scholarly journals Shear wave elastography of the upper trapezius muscle in patient with chronic neck pain: is there a correlation between elastic modulus and intensity of pain?

2020 ◽  
Author(s):  
Junsheng Ge ◽  
Jun Zhang ◽  
Zhi Jie Zhang
Keyword(s):  
Neck Pain ◽  
Shear Wave ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Trapezius Muscle ◽  
Shear Wave Elastography ◽  
Chronic Neck Pain ◽  
Intraclass Correlation Coefficients ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle

Abstract Background Chronic neck pain is a common discomfort and the alteration of elasticity of the upper trapezius in pathological conditions is unknown. Therefore, the aims of this investigation were (1) to determine the intra- and inter-operator reliability of evaluating the elasticity of the upper trapezius by shear wave elastography in individuals with chronic neck pain; (2) to examine the alteration for the upper trapezius during cervical flexion; and (3) to explore the correlation between elasticity of the upper trapezius and pain intensity. Methods Thirty individuals with chronic neck pain were recruited for this study. Alteration in elasticity of upper trapezius was evaluated by shear wave elastography during cervical flexion at 0°and 50°. Results The intra- and inter-operator reliability was excellent with the intraclass correlation coefficients ranging from 0.92 to 0.98. An increase of 30.80% was shown in the elasticity of the upper trapezius during cervical flexion of the painful side. In addition, there was a significant positive correlation between elasticity of the upper trapezius and intensity of pain (rho=0.647, P <0.05). Conclusion Shear wave elastography is a feasible tool for assessing changes of elasticity in muscles, and the findings in this investigation might be a good reference of evaluating upper trapezius elastic alterations in chronic neck pain.

scholarly journals Modulation in Elastic Properties of Upper Trapezius with Varying Neck Angle

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Jun Zhang ◽  
Jiafeng Yu ◽  
Chunlong Liu ◽  
Chunzhi Tang ◽  
Zhijie Zhang
Keyword(s):  
Elastic Modulus ◽  
Intraclass Correlation ◽  
Trapezius Muscle ◽  
Shear Wave Elastography ◽  
Muscle Stiffness ◽  
Minimal Detectable Change ◽  
Shear Elastic Modulus ◽  
Upper Trapezius ◽  
Significant Difference ◽  
Upper Trapezius Muscle

Background. Neck and shoulder complaints caused by poor posture may influence upper trapezius stiffness. The relationship between the shear elastic modulus of the upper trapezius and cervical flexion angles is unknown. Therefore, it is essential to assess upper trapezius stiffness during cervical flexion. The objectives of this study were to (1) determine the intra- and interoperator reliabilities of evaluating upper trapezius stiffness and calculate the minimal detectable change (MDC); (2) examine the elastic modulus alterations of the upper trapezius during cervical flexion; and (3) explore the difference of upper trapezius stiffness between the dominant and nondominant sides. Methods. Twenty healthy male participants were recruited in this study. The shear modulus of the upper trapezius was evaluated by two independent investigators using shear wave elastography (SWE) during cervical flexion at 0° and 50°. Findings. The intraoperator (intraclass correlation coefficient ICC=0.85–0.86) and interoperator (ICC=0.94–0.98) reliabilities for measuring the shear elastic modulus of the upper trapezius during the cervical flexion ranged from good to excellent. An increase of 35.58% in upper trapezius stiffness was found at 0° to 50° of cervical flexion, and the MDC was 7.04 kPa. In addition, a significant difference was obtained in the elastic modulus of the upper trapezius muscle between the dominant and nondominant sides (P<0.05). Conclusions. Our findings revealed that SWE could quantify the elastic modulus of the upper trapezius and monitor its changes. Therefore, further studies are required to delineate the modulation in upper trapezius muscle stiffness among subjects with neck and shoulder pain.

scholarly journals Ultrasonic Characterization of the Upper Trapezius Muscle in Patients with Chronic Neck Pain

2013 ◽  
Vol 35 (2) ◽  
pp. 173-187 ◽  
Author(s):  
Diego Turo ◽  
Paul Otto ◽  
Jay P. Shah ◽  
Juliana Heimur ◽  
Tadesse Gebreab ◽  
...  
Keyword(s):  
Neck Pain ◽  
Trapezius Muscle ◽  
Chronic Neck Pain ◽  
Upper Trapezius ◽  
Ultrasonic Characterization ◽  
Upper Trapezius Muscle

scholarly journals Analgesic effects of a capacitive-resistive monopolar radiofrequency in patients with myofascial chronic neck pain: a pilot randomized controlled trial

2019 ◽  
Vol 65 (2) ◽  
pp. 156-164 ◽  
Author(s):  
Isabel Maria Alguacil-Diego ◽  
Josue Fernández-Carnero ◽  
Sofía Laguarta-Val ◽  
Roberto Cano-de-la-Cuerda ◽  
César Calvo-Lobo ◽  
...  
Keyword(s):  
Neck Pain ◽  
Radio Frequency ◽  
Pain Intensity ◽  
Controlled Trial ◽  
Trapezius Muscle ◽  
Chronic Neck Pain ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle ◽  
Neck Disability ◽  
First Session

