Association of myofascial trigger points in neck and shoulder region with depression, anxiety and stress among university students

Abstract Objective: To determine the prevalence of myofascial trigger points in the shoulder and neck region, and to assess association with depression, anxiety and stress. Method: The cross-sectional study was conducted from January to September 2019 at Riphah International University, Faisalabad, Pakistan, and comprised students from different universities in Faisalabad. Myofascial trigger points were identified among the subjects using palpation method by a therapist. Depression anxiety stress scale was used to determine the level of depression, anxiety and stress. Data was analysed using SPSS 20. Results: Of the 2000 subjects, 970(49%) were male and 1030(52%) were female. The overall age range was 18-25 years. Myofascial trigger points were present in 1727(86.4%) subjects and absent in 273(13.7%). The trigger points had significant association with depression, anxiety and stress (p<0.001). Conclusion: Myofascial trigger points were quite common among university students and were associated with depression, anxiety and stress. Key Words: Anxiety, Depression, Myofascial trigger points, Myofascial pain syndrome, Stress, Students. Continuous...

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The Relationship Between The Body Mass Index and The Pain Threshold in Myofascial Pain Syndrome: A Cross-sectional Study

Indonesian Journal of Physical Medicine & Rehabilitation ◽

10.36803/ijpmr.v6i01.147 ◽

2017 ◽

Vol 6 (01) ◽

pp. 8

Author(s):

Ibrahim Agung ◽

Nyoman Murdana ◽

Herdiman Purba

Keyword(s):

Pain Threshold ◽

Myofascial Pain ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Cross Sectional Study ◽

The Body ◽

Sectional Study ◽

Cross Sectional ◽

The Relationship

Introduction: The obesity on the myofascial pain syndrome (MPS) was reduced the pain thresholds, leads todecreasing of physical functioning and quality of life. The obese group was more sensitive to pain due to the proinflammatorycondition. This study aimed to examined the relationship between the Body Mass Index (BMI)and the pain threshold in MPS patients.Methods and Materials: This study was a cross-sectional study, conducted in an outpatient clinic of MedicalRehabilitation Department of Dr. Cipto Mangunkusumo Hospital, Jakarta. The subjects recruited consecutively.The pain intensity was assessed subjectively by the Visual Analogue Scale (VAS) score from 0 to 10. Thenumber of the trigger points (TP) were examined palpation manually. The pain threshold was evaluated by thealgometer (Kg) on the upper trapezius muscles.Results: The study has recruited 30 patients, aged 40,5 (20-54). The BMI was 24.97 ± 3.39 Kg/M2. The VASscore was 6 (5-8). The number of the TP was 5.83 ± 1.74. The pain threshold was 2.48 ± 0.52 Kg/ cm2. Most ofthe subjects have overweight (20%) and obesity (47%). There was no correlation between the BMI with the painintensity (r=-0.076, p=0.689), with the number of trigger points (r=0.256, p=0.171) and with the pain threshold(r=0.189, p=0.316).Conclusions: Therefore the BMI was not related to the pain intensity, the number of trigger points as wellas with the threshold of pain in the MPS patients. However, the number of the TP tends to increase, and thethreshold of pain has the tendency to reduced in the obese subjects.Keywords: Obesity; Myofascial Pain Syndrome; VAS; Pain Threshold

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Clinical criteria for the application of dry needling in myofascial pain Syndrome: An expert consensus document and a cross-sectional study among physical therapists

Revista Fisioterapia Invasiva ◽

10.1055/s-0039-3402788 ◽

2019 ◽

Vol 02 (02) ◽

pp. 050-054

Author(s):

Nicolas Secorro ◽

Rafael Guerra ◽

Xavi Labraca ◽

Marc Lari ◽

Daniel Pecos ◽

...

Keyword(s):

Physical Therapy ◽

Myofascial Pain ◽

Panel Discussion ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Dry Needling ◽

Cross Sectional ◽

Myofascial Trigger Points ◽

Clinical Criteria

AbstractPresently, there is no clear consensus on the essential and confirmatory criteria which should govern the application of dry needling (DN) in the treatment of myofascial trigger points. The aim of this study was to generate a consensus on these criteria, via a panel discussion with DN experts which took place at the International Conference of Invasive Physical Therapy held in 2018, including the opinion of the attendees who participated in a live survey on the subject at the conference via an app. The results obtained reveal discrepancies regarding confirmatory criteria such as the elicitation of referred pain; nonetheless, consensus exists on the suitability of the application of individualized and personalized DN treatment and the combination of treatment with other intervention approaches in physical therapy, with the use of ultrasound when required to support a safer clinical practice.

