scholarly journals Electromyogram Biofeedback in Patients with Fibromyalgia: A Randomized Controlled Trial

2017 ◽  
Vol 24 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Eva Baumueller ◽  
Andreas Winkelmann ◽  
Dominik Irnich ◽  
Martin Weigl
Keyword(s):  
Health Status ◽  
Usual Care ◽  
Outcome Measures ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Emg Biofeedback ◽  
Additional Patient ◽  
Secondary Outcome ◽  
Pressure Pain ◽  
Randomized Controlled

Background/Aim: Electromyogram (EMG) biofeedback is used in chronic pain but its effectiveness in patients with fibromyalgia is unclear. The objective of this randomized controlled clinical trial was to evaluate the effectiveness of EMG biofeedback in patients with fibromyalgia. Methods: Patients were recruited from a waiting list at the fibromyalgia day care clinic at the University Hospital Munich. The study intervention comprised 14 sessions of EMG biofeedback during 8 weeks in addition to the usual care. The control intervention was usual care alone. Assessments were scheduled before intervention (T0), after intervention (T1), and 3 months after the end of intervention (T2). The primary outcome measure was the Fibromyalgia Impact Questionnaire (FIQ). Secondary outcome measures included additional patient-oriented measures and the pressure-pain threshold in the trapezius muscles. Effectiveness was analyzed by significance tests and standardized effect sizes (ES). Results: 36 patients completed the study. EMG biofeedback did not improve the health status (FIQ, T1: p = 0.95, ES = 0.02; T2: p = 0.52, ES = 0.26). Among the secondary outcome measures, only the pressure-pain threshold at the trapezius muscles showed an improvement in the intervention group (T1: p = 0.016, ES = 0.84). Conclusion: EMG biofeedback showed no health status improvement in patients with fibromyalgia.

Effects of Myofascial Self-Release on Range of Motion, Pressure Pain Threshold, and Hamstring Strength in Asymptomatic Individuals: A Randomized, Controlled, Blind Clinical Trial

2020 ◽  
pp. 1-6
Author(s):  
Alexandre Nehring ◽  
Thiago Teixeira Serafim ◽  
Elisa Raulino Silva ◽  
Fábio Sprada de Menezes ◽  
Nicola Maffulli ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Range Of Motion ◽  
Knee Flexion ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Pressure Pain ◽  
Randomized Controlled ◽  
Peak Knee ◽  
Group 2 ◽  
Asymptomatic Individuals

Context: Myofascial self-release is performed using a roller to exert pressure on the soft tissues and to promote effects similar to those of traditional massage. However, there is no standardization regarding its application, mainly in relation to time. Objective: To evaluate the effects of myofascial self-release with a rigid roller on range of motion (ROM), pressure pain threshold (PPT), and hamstring strength in asymptomatic individuals following 2 different times of intervention. Design: Randomized, controlled, blind, clinical trial comparing preintervention and immediately postintervention within 2 groups. Setting: Institutional physiotherapy clinic. Participants: A total of 40 university students (18–30 y), who had no symptoms, participated. Intervention: Foam roller for 30 seconds and 2 minutes for group 2. Main Outcome Measures: Hamstring PPT, knee-extension ROM, and peak knee-flexion torque measured before and immediately after the intervention. Results: Both groups experienced a statistically significant increase in ROM compared with baseline (30 s and 2 min for group 2 P < .024). There were no statistically significant differences comparing peak knee-flexion torque or PPT. Conclusions: Hamstring myofascial self-release using a roller for 30 seconds or 2 minutes produced an increase in ROM in healthy individuals. PPT and peak knee-flexion isometric torque showed no effects.

Autonomic function and pressure pain threshold following thoracic mobilization in asymptomatic subjects: A randomized controlled trial

2018 ◽  
Vol 22 (2) ◽  
pp. 313-320 ◽  
Author(s):  
Francisco Xavier de Araujo ◽  
Maurício Scholl Schell ◽  
Giovanni Esteves Ferreira ◽  
Mariana Della Valentina Pessoa ◽  
Luiza Raulino de Oliveira ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Pain Threshold ◽  
Autonomic Function ◽  
Controlled Trial ◽  
Pressure Pain Threshold ◽  
Pressure Pain ◽  
Randomized Controlled ◽  
Asymptomatic Subjects

Effect of long-term neck muscle training on pressure pain threshold: A randomized controlled trial

