Pressure pain threshold mappings of the infraspinatus muscle in chronic unilateral shoulder pain patients do not reflect generalized hypersensitivity

Author(s):  
Leonardo Intelangelo ◽  
Diego Bordachar ◽  
Cristian Mendoza ◽  
Ignacio Lassaga ◽  
Alexandre Carvalho Barbosa ◽  
...  
2009 ◽  
Vol 36 (5) ◽  
pp. 313-321 ◽  
Author(s):  
G. M. VEDOLIN ◽  
V. V. LOBATO ◽  
P. C. R. CONTI ◽  
J. R. P. LAURIS

Author(s):  
Leonardo Intelangelo ◽  
Diego J. Bordachar ◽  
Cristian I. Mendoza ◽  
Fernando Imaz ◽  
Mauro Barone ◽  
...  

2020 ◽  
Vol 4 (2) ◽  
pp. 69-72
Author(s):  
B Arun ◽  
◽  
RK Punitha Kumar ◽  

Background and Objective: Trigger point is a hypersensitive spot in a taut band of skeletal muscles, it has intense pain while compression, producing movement and any alterations. Trapezius is the common muscle always develop trigger point, although various management exist in managing the trigger point still there are lot of scope in the research. So far, there are no studies on combining IRR with ischemic compression. The objective of the study was to identify the effect of ischemic compression and infrared radiation on myofascial trigger point of trapezius muscle with neck pain patients. Material and Methods: 60 patients were included for the study using experimental study design, they were recruited following due consideration of the selection criteria. First group is an experimental group, which receives IRR along with Ischemic compression therapy for 20 minutes. Second group is control group receives only IRR with gentle neck stretches for 20 minutes. All patient was advised to follow home advices and instructions given by the therapist through the period of the treatment. Written consent was obtained from every individual participant. The study duration was six months and the individual patient underwent 8 weeks. Study identifies two measures as an outcome, which are pain using numerical pain scale and trigger using pressure pain threshold. Results: Blinded assessor is used to identify the data’s collected from the patient during the initial visit and at the last visit by the participant. All the collected data were analyzed using SPSS 20.0. The result of the study shows that pain scale was 9.72 (p<0.001) and PPT was 12.25 (p<0.001). Conclusion: This study concluded that ischemic compression with infrared radiation therapy in myofascial trigger point of trapezius muscle in neck pain patients and it also significantly reduces the pain as well as the Pressure pain threshold.


PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e2995 ◽  
Author(s):  
Cesar Calvo Lobo ◽  
Carlos Romero Morales ◽  
David Rodríguez Sanz ◽  
Irene Sanz Corbalán ◽  
Eleuterio A. Sánchez Romero ◽  
...  

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/cm2and 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.


2017 ◽  
Author(s):  
Marta Kialka ◽  
Tomasz Milewicz ◽  
Krystyna Sztefko ◽  
Iwona Rogatko ◽  
Renata Majewska

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