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YouTube as a Source of Patient Information on Myofascial Pain Syndrome

Aktuelle Rheumatologie ◽

10.1055/a-1652-1351 ◽

2021 ◽

Author(s):

Ayça Uran Şan

Keyword(s):

Myofascial Pain ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Cross Sectional Study ◽

High Quality ◽

Cross Sectional ◽

Intermediate Group ◽

Global Quality

Abstract Introduction Myofascial pain syndrome is a local disorder characterised by pathological myofascial constrictions and trigger points. One of the most popular sources of internet-based information for patients is YouTube, which provides a lot of videos related to myofascial pain syndrome, making it one of the top clinical conditions searched for on the site. This study aimed to examine the quality of the YouTube video content on myofascial pain syndrome. Method This study was designed as a cross-sectional study and used the YouTube video sharing website as the main source of data. A search of the relevant videos was performed by entering the words “myofascial pain syndrome” in June 2021. Video characteristics were recorded, and the quality of the videos was assessed according to the Journal of the American Medical Association (JAMA) benchmark criteria, the DISCERN Scale and the Global Quality Scale. Results A total of 322 videos were evaluated, 186 of which were subjected to analysis after applying the inclusion/exclusion criteria. The videos were categorised into groups, with 10 (5.4%) falling into the high-quality group, 16 (8.6%) into the intermediate quality group, and 160 (86%) into the low-quality group. The findings from the study showed that the most popular videos, the highest number of video likes and the highest number of video views were in the intermediate group, while the high-quality group had the lowest popularity level, number of video likes and number of video views (p ˂ 0.05). Conclusions Although there are videos with high-quality content on YouTube offering guidance to patients about the disease, it is important to keep in mind that inaccurate and deficient information about the disease may also be present on this platform.

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Clinical features and myofascial pain syndrome in older adults with knee osteoarthritis by sex and age distribution: A cross-sectional study

The Knee ◽

10.1016/j.knee.2018.09.011 ◽

2019 ◽

Vol 26 (1) ◽

pp. 165-173 ◽

Cited By ~ 7

Author(s):

Eleuterio A. Sánchez-Romero ◽

Daniel Pecos-Martín ◽

Cesar Calvo-Lobo ◽

David García-Jiménez ◽

Victoria Ochoa-Sáez ◽

...

Keyword(s):

Older Adults ◽

Knee Osteoarthritis ◽

Clinical Features ◽

Myofascial Pain ◽

Age Distribution ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Evaluation of the Analgesic Effect of Combination Therapy on Chronic Plantar Pain Through the Myofascial Trigger Points Approach

Journal of the American Podiatric Medical Association ◽

10.7547/16-038 ◽

2018 ◽

Vol 108 (1) ◽

pp. 27-32 ◽

Cited By ~ 2

Author(s):

Rocío Melero-Suárez ◽

José Antonio Sánchez-Santos ◽

Gabriel Domínguez-Maldonado

Keyword(s):

Combination Therapy ◽

Analgesic Effect ◽

Myofascial Pain ◽

Pressure Pain Threshold ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Adductor Muscle ◽

Rank Test ◽

Myofascial Trigger Points

Background: Closely related pathologic disorders sometimes manifest with the same symptoms, making for a complex differential diagnosis. This is the situation in plantar fasciitis (PF) and myofascial pain syndrome (MPS) with myofascial trigger points (MTPs) in the sole of the foot. This research assessed the analgesic effect on plantar pain of combination therapy with interferential current stimulation therapy (ICST), treating MTPs in the great toe adductor muscle and the short flexor muscles of the toes in patients whose diagnosis was compatible with PF or MPS. Methods: This study included 22 feet of 17 patients with a diagnosis compatible with PF or MPS with MTP. Participants received combination therapy with ICST for 15 sessions, and the decrease in pain was measured with an algometer and the visual analog scale. Both measurements were taken before and after every fifth session. The pressure pain threshold (PPT) results obtained with the Student t test and the pain intensity perception (PIP) results obtained with the Wilcoxon signed rank test were analyzed by comparing the measurements taken before the treatment and after the fifth, tenth, and 15th sessions. Results: The decrease in PIP was significant after the fifth, tenth, and 15th sessions (P < .001). The increase in PPT was also significant after the fifth (P = .010), tenth (P = .023), and 15th (P = .001) sessions (P < .05). Conclusions: The suggested combination therapy of ultrasound with ICST is clinically significant for reducing plantar pain after 15 treatment sessions, with a 6.5-point reduction in mean PIP and a 4.6-point increase in PPT.

