scholarly journals Validation and Test-Retest Reliability of New Thermographic Technique Called Thermovision Technique of Dry Needling for Gluteus Minimus Trigger Points in Sciatica Subjects and TrPs-Negative Healthy Volunteers

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Elżbieta Skorupska ◽  
Michał Rychlik ◽  
Włodzimierz Samborski

The aim of this study was to assess the validity and test-retest reliability of Thermovision Technique of Dry Needling (TTDN) for the gluteus minimus muscle. TTDN is a new thermography approach used to support trigger points (TrPs) diagnostic criteria by presence of short-term vasomotor reactions occurring in the area where TrPs refer pain.Method. Thirty chronic sciatica patients (n=15TrP-positive andn=15TrPs-negative) and 15 healthy volunteers were evaluated by TTDN three times during two consecutive days based on TrPs of the gluteus minimus muscle confirmed additionally by referred pain presence. TTDN employs average temperature (Tavr), maximum temperature (Tmax), low/high isothermal-area, and autonomic referred pain phenomenon (AURP) that reflects vasodilatation/vasoconstriction. Validity and test-retest reliability were assessed concurrently.Results. Two components of TTDN validity and reliability,Tavrand AURP, had almost perfect agreement according toκ(e.g., thigh: 0.880 and 0.938; calf: 0.902 and 0.956, resp.). The sensitivity forTavr,Tmax, AURP, and high isothermal-area was 100% for everyone, but specificity of 100% was forTavrand AURP only.Conclusion. TTDN is a valid and reliable method forTavrand AURP measurement to support TrPs diagnostic criteria for the gluteus minimus muscle when digitally evoked referred pain pattern is present.

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Elżbieta Skorupska ◽  
Michał Rychlik ◽  
Wiktoria Pawelec ◽  
Włodzimierz Samborski

Vasomotor responses to dry needling (DN) of trigger points (TrPs) under infrared thermovision (IRT) camera control and TrPs coexistence in chronic sciatica patients have never been studied.Materials and Methods. Fifty consecutive chronic sciatica patients were enrolled in the study. DN under IRT control was performed for all patients regardless of gluteus minimus (GM) active TrPs examination. Then, the vasomotor response and its agreement with TrPs examination were evaluated.Results. The prevalence of GM active TrPs was 32%. DN provokes intensive vasodilatation for TrPs-positive patients only, with the localization dependent on referred pain during the procedure(r=0.896;  P=0.000)not the daily complaint. The increase of vasodilatation was, for example, for thigh, TrPs-positive +30.29%(P<0.05)versus TrPs-negative +4.08%. Additionally, a significant skin temperature increase was observed for TrPs-positive only, for example, thigh +1.5 ± 1.3°C (maximum) and +1.2 ± 1.0°C (average) (bothP<0.05).Conclusion. GM active TrPs prevalence among chronic sciatica patients was around one in three. Every TrPs-positive subject presented with vasodilatation under IRT in the area of DN related referred pain. Although TrPs involvement in chronic sciatica patients is possible, further studies on a bigger group of patients are still required.


Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e860
Author(s):  
D. Leoni ◽  
C. Cescon ◽  
H. Carolin ◽  
G. Capra ◽  
R. Clijsen ◽  
...  

2011 ◽  
Vol 122 (9) ◽  
pp. 1867-1872 ◽  
Author(s):  
Christoph Neuwirth ◽  
Sanjeev Nandedkar ◽  
Erik Stålberg ◽  
Paul E. Barkhaus ◽  
Mamede de Carvalho ◽  
...  

2021 ◽  
Vol 10 (21) ◽  
pp. 5146
Author(s):  
Elzbieta Skorupska ◽  
Tomasz Dybek ◽  
Michał Rychlik ◽  
Marta Jokiel ◽  
Jarosław Zawadziński ◽  
...  

Gluteal syndrome (GS) mimicking sciatica is a new disease that has been recently recognized and included in the International Classification of Diseases, 11th Revision. The present study examines nociplastic pain involvement in GS and sciatica patients using a new Skorupska protocol (SP) test that provokes amplified vasodilatation in the area of expected muscle-referred pain. A positive test is confirmed if there is (i) a development of autonomic referred pain (AURP) and (ii) an increase in the delta of average temperature (Δ₸°) > 0.3 °C at the end of the stimulation and during the observation SP phases. Chronic GS (n = 20) and sciatica (n = 30) patients were examined. The SP test confirmed muscle-referred pain for (i) all GS patients with 90.6% positive thermograms (Δ₸° 0.6 ± 0.8 °C; maximum AURP 8.9 ± 13.6% (both p < 0.05)) and (ii) those sciatica (n = 8) patients who reported pain sensation during the test with 20.6% positive thermograms (Δ₸° 0.7 ± 0.7 °C; maximum AURP 15.1 ± 17.8% (both p < 0.05)). The remaining sciatica (n = 22) patients did not report pain during the test and presented a Δ₸° decrease and the AURP size below 1%. Conclusion: Amplified vasodilatation suggesting nociplastic pain involvement was confirmed for all GS and sciatica patients who reported painful sensations in the zone typical for gluteus minimus referred pain during the test.


2008 ◽  
Vol 27 (3) ◽  
pp. 459-468 ◽  
Author(s):  
Thérèse Schunck ◽  
Gilles Erb ◽  
Alexandre Mathis ◽  
Nathalie Jacob ◽  
Christian Gilles ◽  
...  

2012 ◽  
Vol 196 (2-3) ◽  
pp. 302-308 ◽  
Author(s):  
Robyn Sysko ◽  
Christina A. Roberto ◽  
Rachel D. Barnes ◽  
Carlos M. Grilo ◽  
Evelyn Attia ◽  
...  

2021 ◽  
pp. 109056
Author(s):  
Nicole D. Fitzgerald ◽  
Catherine W. Striley ◽  
Joseph J. Palamar ◽  
Jan Copeland ◽  
Steven Kurtz ◽  
...  

2020 ◽  
Author(s):  
Mehran Sahandi Far ◽  
Simon B. Eickhoff ◽  
Maria Goni ◽  
Juergen Dukart

BACKGROUND Digital biomarkers (DB) as captured using sensors embedded in modern smart devices are a promising technology for home-based symptom monitoring in Parkinson’s disease (PD). Despite extensive application in recent studies test-retest reliability and longitudinal stability of DB has not been well addressed in this context. OBJECTIVE We utilized the large-scale m-Power dataset to establish the test-retest reliability and longitudinal stability of gait, balance, voice and tapping tasks in an unsupervised and self-administered daily life setting in PD patients and healthy volunteers. METHODS Intraclass Correlation Coefficients (ICC) were computed to estimate the test-retest reliability of features that also differentiate between PD and healthy volunteers. In addition, we tested for longitudinal stability of DB measures in PD and HC as well as for their sensitivity to PD medication effects. RESULTS Among the features differing between PD and HC, only few tapping and voice features had good to excellent test-retest reliabilities and medium to large effect sizes. All other features performed poorly in this respect. Only few features were sensitive to medication effects. The longitudinal analyses revealed significant alterations over time across a variety of features and in particular for the tapping task. CONCLUSIONS These results indicate the need for further development of more standardized, sensitive and reliable DB for application in self-administered remote studies in PD patients. Motivational, learning and other confounds may cause a variation in performance that needs to be considered in DB longitudinal applications. CLINICALTRIAL Not applicable


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