scholarly journals No additional benefit of trigger point therapy in cervical spondylosis patients treated with physiotherapy

2020 ◽  
Vol 13 (24) ◽  
pp. 7-11
Author(s):  
Andreea-Bianca Groza ◽  
Claudiu Avram
Keyword(s):  
Physical Function ◽  
Cervical Spondylosis ◽  
Trigger Point ◽  
Neck Disability Index ◽  
Treatment Protocol ◽  
Trigger Points ◽  
Additional Benefit ◽  
Control Group ◽  
Physiotherapy Treatment ◽  
Trigger Point Therapy

AbstractIntroduction: Trigger points are defined as exquisitely tender spots in discrete taut bands of hardened muscle that produce symptoms. Trigger point therapy is increasingly accepted in the medical literature. Clinical and electrophysiological research has provided biological plausibility for the existence of trigger points.Aim: The main purpose of this study was to determine the additional benefit of trigger point therapy on cervical pain, mobility and functionality in cervical spondylosis patients treated with physiotherapy.Materials and methods: We conducted a 3-week interventional study on eighteen patients diagnosed with cervical spondylosis addressed to a physiotherapy clinic for treatment. After signing an informed consent, patients were randomly allocated into two groups: the study group - which had trigger point therapy added to the common physiotherapy treatment protocol and the control group - which benefited from common physiotherapy treatment only. All patients were evaluated using the Visual Analog Scale, Neck Disability Index and cervical mobility. All evaluations were made before treatment, after 2 weeks and 3 weeks of treatment.Results: Both the study and control groups had significantly improved in pain, cervical mobility and physical function. The pain and functionality comparison at the end of the study, did not find significant differences between groups.Conclusion: The study shows that adding trigger point therapy to common physiotherapeutic treatment is not followed by additional improvement in pain, mobility or physical function of patients with cervical spondylosis.

Spectral Analysis of Heart Rate Variability during Trigger Point Acupuncture

2014 ◽  
Vol 32 (3) ◽  
pp. 273-278 ◽  
Author(s):  
Yoji Kitagawa ◽  
Kenichi Kimura ◽  
Sohei Yoshida
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Spectral Analysis ◽  
Tibialis Anterior ◽  
Trigger Point ◽  
Tibialis Anterior Muscle ◽  
Trigger Points ◽  
Control Group ◽  
The Right

Objectives To clarify changes in the cardiovascular autonomic nervous system function due to trigger point acupuncture, we evaluated differences in responses between acupuncture at trigger points and those at other sites using spectral analysis of heart rate variability. Methods Subjects were 35 healthy men. Before measurements began the subjects were assigned to a trigger point acupuncture or control group based on the presence/absence of referred pain on applying pressure to a taut band within the right tibialis anterior muscle. The measurements were conducted in a room with a temperature of 25°C, with subjects in a long sitting position after 10 min rest. Acupuncture needles were retained for 10 min at two sites on the right tibialis anterior muscle. ECG was performed simultaneously with measurements of blood pressure and the respiratory cycle. Based on the R–R interval on the ECG, frequency analysis was performed, low-frequency (LF) and high-frequency (HF) components were extracted and the ratio of LF to HF components (LF/HF) was evaluated. Results The trigger point acupuncture group showed a transient decrease in heart rate and an increase in the HF component but no significant changes in LF/HF. In the control group, no significant changes were observed in heart rate, the HF component or LF/HF. There were no consistent changes in systolic or diastolic blood pressure in either group. Conclusions These data suggest that acupuncture stimulation of trigger points of the tibialis anterior muscle transiently increases parasympathetic nerve activity.

scholarly journals Flexion Dysfunction of Atlanto-occipital Joint as a Risk Factor for Cervical Spondylosis

2020 ◽  
Author(s):  
Gong Long ◽  
Yi Ping ◽  
Tan Mingsheng
Keyword(s):  
Risk Factor ◽  
Receiver Operating Characteristic ◽  
Cervical Spondylosis ◽  
Operating Characteristic ◽  
Characteristic Curve ◽  
Neck Disability Index ◽  
Curve Analysis ◽  
Control Group ◽  
Increased Risk ◽  
Receiver Operating

Abstract BACKGROUND: There exist varied craniocervical flexion angles from the teenagers to the elderly. To our best knowledge, there is no prior study to examine the role of range of motion (ROM) of the atlanto-occipital joint in the pathogenesis of cervical spondylosis (CS). The purpose of this study was to investigate the association between atlanto-occipital radiographic alignment in flexion and CS.METHODS: 232 CS patients, including 45 patients who accepted surgical treatment, were retrospectively reviewed. The angle between McGregor’s line and C1 line (O-C1 angle) was evaluated on images taken in flexion (F-OC) and neutral positions (N-OC) independently. The relationship between the FOC (FOC=F-OC—N-OC) and Neck Disability Index (NDI) was examined, and the involvement of the FOC in the onset of CS was analyzed. Receiver operating characteristic (ROC) curve analysis was performed to determine the optimal cut-off for detecting an increased risk of CS.RESULTS: The FOC showed a significant correlation with NDI(P<0.05). The mean FOC was significantly lower in the CS groups than in the control group (P<0.001). Logistic regression analysis showed involvement of the FOC in the onset of CS, and the threshold value according to receiver operating characteristic curve analysis was 4.2 degree, with the odds ratio of 8.2 (95% CI:6.4–10.0; P<0.001). CONCLUSION: Stiff atlanto-occipital joint, represented by low FOC, is an independent risk factor in the incidence of CS compared with healthy individuals. This parameter can help spine surgeons to identify these people to implement appropriate preventive and management steps.