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Results of the post-registration clinical study “PARUS” on efficiency and safety assessment of Mydocalm-Richter for local injection therapy of a myofascial trigger zone

Terapevticheskii arkhiv ◽

10.26442/terarkh201890681-88 ◽

2018 ◽

Vol 90 (6) ◽

pp. 81-88

Author(s):

F I Devlikamova

Keyword(s):

Muscle Relaxant ◽

Blood Circulation ◽

Myofascial Pain ◽

Ultrasound Examination ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Orthostatic Test ◽

Myofascial Trigger Points ◽

Sedative Effects

Aim. The “PARUS” program included investigation of the analgesic, muscle relaxant and sedative effects of Mydocalm-Richter which acts as central muscle relaxant in patients with myofascial pain syndrome, taking into account its registered indication for use - the hypertonus and cross-striated muscle spasm. Materials and methods. Fifty patients with myofascial trigger points, the mean age of 41.67±11.86 years, have been enrolled in the study. All patients had undergone clinical examination that allowed the diagnosis of myofascial pain syndrome. The intensity of pain syndrome was evaluated using the pain visual analogue scales and McGill pain questionnaire. Visualization of area in spasm and evaluation of blood circulation was carried out using the ultrasound scan of target muscle. In order to objectively evaluate any conceivable hypotensive and sedative effects of Mydocalm-Richter we used the orthostatic test, Schulte’s test for attention span and perfor-mance distribution and Munsterberg’s test for attention discrimination and concentration. Results. The analgesic and muscle relaxant effects of Mydocalm-Richter become apparent by day 3 post-injection, and the muscle relaxation effect is reaching its maximum on day 10 post-injection. Cardiovascular function following administration of Mydocalm-Richter was evaluated using the orthostatic test which revealed good orthostatic tolerance. Single injection of tolperisone hydrochloride possessing a central muscle relaxant activity has no sedative effect and does not influence patient response time. The ultrasound examination data demonstrated the improvement and in some cases restoration of blood circulation in the myofascial trigger points. Conclusion. Clinical study “PARUS” conducted in patients with myofascial pain has demonstrated a positive muscle relaxant and analgesic effect of Mydocalm-Richter that resulted in restoration of peripheral circulation in the myofascial trigger pointsconfirmed by ultrasound examination. An important benefit of this drug product is the absence of sedative effect and arterial hypotension.

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Pathophysiological substantiation of the complex approach to rehabilitation of patients with myofascial pain syndrome of the neck region

Physical and rehabilitation medicine, medical rehabilitation ◽

10.36425/rehab20422 ◽

2020 ◽

Vol 2 (1) ◽

pp. 66-70

Author(s):

O. V. Shimarova ◽

V. V. Malakhovskiy ◽

V. G. Zilov

Keyword(s):

Myofascial Pain ◽

Neck Region ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Muscle Stiffness ◽

Myofascial Pain Syndromes ◽

Pain Syndromes ◽

Complex Approach

Myofascial pain syndromes are a widespread pathology, which is a condition that is characterized by local muscle stiffness and the formation of trigger points in them. The pathophysiology of myofascial pain syndromes is not fully understood. Studies indicate the role of dysfunction of the end plate of the muscle, impaired proprioreception and sensomotor control, central sensitization. The review presents a modern view of approaches to the treatment of myofasial pain syndrome of the neck region, based on an understanding of its pathophysiology.

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The relative effectiveness of a home programme of ischaemic compression, sustained stretch and a combination of both for the treatment of myofascial trigger points in the upper trapezius musculature

10.51415/10321/2738 ◽

2003 ◽

Author(s):

◽

Marlon Thoresson

Keyword(s):

Myofascial Pain ◽

Relative Effectiveness ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Clinical Findings ◽

Myofascial Trigger Points ◽

Upper Trapezius

The purpose of this study was to determine the relative effectiveness of a home programme of ischaemie compression, sustained stretch and a combination of the two, in terms of subjective and objective clinical findings for the treatment of Myofascial Pain Syndrome.

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