the MTrPs as changes due to an increase in the synaptic efficacy of central connections. The inactivation of latent MTrPs using DDN may prevent the development of active MTrPs and reduce their nociceptive input, normalize synaptic efficacy, and reduce central and peripheral sensitization 26,48. This study supports the influence of latent MTrPs on nonspecific shoulder pain disorders in elderly people.…”

Section: Discussionsupporting

confidence: 73%

“…Ge et al24,26 determined the presence of latent MTrPs in the central sensitization process in the infraspinatus muscle in participants with shoulder pain. Moreover, these studies suggest that DDN is a sensitive technique for the localization and treatment of such points, improving pain and motor function and preventing their activation in MPS.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Deep Dry Needling on Latent Myofascial Trigger Points in Older Adults With Nonspecific Shoulder Pain: A Randomized, Controlled Clinical Trial Pilot Study

Calvo‐Lobo

Pacheco-da-Costa

Hita-Herranz

2017

Journal of Geriatric Physical Therapy

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Background:Nonspecific shoulder pain has a high prevalence in older adults and causes functional alterations. Furthermore, there are difficulties in establishing a clinical diagnosis, effective treatments are lacking, and little evidence has been found regarding the use of invasive physical therapy techniques in this age group.Purpose:To determine the efficacy of a single physical therapy intervention with deep dry needling (DDN) on latent and active myofascial trigger points (MTrPs) in older adults with nonspecific shoulder pain.Methods:This pilot study is a single-blind, randomized, controlled clinical trial that included 20 participants, aged 65 years and older, who were diagnosed with nonspecific shoulder pain. The study was approved by the Clinical Research Ethics Committee of the area. Participants were recruited at their homes or at a care center and were randomly assigned into either an experimental group (n = 10), which received a session of DDN on 1 active and 1 latent MTrP of the infraspinatus muscle, or a control group (n = 10), which received a session of DDN on only 1 active MTrP. A blind examiner assessed the pain intensity, pain pressure threshold on the anterior deltoid, and extensor carpi radialis brevis muscles and grip strength before, immediately after, and 1 week after the intervention.Results:Statistically significant differences (P < .05) in the pressure pain thresholds (PPTs) of the extensor carpi radialis brevis were found in the experimental group in both posttreatment assessments. Moreover, the effect size values (d Cohen) varied from small for grip strength (0.017-0.36) to moderate for the pain intensity (0.46-0.78) and PPT in the anterior deltoid (0.49-0.66) and to large for the PPT in the extensor carpi radialis brevis (1.06-1.58).Conclusions:A single physical therapy intervention with DDN on 1 latent MTrP, in conjunction with 1 active MTrP, in the infraspinatus muscle may increase the PPT of the extensor carpi radialis brevis muscle area immediately following and 1 week after the intervention in older adults with nonspecific shoulder pain.

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Section: Discussionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Efficacy of Deep Dry Needling on Latent Myofascial Trigger Points in Older Adults With Nonspecific Shoulder Pain: A Randomized, Controlled Clinical Trial Pilot Study

Calvo‐Lobo

Pacheco-da-Costa

Hita-Herranz

2017

Journal of Geriatric Physical Therapy

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“…[9] Second, a latent MTrP was determined if the palpation procedure of a sensitive knot in a taut band generated nonrecognized local or referred pain. [5,7,8] Finally, a control point was considered if a tender nodule and a taut band were not presented in the palpation area. [12] Furthermore, if more than 1 active or 1 latent MTrP in the same erector spinae muscle were detected, the most hyperalgesic MTrP to palpation was determined to be the one that reported the highest pain intensity by the subject in the Numeric Rating Scale under the same pressure.…”

Section: Methodsmentioning

confidence: 99%

“…[9] Second, latent MTrPs may produce local or referred pain after stimulation. [8] Latent MTrPs are as prevalent in patients with different spinal conditions as in healthy subjects. [5,7] Nevertheless, both MTrPs show differences on electrophysiological activity level, [10] biochemical milieu, [6,11] sonographic characteristics, [12,13] thermography, [14] and magnetic resonance elastography.…”