scholarly journals Feasibility of Ultrasound-Guided Trigger Point Injection in Patients with Myofascial Pain Syndrome

Healthcare ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 118 ◽  
Author(s):  
Jung Kang ◽  
Jungin Kim ◽  
Seunghun Park ◽  
Sungwoo Paek ◽  
Tae Kim ◽  
...  
Keyword(s):  
Myofascial Pain ◽  
Trigger Point ◽  
Statistical Significance ◽  
Neck Disability Index ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Control Group ◽  
Injection Technique ◽  
Flexion Extension ◽  
Vas Scores

We compared the feasibility of ultrasound (US)-guided myofascial trigger point (MTrP) injection with that of a blind injection technique following the use of shear wave elastography (SWE) for the measurement of stiffness at the MTrPs in patients with trapezius myofascial pain syndrome (MPS). A total of 41 patients (n = 41) were randomized to either the trial group (n = 21, SWE combined with US-guided injection) or the control group (n = 20, SWE combined with blind injection). At baseline and four weeks, they were evaluated for the manual muscle test (MMT), the range of motion (ROM), pain visual analogue scale (VAS) scores, Shoulder Pain and Disability Index (SPADI) scores and Neck Disability Index (NDI) scores during the abduction, adduction, flexion, extension, external rotation and internal rotation of the shoulder joint. Differences in changes in pain VAS scores, NDI scores and SPADI scores at four weeks from baseline between the two groups reached statistical significance (p = 0.003, 0.012, and 0.018, respectively). US-guided MTrP injection is a more useful modality as compared with a blind injection in patients with MPS.

For Discussion: The Non-Existent Acupuncture Point?

1994 ◽  
Vol 12 (2) ◽  
pp. 98-99 ◽  
Author(s):  
Anthony Campbell
Keyword(s):  
Acupuncture Treatment ◽  
Trigger Point ◽  
Acupuncture Point ◽  
Trigger Points ◽  
Descriptive Theory ◽  
Trigger Point Therapy

The concept of traditional points located on meridians as the basis of acupuncture treatment has been challenged. As an alternative, medical acupuncturists have embraced the use of trigger points with enthusiasm. However, trigger point therapy is not always applicable; needling of non-tender areas is necessary and effective for many problems, particularly non-painful ones. A neutral terminology to describe needling of therapeutic zones is suggested. These “acupuncture treatment areas” will vary in size, and their effectiveness may depend on the accuracy with which they are defined and treated. The intention is to provide a purely descriptive, theory-neutral concept that will aid students to use forms of acupuncture based on many theories, without bewilderment.

Effects of dry needling in the sternocleidomastoid muscle on cervical motor control in patients with neck pain: a randomised clinical trial

2019 ◽  
Vol 37 (3) ◽  
pp. 151-163 ◽  
Author(s):  
Aida Martín-Rodríguez ◽  
Esther Sáez-Olmo ◽  
Daniel Pecos-Martín ◽  
César Calvo-Lobo
Keyword(s):  
Clinical Trial ◽  
Motor Control ◽  
Neck Pain ◽  
Trigger Point ◽  
Neck Disability Index ◽  
Control Group ◽  
Myofascial Trigger Point ◽  
Dry Needling ◽  
Control Groups ◽  
Myofascial Trigger Points

Objective: To determine the changes produced by trigger point dry needling (TrP-DN) of sternocleidomastoid in patients with neck pain, and to observe how it might modify cervical motor control (CMC). Design: Single-centre, randomised, double-blinded clinical trial. Setting: Participants were recruited through advertising. The duration of the study was 6 months. Subjects: Thirty-four subjects with non-specific neck pain, aged over 18 years with an active myofascial trigger point in sternocleidomastoid, participated in the study. They were randomly assigned to treatment or control groups. Methods: TrP-DN inside or (1.5 cm) outside of the active myofascial trigger point of sternocleidomastoid. Main outcome measures: CMC, visual analogue scale and cervical range of motion were assessed before treatment, immediately post treatment, and 24 h, 1 week and 1 month after the intervention; the neck disability index was evaluated before treatment and 1 month later. Results: With a confidence interval of 99%, TrP-DN of sternocleidomastoid was associated with a decrease in pain after 1 week and CMC improved 1 month after the intervention (p < 0.001), when compared with baseline measurements, within the experimental group; there were no statistically significant differences between experimental and control groups. Conclusion: The effects of TrP-DN inside and outside of active myofascial trigger points did not differ in this study. Both interventions were associated with a similar temporal effect, specifically a reduction in neck pain at 1 week and an increase CMC at 1 month. However, these findings should be interpreted with caution due to the lack of a contemporaneous untreated control group.

