Effects of active head retraction with retraction/extension and occipital release on the pressure pain threshold of cervical and scapular trigger points

1997 ◽  
Vol 13 (4) ◽  
pp. 285-291 ◽  
Author(s):  
William P. Hanten ◽  
Melinda Barrett ◽  
Meredith Gillespie-Plesko ◽  
Kathryn A. Jump ◽  
Sharon L. Olson
Keyword(s):  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Trigger Points ◽  
Pressure Pain

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.

Effects in pressure-pain threshold of percutaneous galvanic microcurrent in the trapezius trigger points

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e1297-e1298 ◽  
Author(s):  
O.A. Ronzio ◽  
C.A. Villa ◽  
D. Gómez ◽  
R.M. Valentim da Silva ◽  
J.P. Gill ◽  
...  
Keyword(s):  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Trigger Points ◽  
Pressure Pain

Effect of Physical Exercise Programs on Myofascial Trigger Points–Related Dysfunctions: A Systematic Review and Meta-analysis

Pain Medicine ◽  
2020 ◽  
Vol 21 (11) ◽  
pp. 2986-2996
Author(s):  
María José Guzmán-Pavón ◽  
Iván Cavero-Redondo ◽  
Vicente Martínez-Vizcaíno ◽  
Rubén Fernández-Rodríguez ◽  
Sara Reina-Gutierrez ◽  
...  
Keyword(s):  
Physical Exercise ◽  
Pain Intensity ◽  
Range Of Motion ◽  
Pain Threshold ◽  
Meta Analysis ◽  
Pressure Pain Threshold ◽  
Trigger Points ◽  
Exercise Programs ◽  
Myofascial Trigger Points ◽  
Pressure Pain

Abstract Objective Myofascial pain syndrome is one of the primary causes of health care visits. In recent years, physical exercise programs have been developed for the treatment of myofascial trigger points, but their effect on different outcomes has not been clarified. Thus, this study aimed to assess the effect of physical exercise programs on myofascial trigger points. Methods A systematic search was conducted in Pubmed, Web of Science, and Scopus. Articles analyzing the effect of physical exercise programs on pain intensity, pressure pain threshold, range of motion, and disability were included. Risk of bias was assessed using the Cochrane RoB2 tool. The DerSimonian-Laird method was used to compute the pooled effect sizes (ES) and their 95% confidence interval (95% CI) for pain intensity, pressure pain threshold, range of motion, and disability. Results A total of 24 randomized controlled trials were included in this systematic review and meta-analysis. The pooled ES were –0.47 (95% CI = –0.61 to –0.33) for pain intensity, 0.63 (95% CI = 0.31 to 0.95) for pressure pain threshold, 0.43 (95% CI = 0.24 to 0.62) for range of motion, and –0.18 (95% CI = –0.45 to 0.10) for disability. Conclusions Physical exercise programs may be an effective approach in the treatment of pain intensity, pressure pain threshold, and range of motion among patients with myofascial trigger points.

scholarly journals Muscle Trigger Points, Pressure Pain Threshold, and Cervical Range of Motion in Patients With High Level of Disability Related to Acute Whiplash Injury

2012 ◽  
Vol 42 (7) ◽  
pp. 634-641 ◽  
Author(s):  
Antonio Manuel Fernández-Pérez ◽  
Carmen Villaverde-Gutiérrez ◽  
Aurora Mora-Sánchez ◽  
Cristina Alonso-Blanco ◽  
Michele Sterling ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Whiplash Injury ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Trigger Points ◽  
Pressure Pain ◽  
Cervical Range Of Motion ◽  
High Level

A Proposed Experimental Model of Myofascial Trigger Points in Human Muscle after Slow Eccentric Exercise