Section: Introductionmentioning

confidence: 99%

Tensiomyography, sonoelastography, and mechanosensitivity differences between active, latent, and control low back myofascial trigger points

et al. 2017

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The myofascial pain syndrome (MPS) is considered the most common musculoskeletal condition. The lumbopelvic pain (LPP) is established as one of the most prevalent musculoskeletal disorders. Nevertheless, previous research has not yet studied the contractibility changes by tensiomyography between myofascial trigger point (MTrP) types and normal tissue. Therefore, the aim of this study was to determine the tensiomyography, sonoelastography, and pressure pain threshold (PPT) differences between the palpation area of active and latent MTrPs with regards to control points in the lumbar erector spinae muscles of subjects with LPP. A cross-sectional descriptive study was performed. A convenience sample of 60 points (20 active MTrPs, 20 latent MTrPs, and 20 control points) was registered bilaterally in the lumbar erector spinae muscles from subjects with nonspecific LPP. The palpation order of active MTrPs, latent MTrPs, or control points was randomized for each side. The outcome assessors were blinded to the order or point type. The outcome measurements order for each point was sonoelastography manual strain index, tensiomyography, and PPT, separated by 15 minutes. Five contractile objective parameters were: maximal radial displacement (Dm), contraction time (Tc), sustain time (Ts), delay time (Td), and half-relaxation time (Tr). Tensiomyography parameters did not show any statistically significant difference (P > 0.05) between active MTrPs, latent MTrPs, and control points. Nevertheless, PPT and sonoelastography showed statistically significant differences (P < 0.05) between all point types, except for active and latent MTrPs PPT comparison (P = 0.091). Regarding the active MTrPs, a moderate positive correlation was observed between PPT and Dm (P = 0.047; τB = 0.450). Considering the control points, a moderate positive correlation was shown between sonoelastography and Td (P = 0.044; τB = 0.328). The tensiomyography contractile properties did not seem to show differences, while the sonoelastography and mechanosensitivity presented a higher stiffness and a lower PPT, respectively, between the palpation area of active and latent MTrPs with regards to control points in the lumbar erector spinae muscles of subjects with LPP. Considering the correlations, further research is needed regarding the muscle contractile properties modifications under MPS treatments, especially Dm in active MTrPs and Td in normal sites.

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“…Active MTrPs produce spontaneous and recognized pain while latent MTrPs generate local or referred pain after stimulation (Ge & Arendt-Nielsen, 2011; Gerber et al, 2013). Indeed, the presence of latent MTrPs in the upper limb may influence the peripheral and central sensitization process and alter the strength and PPT in the upper limb of patients with shoulder pain (Calvo, Pacheco & Hita, 2015; Calvo-Lobo et al, 2016; Ge et al, 2008; Celik & Yeldan, 2011; Coronado et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Comparison of hand grip strength and upper limb pressure pain threshold between older adults with or without non-specific shoulder pain

Calvo‐Lobo

Romero‐Morales

Sanz

et al. 2017

PeerJ

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BackgroundThere is a high prevalence of non-specific shoulder pain associated with upper limb functional limitations in older adults. The purpose of this study was to determine the minimal clinically important differences (MCID) of grip strength and pressure pain threshold (PPT) in the upper limb between older adults with or without non-specific shoulder pain.MethodsA case-control study was carried out following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) criteria. A sample of 132 shoulders (mean ± SD years) with (n = 66; 76.04 ± 7.58) and without (n = 66; 75.05 ± 6.26) non-specific pain were recruited. The grip strength and PPT of the anterior deltoid and extensor carpi radialis brevis (ECRB) muscles were assessed.ResultsThere were statistically significant differences (mean ± SD; P-value) for anterior deltoid PPT (2.51 ± 0.69 vs 3.68 ± 0.65, kg/cm2; P < .001), ECRB PPT (2.20 ± 0.60 vs 3.35 ± 0.38 kg/cm2; P < .001) and grip strength (20.78 ± 10.94 vs 24.63 ± 9.38 kg; P = .032) between shoulders with and without non-specific pain, respectively.DiscussionThe MCID of 1.17 kg/cm2, 1.15 kg/cm2 and 3.84 kg were proposed for anterior deltoid PPT, ECRB PPT and grip strength, respectively, to assess the upper limb of older adults with non-specific shoulder pain after treatment. In addition, univariate and multivariate (linear regression and regression trees) analyses may be used to consider age distribution, sex, pain intensity, grip strength and PPT in older adults including clinical and epidemiological studies with non-specific shoulder pain.

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Endometriosis and Abdominal Myofascial Pain in Adults and Adolescents

Cited by 17 publications

References 73 publications

Efficacy of Deep Dry Needling on Latent Myofascial Trigger Points in Older Adults With Nonspecific Shoulder Pain: A Randomized, Controlled Clinical Trial Pilot Study

Efficacy of Deep Dry Needling on Latent Myofascial Trigger Points in Older Adults With Nonspecific Shoulder Pain: A Randomized, Controlled Clinical Trial Pilot Study

Tensiomyography, sonoelastography, and mechanosensitivity differences between active, latent, and control low back myofascial trigger points

Comparison of hand grip strength and upper limb pressure pain threshold between older adults with or without non-specific shoulder pain

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