scholarly journals Injecction of trigger points in the temporal muscles of patients with miofascial syndrome

2015 ◽  
Vol 73 (10) ◽  
pp. 861-866 ◽  
Author(s):  
Svetlana Sabatke ◽  
Rosana Herminia Scola ◽  
Eduardo S. Paiva ◽  
Pedro André Kowacs
Keyword(s):  
Facial Pain ◽  
Myofascial Pain ◽  
Trigger Point ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Control Group ◽  
Headache Frequency ◽  
Headache Intensity

Objective : The aim was to examine the effect of blocking trigger points in the temporal muscles of patients with masticatory myofascial pain syndrome, fibromyalgia and headache.Method : Seventy patients with one trigger point were randomly divided into 3 groups: injection with saline or anesthetic and non-injected (control).Results : Pain was reduced in 87.71% patients injected with saline and 100% injected with anesthetic. Similar results were obtained for headache frequency. With regard to headache intensity, the injection groups differed from the control group, but not between themselves.Conclusion : Treatment with injection at trigger points decreased facial pain and frequency and intensity of headache. Considering the injected substance there was no difference.

scholarly journals A study of the effectiveness of myofascial trigger point therapy on iliotibial band friction syndrome in sports persons

1997 ◽  
Author(s):  
◽  
Thandi Antonia Hall
Keyword(s):  
Trigger Point ◽  
Correct Diagnosis ◽  
Trigger Points ◽  
Controlled Study ◽  
Iliotibial Band ◽  
Myofascial Trigger Point ◽  
Myofascial Trigger Points ◽  
Trigger Point Therapy ◽  
Iliotibial Band Friction Syndrome ◽  
Friction Syndrome

Iliotibial Band Friction Syndrome is a common problem for patients as well as physicians. Many treatments have been devised for Iliotibial Band Friction Syndrome, but there is very little research to substantiate which of these treatments is most effective. Myofascial trigger points are a frequently overlooked and misunderstood phenomenon in the medical curriculae, yet with correct diagnosis and appropriate treatment the prognosis of these trogger points is usually excellent. The aim of this placebo-controlled study was to justify the hypotheses which stated that myofascial trigger point therapy would be effective in the treatment of Iliotibial Band Friction Syndrome (IBFS), as compared to detuned ultrasound as a form of treatment.

scholarly journals The effect of trigger point therapy and medicine ball exercises vs trigger point therapy and stretching on hip rotational biomechanics of the golf swings

2013 ◽  
Vol 69 (4) ◽  
Author(s):  
S. L. Quinn ◽  
B. Olivier ◽  
W. Wood ◽  
V. Naidoo
Keyword(s):  
Lumbar Spine ◽  
Trigger Point ◽  
Golf Swing ◽  
Biomechanical Analysis ◽  
Control Group ◽  
Injury Incidence ◽  
Spine Injuries ◽  
Trigger Point Therapy ◽  
Hip Flexor ◽  
Medicine Ball

Background: Elite golfers sustain a large number of lumbar spine injuries. Poor rotational biomechanics, which may occur as a result of a shortened iliopsoas muscle, increase the incidence of lumbar spine injuries in golfers. Stretches and medicine ball exercises are often used as part of golf training programmes in an attempt to restore hip flexor length and improve rotational biomechanics. The aim of this study was to ascertain the effect of a combination of trigger point therapy and medicine ball exercises compared to a combination of trigger point therapy and stretching on rotational bio-mechanics of the golf swing. Method: This is a randomised controlled trial consisting of two experimental groups (trigger point therapy and stretching vs. trigger point therapy and medicine ball exercises) and one control group (no intervention). Hip flexor length and 3D biomechanical analysis of the golf swing was performed at baseline and one week later. Results: One-hundred elite male golfers participated in this study. Rotational biomechanics, specifically downswing hip turn in the group that received trigger point therapy combined with medicine ball exercises, showed statistically significant improvement at reassessment compared to the control group (p=0.0328). Conclusion: Rotational biomechanics (downswing hip turn) improved following a combination of trigger point therapy treatment and a one week programme of medicine ball exercises. This is postulated to have occurred through neural reorganisation and not through improved tensile muscle strength. This improvement in rotational biomechanics has the potential to decrease lumbar spine injury incidence in elite golfers. This study advocates the use of trigger point therapy combined with medicine ball exercises in the treatment of golfers with shortened hip flexors.

scholarly journals The effectiveness of myofascial trigger point therapy on myofascial pain syndrome trigger points

1994 ◽  
Author(s):  
◽  
Andrew D Jones
Keyword(s):  
Back Pain ◽  
Myofascial Pain ◽  
Trigger Point ◽  
Controlled Trial ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Myofascial Trigger Point ◽  
Trigger Point Therapy ◽  
Single Blind

The efficacy of myofascial trigger point therapy in treatment of myofasciitis was evaluated in a single blind, randomised, placebo controlled trial. The patient population consisted of twenty individuals who presented with one of the following: upper-back pain, shoulder pain, and neck-pain and or headaches and who were diagnosed as having myofasciitis.

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