2004 ◽  
Vol 22 (1) ◽  
pp. 2-13 ◽  
Author(s):  
Kazunori Itoh ◽  
Kaoru Okada ◽  
Kenji Kawakita
Keyword(s):  
Experimental Model ◽  
Eccentric Exercise ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Trigger Points ◽  
Emg Activity ◽  
Acupuncture Points ◽  
Myofascial Trigger Points ◽  
Pressure Pain ◽  
Pressure Pain Thresholds

Background The purpose of this study was to develop an experimental model of myofascial trigger points to investigate their pathophysiology. Methods Fifteen healthy volunteers who gave informed consent underwent repetitive eccentric exercise of the third finger of one hand (0.1Hz repetitions, three sets at five minute intervals) until exhaustion. Physical examination, pressure pain threshold, and electrical pain threshold of the skin, fascia and muscle were measured immediately afterwards and for seven days. Needle electromyogram (EMG) was also recorded in a subgroup of participants. Results Pressure pain thresholds decreased to a minimum on the second day after the exercise, then gradually returned to baseline values by the seventh day. On the second day, a ropy band was palpated in the exercised forearm muscle and the electrical pain threshold of the fascia at the palpable band was the lowest among the measured loci and tissues. Needle EMG activity accompanied with dull pain sensation was recorded only when the electrode was located on or near the fascia of the palpable band on the second day of exercise. Conclusion These results suggest that eccentric exercise may yield a useful model for the investigation of the myofascial trigger points and/or acupuncture points. The sensitised nociceptors at the fascia of the palpable band might be a possible candidate for the localised tender region.

scholarly journals Reliability of pressure pain threshold on myofascial trigger points in the trapezius muscle of women with chronic neck pain

2021 ◽  
Vol 67 (5) ◽  
pp. 708-712
Author(s):  
Alessandra Kelly de Oliveira ◽  
Almir Vieira Dibai-Filho ◽  
Gabriela Soleira ◽  
Ana Carolina Fracarolli Machado ◽  
Rinaldo Roberto de Jesus Guirro
Keyword(s):  
Neck Pain ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Trapezius Muscle ◽  
Chronic Neck Pain ◽  
Trigger Points ◽  
Myofascial Trigger Points ◽  
Pressure Pain

Musculoskeletal physical outcome measures in individuals with tension-type headache: A scoping review

Cephalalgia ◽  
2013 ◽  
Vol 33 (16) ◽  
pp. 1319-1336 ◽  
Author(s):  
Jacques Abboud ◽  
Andrée-Anne Marchand ◽  
Karin Sorra ◽  
Martin Descarreaux
Keyword(s):  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Trigger Points ◽  
Tension Type Headache ◽  
Forward Head Posture ◽  
Pressure Pain ◽  
Head Posture ◽  
Headache Pain ◽  
Physiological Outcomes ◽  
Type Headache

Introduction Individuals with tension-type headache (TTH), in addition to headache pain, typically suffer from pericranial muscle tenderness and increased cervical muscle tone. Physical and physiological outcomes related to musculoskeletal function, however, are not commonly assessed in clinical studies and not systematically proposed as outcome measures in headache-related practice guidelines. Objectives To review which musculoskeletal outcomes are used in the clinical assessment of patients with TTH and which are associated with headache pain and related dysfunction. Methods: Literature searches were performed in MEDLINE, PubMed, the Cochrane databases and EMBASE using terms relating to musculoskeletal physical outcomes in TTH. Results Twenty-six studies met selection criteria. Physiological outcomes typically reported in laboratory studies were trigger points, pressure pain threshold, range of motion and tenderness. A greater number of trigger points and lower pressure pain threshold were reported in patients with episodic TTH in comparison with healthy subjects. Individuals with chronic TTH, when compared with non-headache controls, consistently showed a greater number of trigger points, a lower value of pressure pain threshold and a more severe forward head posture. Conclusion Musculoskeletal outcomes, such as trigger points, pressure pain threshold and forward head posture should inform TTH pathophysiology, diagnosis and interdisciplinary patient care.

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