Load pattern and pressure pain threshold in the upper trapezius muscle and psychosocial factors in medical secretaries with and without shoulder/neck disorders

1997 ◽  
Vol 69 (6) ◽  
pp. 423-432 ◽  
Author(s):  
Göran M. Hägg ◽  
Annika Åström
2008 ◽  
Vol 12 (2) ◽  
pp. 226-232 ◽  
Author(s):  
Daniel Camara Azevedo ◽  
Tatiana Lima Pires ◽  
Fernanda Souza Andrade ◽  
Mary Kate McDonnell

Author(s):  
Saeed Rezaei ◽  
Azadeh Shadmehr ◽  
Siamak Bashardoust Tajali ◽  
Behrooz Attarbashi Moghadam ◽  
Shohreh Jalaei

Introduction: Musculoskeletal disorders are among the main causes of disability in modern life. Myofascial trigger points are very common among musculoskeletal disorders and may occur through ordinary common activities. This study aimed to determine the combined effects of laser therapy and Ischemic Compression (IC) on the treatment of Myofascial Trigger Points (MTrPs) at the upper trapezius muscle. Materials and Methods: Twenty men with at least one active trigger point at their upper trapezius muscle voluntarily participated in this study. Trigger  points  were under treatment of laser irradiation (6 Joules per point) and also ischemic compression. Treatment approaches were applied over the pain point every other day for 5 sessions in 10 days. Neck disability index, pain intensity by visual analog scale, pressure pain threshold by algometry, and cervical lateral flexion by goniometer were assessed and recorded before the intervention, and immediately after the last session. Results: At the end of treatment, statistically significant improvements were seen in the neck disability index, VAS value, pressure pain threshold, and cervical lateral flexion. VAS values of the treatment and control groups were compared with the baseline (P<0.001). Conclusion: Application of combined laser and compression therapy was effective on the pain and level of disability of patients with trigger points in the upper trapezius muscle.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Chao Ching Wang ◽  
Tse Hung Huang ◽  
Kuo Ching Chiou ◽  
Zi Yu Chang

The aim of this study was to compare the treatment efficacies of superficial acupuncture and traditional acupuncture on trigger points of the upper trapezius muscle. Forty people were recruited and randomly allocated to the traditional and superficial acupuncture groups. Each subject received two treatments per week in a four-week period. Outcomes were measured by visual analogue scale (VAS), the Northwick Park neck pain questionnaire scores (NPQ), and pressure pain threshold (PPT) assessments of trigger points. Data collected before the interventions were considered as baseline. Assessments were performed after the first treatment and at the end of the second and fourth weeks of treatment. Patients reported significant (p<0.05) and immediate improvements in VAS and PPT for both superficial acupuncture and traditional acupuncture after the first treatment and after two and four weeks. Significant improvements (p<0.05) in NPQ were attained after two weeks of treatments in both groups. Because superficial acupuncture is associated with less pain while producing immediate pain relief, we recommend it for treating myofascial pain syndrome in the upper trapezius muscle.


2016 ◽  
Vol 28 (9) ◽  
pp. 2437-2440 ◽  
Author(s):  
Osama Ragaa Abdelraouf ◽  
Hamada Ahmed Hamada ◽  
Ali Selim ◽  
Wael Shendy ◽  
Hoda Zakaria

2017 ◽  
Vol 16 (1) ◽  
pp. 168-168
Author(s):  
Matteo Castaldo ◽  
Antonella Catena ◽  
César Fernández-de-las-Peñas ◽  
Lars Arendt-Nielsen

Abstract Aims Health history (medical conditions, comorbid musculoskeletal pain, surgical operation, long term intake of medications) may contribute to central sensitization. The duration and the number of the peripheral nociceptive input seem to play a crucial role in the development and maintenance of sensitization. No study has previously investigated these relationships. Our aim was to investigate the association between pressure pain thresholds (PPTs) and health history in patients with neck pain, and the role of active trigger points (TrPs) on PPTs. Methods Thirty-four subjects with mechanical neck pain and 34 with whiplash-associated neck pain participated. They underwent an assessment of PPTs over upper trapezius, extensor carpi radialis longus, and tibialis anterior muscles, and were screened for the presence of active TrPs in upper trapezius muscle. Further, patients fulfilled a questionnaire investigating health history outcomes number and duration. Results Significant negative correlations between all PPTs and the duration of health history outcomes were found in both groups (all, P < 0.02), with no correlations between PPTs and the number of health history outcomes (all, P > 0.15). Significant lower PPTs over upper trapezius, extensor carpi radialis longus, and tibialis anterior (all, P < 0.01) muscles were found in subjects with active TrPs as compared to those with latent TrPs. Conclusions Widespread pressure pain hypersensitivity was associated with the duration, but not the number, of health history outcomes suggesting that long-lasting health complains may act as triggering factor driving sensitization in individuals with neck pain regardless the origin of neck pain. Patients with active TrPs in the upper trapezius muscle showed higher widespread pressure sensitivity than those with latent TrPs. These data should be included in the assessment of neck pain subjects, as they may be useful for planning the management of their symptoms.


2019 ◽  
Vol 129 (2) ◽  
pp. 52-54
Author(s):  
Grzegorz Zieliński ◽  
Michał Baszczowski ◽  
Michał Ginszt ◽  
Aleksandra Byś ◽  
Piotr Gawda

Abstract Introduction. Pathological muscle tone can cause changes in the facial skeleton, including tension headaches, tinnitus, temporomandibular joint dysfunctions. The complexity of pathologies and their spectrum may also indicate changes beyond the facial skeleton. The aim of the study was to determine the possible correlation between the pressure pain threshold of the trapezius muscle and the bioelectrical tension on the masticatory muscles. Aim. The aim of the study was to determine the possible correlation between the pressure pain threshold of the trapezius muscle and the bioelectric tension on the masticatory muscles. Material and methods. The number of 36 women applied for the study. They were all examined using an algometer within a trapezius muscle to determine the pressure pain threshold. The electromyographic study was carried out in accordance with the SENIAM guidelines. The resting activity of selected masticatory muscles (temporal and masseter) was recorded for 10 sec. The study involved an 8-channel BioEMG IIITM surface electromyography apparatus with BioPak Measurement System (BioResearch Associates, Inc. Milwaukee, WI, USA). Statistical analysis was carried out using the r-Pearson test. The level of significance was set at 5%. Results. After comparing the bioelectric tension of the masticatory muscles and the pressure pain threshold, left-sided correlation was observed (p<0.05). Both in the right-hand and general comparison, the results did not reach the required level of statistical significance (p>0.05). Conclusions. The pressure pain threshold seems to be linked to the bioelectrical muscle tone of the masticatory muscles. To confirm this observation, further research into a larger and more diverse group of participants is recommended.


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