2005 ◽  
Vol 9 (6) ◽  
pp. 673-673 ◽  
Author(s):  
Jari Ylinen ◽  
Esa-Pekka Takala ◽  
Hannu Kautiainen ◽  
Matti Nykänen ◽  
Arja Häkkinen ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Pain Threshold ◽  
Controlled Trial ◽  
Pressure Pain Threshold ◽  
Neck Muscle ◽  
Muscle Training ◽  
Pressure Pain ◽  
Randomized Controlled

Effectiveness of 2 Osteopathic Treatment Approaches on Pain, Pressure-Pain Threshold, and Disease Severity in Patients with Fibromyalgia: A Randomized Controlled Trial

2017 ◽  
Vol 25 (2) ◽  
pp. 122-128 ◽  
Author(s):  
Jessica Albers ◽  
Anne Jäkel ◽  
Kai Wellmann ◽  
Ulrike von Hehn ◽  
Tobias Schmidt
Keyword(s):  
Randomized Controlled Trial ◽  
Disease Severity ◽  
Pain Threshold ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Pressure Pain Threshold ◽  
Control Group ◽  
Pressure Pain ◽  
Randomized Controlled ◽  
Osteopathic Treatment

Objective: To assess the effectiveness of osteopathic intervention (OI) and general osteopathic treatment (GOT) in individuals with fibromyalgia syndrome (FMS). Methods: The trial was designed as a randomized controlled trial with 2 osteopathic interventions and 1 untreated control group. The patients in the two osteopathic groups received 10 osteopathic treatments (OI or GOT) within a time period of 12 weeks. The control group did not receive any osteopathic treatment. The primary outcome was the average pain intensity (API) assessed by visual analog scale (VAS). Secondary outcomes were the pressure-pain threshold rated by means of a tender point score, and disease severity, assessed by the Fibromyalgia Impact Questionnaire (FIQ). Results: 50 patients were randomized. The primary outcome parameter API decreased from 7.2 to 4.7 in the OI group, from 6.3 to 4.3 in the GOT group, and increased slightly in the control group from 6.2 to 6.6. There were significant differences for the change in API between the OI group and the control group (VAS: 2.9, 95% confidence interval (CI) = 1.12-4.52), and between the GOT group and the control group (VAS: 2.4, 95% CI = 0.65-4.11), but no significant differences between the OI group and the GOT group. There were no significant differences for the secondary outcome parameters between the groups. Conclusion: A series of osteopathic treatments might be beneficial for patients suffering from FMS.

scholarly journals Acupuncture Treatment for Plantar Fasciitis: A Randomized Controlled Trial with Six Months Follow-Up

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Shi Ping Zhang ◽  
Tsui-Pik Yip ◽  
Qiu-Shi Li
Keyword(s):  
Treatment Group ◽  
Plantar Fasciitis ◽  
Pain Threshold ◽  
Acupuncture Treatment ◽  
Pressure Pain Threshold ◽  
Specific Effect ◽  
Heel Pain ◽  
Secondary Outcome ◽  
Control Group ◽  
Pressure Pain

Plantar fasciitis is a common cause of heel pain. It has been suggested that some acupoints have a specific effect on heel pain. The aim of this study was to determine the efficacy and specificity of acupuncture treatment for plantar fasciitis. Subjects were randomly assigned to the treatment group (n= 28) or control group (n= 25). The treatment group received needling at the acupoint PC 7, which is purported to have a specific effect for heel pain. The control group received needling at the acupoint Hegu (LI 4), which has analgesic properties. Treatment was administered five times a week for 2 weeks, with an identical method of manual needling applied to the two acupoints. The primary outcome measure was morning pain on a 100-point visual analog scale (VAS) at one month post-treatment. Secondary outcome measures included a VAS for activity pain, overall pain rating as well as pressure pain threshold using algometry. Significant differences in reduction in pain scores, favoring the treatment group, were seen at one month for morning pain (22.6 ± 4.0 versus 12.0 ± 3.0, mean ± SEM), overall pain (20.3 ± 3.7 versus 9.5 ± 3.6) and pressure pain threshold (145.5 ± 32.9 versus −15.5 ± 39.4). No serious adverse event was observed in either group. The results indicate that acupuncture can provide pain relief to patient with plantar fasciitis, and that PC 7 is a relatively specific acupoint for heel pain.

Sign in / Sign up

Export Citation Format

Share Document