scholarly journals Assessment of the Short-Term Effectiveness of Kinesiotaping and Trigger Points Release Used in Functional Disorders of the Masticatory Muscles

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Danuta Lietz-Kijak ◽  
Łukasz Kopacz ◽  
Roman Ardan ◽  
Marta Grzegocka ◽  
Edward Kijak
Keyword(s):  
Pain Syndrome ◽  
Trigger Points ◽  
Masticatory Muscles ◽  
The Body ◽  
Complex Nature ◽  
Self Healing ◽  
Functional Disorders ◽  
Myofascial Trigger Points ◽  
Analgesic Effects ◽  
Therapeutic Problem

Chronic face pain syndrome is a diagnostic and therapeutic problem for many specialists, and this proves the interdisciplinary and complex nature of this ailment. Physiotherapy is of particular importance in the treatment of pain syndrome in the course of temporomandibular joint functional disorders. In patients with long-term dysfunction of masticatory muscles, the palpation examination can localize trigger points, that is, thickening in the form of nodules in the size of rice grains or peas. Latent trigger points located in the muscles can interfere with muscular movement patterns, cause cramps, and reduce muscle strength. Because hidden trigger points can spontaneously activate, they should be found and released to prevent further escalation of the discomfort. Kinesiotaping (KT) is considered as an intervention that can be used to release latent myofascial trigger points. It is a method that involves applying specific tapes to the patient’s skin in order to take advantage of the natural self-healing processes of the body. The aim of the study was to evaluate the effect of the kinesiotaping method and trigger points inactivation on the nonpharmacological elimination of pain in patients with temporomandibular disorders. The study was conducted in 60 patients (18 to 35 years old). The subjects were randomly divided into two subgroups of 30 people each. Group KT (15 women and 15 men) were subjected to active kinesiotaping application. Group TrP, composed of 16 women and 14 men, was subjected to physiotherapy with the release of trigger points by the ischemic compression method. The results show that the KT method and TrP inactivation brought significant therapeutic analgesic effects in the course of pain-related functional disorders of the muscles of mastication. The more beneficial outcomes of the therapy were observed after using the KT method, which increased the analgesic effect in dysfunctional patients.

scholarly journals Mechanisms of Myofascial Pain

2014 ◽  
Vol 2014 ◽  
pp. 1-16 ◽  
Author(s):  
M. Saleet Jafri
Keyword(s):  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Well Being ◽  
Trigger Points ◽  
Complex Nature ◽  
Local Circulation ◽  
Myofascial Trigger Points ◽  
New Findings ◽  
Important Health

Myofascial pain syndrome is an important health problem. It affects a majority of the general population, impairs mobility, causes pain, and reduces the overall sense of well-being. Underlying this syndrome is the existence of painful taut bands of muscle that contain discrete, hypersensitive foci called myofascial trigger points. In spite of the significant impact on public health, a clear mechanistic understanding of the disorder does not exist. This is likely due to the complex nature of the disorder which involves the integration of cellular signaling, excitation-contraction coupling, neuromuscular inputs, local circulation, and energy metabolism. The difficulties are further exacerbated by the lack of an animal model for myofascial pain to test mechanistic hypothesis. In this review, current theories for myofascial pain are presented and their relative strengths and weaknesses are discussed. Based on new findings linking mechanoactivation of reactive oxygen species signaling to destabilized calcium signaling, we put forth a novel mechanistic hypothesis for the initiation and maintenance of myofascial trigger points. It is hoped that this lays a new foundation for understanding myofascial pain syndrome and how current therapies work, and gives key insights that will lead to the improvement of therapies for its treatment.

scholarly journals Study of Motor Ability Indices and Postural Status in Patients with Hemihypoplasia

2014 ◽  
Vol 21 (4) ◽  
pp. 49-53
Author(s):  
L. K Mikhailova ◽  
M. A Eryomushkin ◽  
I. S Kosov ◽  
S. A Mikhailova ◽  
N. V Murav’yova
Keyword(s):  
Balance Control ◽  
Pain Syndrome ◽  
Trigger Points ◽  
Lower Limbs ◽  
Abdominal Muscles ◽  
Motor Ability ◽  
Functional Tests ◽  
Myofascial Trigger Points ◽  
Postural Imbalance ◽  
Postural Disorders

