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

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.

2004 ◽  
Author(s):  
◽  
Michele Broadhurst

The purpose of this study was to investigate the association between the role of Myofascial Trigger Points of the lower extremity to the clinical presentation of lIiotibialband Friction syndrome


Author(s):  
Naseem Akhtar Qureshi ◽  
Hamoud Abdullah Alsubai ◽  
Mohammed Khulaif Alharbi

Background: Myofascial pain syndrome is a common pain condition characterized by a key symptoms and signs, determined by multiple etiologies, comorbid with a variety of systemic diseases and regional pain syndromes and managed by diverse therapies with variable outcomes. Objective: This study aimed to concisely report 11 cases of myofascial pain syndrome managed by myofascial trigger point therapy. Methods: The relevant information about 11 cases was collected prospectively using a semistructured proforma. All patients were diagnosed mainly by detailed history and gold standard palpation method that helps identify taut muscles, tender myofascial trigger points, local twitch response and autonomic manifestations. Results: Most of the patients with variable age and profession presented in emergency room with acute pain, limited motion, weakness, referred pain of specific pattern and associated autonomic signs and symptoms. Myofascial trigger point therapy alone with a timeline of about 30-60 minutes of 1-3sessions brought about good results in all 11 patients (100%) who remained stable at two to three months followup. Conclusion: Myofascial pain syndrome linked with latent or active myofascial trigger points developed due to repeated strains and injuries needs to be diagnosed by history and palpation method, systemic evaluation and laboratory investigations. Though several interventions are used in myofascial pain syndrome, myofascial trigger point massage therapy alone is found to be reasonably effective with excellent results. This clinical case series is calling for double-blind randomized controlled trials among patients with myofascial pain syndrome not only in Saudi Arabia but also in other Middle East countries in future.


Author(s):  
Hanik Badriyah Hidayat ◽  
Annisa Oktavianti

Nyeri miofasial servikal (NMS) merupakan sumber nyeri umum pada individu dengan nyeri leher kronik nonspesifik. Nyeri dapat bersifat lokal, regional dan dapat juga memiliki banyak titik pemicu nyeri (myofascial trigger points/MTrPs). NMS menyebabkan nyeri di daerah otot servikal maupun fasia di sekitarnya. Nyeri leher menurunkan kualitas hidup, menurunkan produktivitas dan menyebabkan disabilitas sehingga berpengaruh secara sosioekonomi terhadap penderita dan masyarakat.Pengobatan sindrom nyeri miofasial servikal masih belum memuaskan terkait kronisitasnya. Dry needling (DN) adalah salah satu pilihan terapi nonfarmakologi yang bisa diterapkan pada NMS. DN akan mengurangi sensitisasi perifer dan sentral dengan menghilangkan sumber nosisepsi perifer (area MTrPs), memodulasi aktifitas kornu dorsalis dan mengaktifkan jalur inhibisi nyeri sentral.Neurolog sering menangani kasus NMS dan perkembangan DN akhir-akhir ini semakin pesat sebagai manajemen nyeri. Namun, keefektifan terapi DN masih belum jelas. Oleh karena itu, pengetahuan tentang peran DN pada NMS ini penting untuk diketahui oleh para neurolog. Artikel kami akan membahas tentang peran DN pada sindrom nyeri miofasial servikal.Kata kunci: Dry needling, nyeri miofasial servikal, terapi, myofascial trigger point


2018 ◽  
Vol 7 (1) ◽  
pp. 21-27
Author(s):  
Mubarra Rao ◽  
Sadia Shafaq

Myofascial trigger point is a hyperirritable nodule present in a palpable taut band of skeletal muscle, often results from muscle injury or repetitive strain that cause pain and tightness. Myofascial trigger points are one of the most common causes of chronic neck pain. This study aims to determine the efficacy of ischemic compression in comparison with myofascial stretching on trigger points of trapezius muscle for reduction of pain and spasm. Randomized Control Trial. The study was conducted in Ziauddin Hospital. 96 participants were enrolled in the study. Participants were divided into two groups equally and randomly, Group (A) an intervention group treated with hot pack, ultrasound therapy and ischemic compression, Group (B) a control group treated with hot pack, ultrasound therapy and myofascial stretching. This regime was followed thrice a week for three weeks. Statistically significant (P < 0.05) changes in the values were found in Group A and Group B for Visual Analog scale and Penn spasm frequency scale post treatment. The results showed that there is significant difference found after both interventions for the treatment of pain and spasm caused by myofascial trigger point. It cannot be said that ischemic compression is more effective than myofascial stretching for the treatment of myofascial trigger points of trapezius muscle.


2020 ◽  
Vol 03 (01) ◽  
pp. 035-037
Author(s):  
María Pilar López Royo ◽  
Carolina Jiménez Sánchez

AbstractA myofascial trigger point (MTrP) is a hyperirritable area of a skeletal muscle, of nodular appearance on palpation and located in a taut band. One of the techniques for the treatment of MTrP is dry needling (DN). The aim of the present work was to determine whether treatment with DN is effective in terms of pain relief and improvement of muscle weakness. For this purpose, differences in the Visual Analog Scale (VAS) and the Brzycki Test were observed before and after treatment of an active MTrP of the rectus femoris. In total, 5 patients received the treatment, of which 80% showed an improvement in pain and an increase in submaximal strength. Although it is not possible to establish a causal relationship, the results appear consistent with our hypothesis that DN is able to generally improve the symptoms of pain and weakness that appeared in patients.


1994 ◽  
Vol 12 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Peter Baldry

It is not sufficiently well recognised that the reflex sympathetic dystrophy syndrome (RSDS) and the myofascial pain syndrome (MPS) may develop concomitantly. This happens because they have similar aetiological factors, with trauma being by far the commonest. Everyone is liable to develop nociceptor pain as a result of trauma-induced activation and sensitisation of C afferent skin and Group IV muscle nociceptors; also A-β mediated pain as a result of the sensory afferent barrage produced by these nociceptors giving rise to sensitisation of dorsal horn transmission neurones. With most people these neural changes lead only to the development of MPS. In a minority of people, possibly those with a genetically determined predisposition, this sensory afferent barrage also causes changes to take place in the sympathetic nervous system, with the development of a characteristic burning type of sympathetically mediated pain. This may develop alone or in association with myofascial trigger point pain. There is much controversy concerning the mechanisms for development of RSDS pain. One theory is that the pain develops as a result of the nociceptor-induced sensory afferent barrage setting up aberrant sympathetic efferent activity. This results in the release of noradrenaline which binds to α-1 adrenoreceptors in the walls of the nociceptors, exciting them further. Much research, however, still has to be done before the development of sympathetically maintained pain can be adequately explained. It is stressed that for the successful treatment of RSDS early diagnosis is essential. Treatment involves sympathetic blockade either by the injection of local anaesthetic into a sympathetic ganglion, or by the regional infusion of a catecholamine depleting drug. Sympathetically maintained pain is morphine resistant and is therefore unlikely to be relieved by acupuncture, the analgesic effect of which is mediated by opioid peptides. The main place for acupuncture is in the treatment of concomitant myofascial trigger point pain. It is emphasised that in all cases of RSDS it is essential to search for myofascial trigger points and, when present, to deactivate these by means of acupuncture stimulation of A-δ nerve fibres present in the skin and subcutaneous tissues at the trigger point sites.


1994 ◽  
Author(s):  
◽  
Andrew D Jones

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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