SUMMARY BACKGROUND: To date, there is a lack of prior studies on the use of capacitive resistive monopolar radiofrequency (RF) to treat neck pain. The objective of this study was to investigate the immediate effect of capacitive resistive monopolar radiofrequency (RF=448 kHz), in comparison with a placebo, on (1) reducing neck pain intensity at myofascial trigger points (MTrP), (2) decreasing neck disability and (3) improving cervical range of motion (CROM). METHODS: A randomized, double-blind, placebo-controlled trial (NCT02353195) was carried out. Patients with myofascial chronic neck pain (N=24) with active MTrP in one upper trapezius muscle were randomly divided into two groups: a radio-frequency group, which received eight sessions of a monopolar capacitive resistive radio-frequency application over the upper trapezius muscle, and a placebo group (PG), which received eight sessions of placebo radio-frequency over the same muscle. Visual analog scale (VAS), CROM and Neck Disability Index (NDI) were evaluated after the first session and after the eight sessions. RESULTS: The Wilcoxon test for VAS showed statistically significant differences between baseline, immediately after the first session and after eight sessions (p<.001). No significant differences for PG were found. No differences were observed between groups. NDI improved in both groups after eight sessions, but no differences were found between groups (p<.05). ANOVA for time factor showed statistically significant changes in the right cervical rotation in both groups (F=4.112; p=.026) after eight sessions. CONCLUSIONS: Even though there were no differences between both groups, the monopolar capacitive, resistive RF could have a potential effect on pain intensity.

scholarly journals Eccentric Exercise Reduces Upper Trapezius Muscle Stiffness Assessed by Shear Wave Elastography and Myotonometry

2020 ◽  
Vol 8 ◽  
Author(s):  
Aleksandra Kisilewicz ◽  
Pascal Madeleine ◽  
Zofia Ignasiak ◽  
Bogdan Ciszek ◽  
Adam Kawczynski ◽  
...  
Keyword(s):  
Shear Wave ◽  
Eccentric Exercise ◽  
Trapezius Muscle ◽  
Shear Wave Elastography ◽  
Muscle Stiffness ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle

scholarly journals Measurement consistency of dynamic stretching muscle stiffness evaluated using shear wave elastography: comparison among different stretched levels and ROI sizes

2020 ◽  
Author(s):  
Xiao Liu ◽  
Hong-Kui Yu ◽  
Shu-Ya Sheng ◽  
Si-Min Liang ◽  
Hao Lu ◽  
...  
Keyword(s):  
Shear Wave ◽  
Plantar Flexion ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Region Of Interest ◽  
Shear Wave Elastography ◽  
Muscle Stiffness ◽  
Dynamic Stretching ◽  
Intraclass Correlation Coefficients ◽  
Measurement Consistency

Aim: To investigate the reliability of quantitative analysis of dynamic stretching muscle stiffness using shear wave elas-tography (SWE), and to evaluate the influence of stretched levels and region of interest (ROI) sizes on the repeatability of SWE measurements. Materials and methods: SWE videos of the gastrocnemius medius were collected during ankle movement from plantar flexion (PF) 40° to dorsiflexion (DF) 30°. Shear wave imageswere collected of ankle angles at PF 25°, 0°, DF 15°, and DF 30°, representing the slack status, mildly stretched level, moderately stretched level, and maximal stretched level of the gastrocnemius medius, respectively. ROI circles with diameters of 2 mm, 5 mm, and 8 mm were applied to measure the shear modulus. Intra-observer, and inter-observer repeatability of the measurements were compared among different stretched levels and ROI sizes. Results: Twenty-one healthy volunteers were enrolled. Muscle stiffness increased as the ankle DF increased. Intraclass correlation coefficients (ICCs) of intra-observer and inter-observer repeatability obtained for ROI sizes of 2 mm, 5 mm and 8 mm indicated good to excellent repeatability at all stretched levels. Conclusions: Shear wave elastography appeared to be a reliable tool to evaluate the dynamic stretching muscle stiffness with satisfactory repeatability at various stretched levels of gastrocnemius medius. Good to excellent repeatability was found using different ROI sizes.

Assessment of the Upper Trapezius Muscle Temperature in Women With and Without Neck Pain

2012 ◽  
Vol 35 (5) ◽  
pp. 413-417 ◽  
Author(s):  
Almir Vieira Dibai Filho ◽  
Amanda Carine Packer ◽  
Ana Cláudia de Souza Costa ◽  
Kelly Cristina dos Santos Berni-Schwarzenbeck ◽  
Delaine Rodrigues-Bigaton
Keyword(s):  
Neck Pain ◽  
Trapezius Muscle ◽  
Muscle Temperature ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle

Association between widespread pressure pain hypersensitivity, health history, and trigger points in subjects with neck pain

2017 ◽  
Vol 16 (1) ◽  
pp. 168-168
Author(s):  
Matteo Castaldo ◽  
Antonella Catena ◽  
César Fernández-de-las-Peñas ◽  
Lars Arendt-Nielsen
Keyword(s):  
Neck Pain ◽  
Tibialis Anterior ◽  
Trapezius Muscle ◽  
Trigger Points ◽  
Pressure Pain ◽  
Pain Hypersensitivity ◽  
Health History ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle ◽  
Extensor Carpi Radialis

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.

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