One hundred seventeen patients with hemihypoplasia and discrepancy of lower limbs length of 1 - 3 cm were examined during the period from 2008 through 2013. Series of functional tests to evaluate conditional and coordination skills as well as stabilometry in European and American variants were performed. All patients demonstrated frontal postural disorders, marked weakness of the abdominal muscles and muscles of the back that resulted caused postural imbalance that resulted in formation of myofascial trigger points and development specific pain syndrome. Stabilometry and coordination tests results showed the predominance of proprioceptive body balance control over the visual one.

scholarly journals Acute Effect of the Compression Technique on the Electromyographic Activity of the Masticatory Muscles and Mouth Opening in Subjects with Active Myofascial Trigger Points

2020 ◽  
Vol 10 (21) ◽  
pp. 7750 ◽  
Author(s):  
Michał Ginszt ◽  
Grzegorz Zieliński ◽  
Marcin Berger ◽  
Jacek Szkutnik ◽  
Magdalena Bakalczuk ◽  
...  
Keyword(s):  
Mouth Opening ◽  
Trigger Points ◽  
Acute Effect ◽  
Masticatory Muscles ◽  
Study Group ◽  
Electromyographic Activity ◽  
Compression Technique ◽  
Myofascial Trigger Points ◽  
Stomatognathic System ◽  
Before And After

Active myofascial trigger points (MTrPs) in masticatory muscles are associated with a reduced range of motion and muscle weakness within the stomatognathic system. However, it is hard to identify the most effective treatment technique for disorders associated with MTrPs. The objective of this study was to analyze the acute effect of the compression technique (CT) on active maximal mouth opening (MMO) and electromyographic activity of the masseter (MM) and temporalis anterior (TA) muscles in subjects with active myofascial trigger points in the MM muscles. The study group comprised 26 women (mean age 22 ± 2) with bilateral active myofascial trigger points (MTrPs) in the MM. The control group comprised 26 healthy women (mean age 22 ± 1) without the presence of MTrPs in the MM. Masticatory muscle activity was recorded in two conditions (during resting mandibular position and maximum voluntary clenching) before and after the application of the CT to the MTrPs in MM. After the CT application, a significant decrease in resting activity (3.09 μV vs. 2.37 μV, p = 0.006) and a significant increase in clenching activity (110.20 μV vs. 139.06 μV, p = 0.014) within the MM muscles were observed in the study group, which was not observed within TA muscles. Controls showed significantly higher active MMO values compared to the study group before CT (50.42 mm vs. 46.31 mm, p = 0.024). The differences between the study group after CT and controls, as well as among the study group before and after CT did not reach the assumed level of significance in terms of active MMO. The compression technique appears to be effective in the improvement of the active maximal mouth opening and gives significant acute effects on bioelectric masticatory muscle activity. Therefore, CT seems to be effective in MTrPs rehabilitation within the stomatognathic system.

scholarly journals Effectiveness between Dry Needling and Ischemic Compression in the Triceps Surae Latent Myofascial Trigger Points of Triathletes on Pressure Pain Threshold and Thermography: A Single Blinded Randomized Clinical Trial

2019 ◽  
Vol 8 (10) ◽  
pp. 1632 ◽  
Author(s):  
Benito-de-Pedro ◽  
Becerro-de-Bengoa-Vallejo ◽  
Losa-Iglesias ◽  
Rodríguez-Sanz ◽  
López-López ◽  
...  
Keyword(s):  
Skin Temperature ◽  
Pain Threshold ◽  
Myofascial Pain ◽  
Pressure Pain Threshold ◽  
Pain Syndrome ◽  
Trigger Points ◽  
Triceps Surae ◽  
Dry Needling ◽  
Myofascial Trigger Points ◽  
Pressure Pain

Background: Deep dry needling (DDN) and ischemic compression technic (ICT) may be considered as interventions used for the treatment of Myofascial Pain Syndrome (MPS) in latent myofascial trigger points (MTrPs). The immediate effectiveness of both DDN and ICT on pressure pain threshold (PPT) and skin temperature of the latent MTrPs of the triceps surae has not yet been determined, especially in athletes due to their treatment requirements during training and competition. Objective: To compare the immediate efficacy between DDN and ICT in the latent MTrPs of triathletes considering PPT and thermography measurements. Method: A total sample of 34 triathletes was divided into two groups: DDN and ICT. The triathletes only received a treatment session of DDN (n = 17) or ICT (n = 17). PPT and skin temperature of the selected latent MTrPs were assessed before and after treatment. Results: Statistically significant differences between both groups were shown after treatment, showing a PPT reduction (p < 0.05) in the DDN group, while PPT values were maintained in the ICT group. There were not statistically significant differences (p > 0.05) for thermographic values before and treatment for both interventions. Conclusions: Findings of this study suggested that ICT could be more advisable than DDN regarding latent MTrPs local mechanosensitivity immediately after treatment due to the requirements of training and competition in athletes’ population. Nevertheless, further studies comparing both interventions in the long term should be carried out in this specific population due to the possible influence of delayed onset muscle soreness and muscle damage on PPT and thermography values secondary to the high level of training and competition.

Impact of myofascial mobilization on pain and mobility of the spine in people with pain and increased muscle tone of the cervical spine

2019 ◽  
Vol XXIII (2) ◽  
pp. 49-60
Author(s):  
Marta NIEDBAŁA ◽  
Grzegorz MAGOŃ
Keyword(s):  
Cervical Spine ◽  
Muscle Tone ◽  
Muscle Tension ◽  
Pain Syndrome ◽  
Trigger Points ◽  
Cervical Region ◽  
Neck Muscle ◽  
Pain Level ◽  
Linear Measurements ◽  
Myofascial Trigger Points

<b>Introduction.</b> Manual therapy is a standard method of physiotherapy to deactivate the interfering potential of the trigger points thus eliminate the subsequent tension within the area of the connective tissue. <b>Aims.</b> The aim of the study is the evaluation of the influence of the myofascial trigger points therapy on the increased neck muscle tension, pain and ROM in people who suffer from cervical pain. <b>Material and methods.</b> A diagnostic method was linear measurements of ROM of the cervical spine and a visual analogue scale (VAS) to assess the pain level. The examination included 35 people aged 25-55, performing whitecollar work in sitting position, selected by a neurologist or orthopedist, with identified increased muscle tension in the cervical region. Achieved results were statistically evaluated. To show the importance of the differences in cervical ROM, the intensity of pain and disability level before and after rehabilitation, a non-parametric signedrank test was utilized. The differences were found as significant for p<0,05. <b>Results and conclusions.</b> A comprehensive physiotherapy of myofascial painfull points results in decrease the pain level in patients suffering from pain syndrome of the cervical spine. Proposed physiotherapy plan lead to improved movement of the cervical spine in all directions.

Painful Myofascial Trigger Points and Pain Sites in Men With Chronic Prostatitis/Chronic Pelvic Pain Syndrome

2009 ◽  
Vol 182 (6) ◽  
pp. 2753-2758 ◽  
Author(s):  
Rodney U. Anderson ◽  
Timothy Sawyer ◽  
David Wise ◽  
Angie Morey ◽  
Brian H. Nathanson
Keyword(s):  
Pelvic Pain ◽  
Chronic Prostatitis ◽  
Chronic Pelvic Pain ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Trigger Points ◽  
Pelvic Pain Syndrome ◽  
Myofascial Trigger Points

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

2018 ◽  
Vol 108 (1) ◽  
pp. 27-32 ◽  
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 &lt; .001). The increase in PPT was also significant after the fifth (P = .010), tenth (P = .023), and 15th (P = .001) sessions (P &lt; .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.

scholarly journals 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

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.

scholarly journals 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

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.

Thermal Evaluation of Myogenous Temporomandibular Disorders and Myofascial Trigger Points in the Masticatory Muscles

2017 ◽  
pp. 329-350
Author(s):  
Denise Sabbagh Haddad ◽  
Marcos Leal Brioschi ◽  
Emiko Saito Arita
Keyword(s):  
Temporomandibular Disorders ◽  
Infrared Imaging ◽  
Trigger Points ◽  
Masticatory Muscles ◽  
Imaging Method ◽  
Myofascial Trigger Points ◽  
Functional Changes ◽  
Cutaneous Temperature ◽  
Vasomotor Activity ◽  
Temperature Levels

It is known that the myofascial trigger points (MTP) and myogenous temporomandibular disorders (TMDs) cause regional sympathetic hyperactivity in local temperature due to the cutaneous vasomotor activity and, for detection of functional changes, thermography is used as a complementary diagnostic imaging method. This chapter intends to study two masticatory muscles, masseter and anterior temporalis, in measurement of the cutaneous temperature of volunteers with and without myogenous TMD and MTP. Results: The temperature levels measured at both muscles regions in myogenous TMD volunteers were significantly lower than those measured in controls. Infrared imaging indicated differences between referred and local pain in MTPs of 0.5ºC. Conclusions: Infrared imaging measurements seem to indicate that it can be used as an aid in complimentary diagnosing of TMDs and MTPs in masticatory muscles.

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