scholarly journals Electromyography in Myofascial Syndrome

10.5772/25774 ◽  
2012 ◽  
Author(s):  
Juhani Partanen
Keyword(s):  
Myofascial Syndrome

Osteopathic support of sportsmen during the annual training process

2020 ◽  
pp. 37-43 ◽  
Author(s):  
R. A. Yakupov ◽  
G. I. Safiullina ◽  
A. A. Safiullina ◽  
E. R. Burganov
Keyword(s):  
Musculoskeletal Diseases ◽  
Muscle Tone ◽  
The Body ◽  
Training Process ◽  
Health Maintenance ◽  
Osteopathic Treatment ◽  
Leading Position ◽  
Myofascial Syndrome ◽  
Sports Activities ◽  
Timely Treatment

Introduction. Modern sports places high demands on the functional systems of the body at all stages of the training and competitive processes. High loads create signifi cant background for the occurrence of musculoskeletal diseases, among which the myofascial syndrome (MFS) holds the leading position. MFS negatively affects the functional readiness of the sportsman′s body and is a risk factor for injuries of the musculoskeletal system. In this regard, timely treatment of MFS is important. It creates the conditions for the improvement of sports achievements, for health maintenance and sports longevity. Treatment of patients with MFS should include methods that normalize trophism and muscle tone. Given the problem of doping, the use of non-drug methods, including osteopathy, is preferable. The goal of research — to develop a system of monitoring and osteopathic correction of myofascial disorders (MFD) and to introduce it into the practice of medical and biological support for sportsmen of different categories and levels during the annual training process.Materials and methods. 93 sportsmen (45 women and 48 men), mean age 22,1±1,1 years, representing diffe rent sports were examined. The essence of the proposed system is regular clinical and electroneurophysiological monitoring of the body condition and preventive correction of myofascial disorders in order to exclude their infl uence on the success of sports activities.Results. It was established that the proposed system of monitoring and osteopathic correction led to a signifi cant reduction in clinical and electroneurophysiological manifestations both in local and in extensive forms of myofascial disorders, which allowed to maintain the optimal functional readiness of sportsmen throughout the entire annual training cycle.Conclusion. The system of monitoring and correction of MFS with the use of osteopathic treatment can be one of the elements of medical and biological support for sportsmen during the annual training process.

scholarly journals Therapeutic use of botulinum toxin in pain treatment

2018 ◽  
Vol 2 (3) ◽  
Author(s):  
Raj Kumar
Keyword(s):  
Chronic Pain ◽  
Nervous System ◽  
Botulinum Toxin ◽  
Acetylcholine Release ◽  
Pain Treatment ◽  
Muscle Relaxation ◽  
Cholinergic Synapse ◽  
Systems Research ◽  
Release Of Acetylcholine ◽  
Myofascial Syndrome

Botulinum toxin is one of the most potent molecule known to mankind. A neurotoxin, with high affinity for cholinergic synapse, is effectively capable of inhibiting the release of acetylcholine. On the other hand, botulinum toxin is therapeutically used for several musculoskeletal disorders. Although most of the therapeutic effect of botulinum toxin is due to temporary skeletal muscle relaxation (mainly due to inhibition of the acetylcholine release), other effects on the nervous system are also investigated. One of the therapeutically investigated areas of the botulinum neurotoxin (BoNT) is the treatment of pain. At present, it is used for several chronic pain diseases, such as myofascial syndrome, headaches, arthritis, and neuropathic pain. Although the effect of botulinum toxin in pain is mainly due to its effect on cholinergic transmission in the somatic and autonomic nervous systems, research suggests that botulinum toxin can also provide benefits related to effects on cholinergic control of cholinergic nociceptive and antinociceptive systems. Furthermore, evidence suggests that botulinum toxin can also affect central nervous system (CNS). In summary, botulinum toxin holds great potential for pain treatments. It may be also useful for the pain treatments where other methods are ineffective with no side effect(s). Further studies will establish the exact analgesic mechanisms, efficacy, and complication of botulinum toxin in chronic pain disorders, and to some extent acute pain disorders.

scholarly journals Efficacy of the dry needling of myofascial syndrome in the trapezius muscle: A systematic review

2020 ◽  
pp. 17-37
Author(s):  
Gabriel Otero-Pérez ◽  
Raquel Leirós-Rodríguez
Keyword(s):  
Web Of Science ◽  
Trigger Point ◽  
Trapezius Muscle ◽  
Trigger Points ◽  
Cervical Pain ◽  
Inclusion Criteria ◽  
Dry Needling ◽  
Study Objective ◽  
Jadad Scale ◽  
Myofascial Syndrome

Objective: To analyze the efficacy of the dry needling technique in the treatment of trigger points of the trapezius muscle. Material & Methods: A systematic search was carried out in the databases: PubMed, Scopus and Web of Science with the terms neck pain, trapezius, dry needling and acupuncture therapy. The results were analyzed following two inclusion criteria: studies published after 2014, and studies that aimed to evaluate the effects of dry needling on trapezius muscle. Seventeen articles were obtained, which were evaluated according to their methodological quality with the JADAD Scale and analyzed according to: study objective, experimental design, sample, intervention applied, variables analyzed, instruments used to quantify the results and results obtained. Results: Thirteen articles were selected in which, practically all, show that dry needling decreases pain intensity, improves range of motion, increases the painful threshold to pressure and eliminates, in most cases, trigger points. Conclusions: The dry needling has effects on cervical pain and disability, generated by myofascial dysfunction, have been identified. This technique did not show significant improvements compared to other techniques analyzed, but it did prove to be a treatment as valid as other more conventional ones. Keywords: Dry needling; Trigger point; Cervical pain; Trapezius; Rehabilitation

scholarly journals Myofascial syndrome as a pathogenetic mechanism for formation of scoliosis in people with multiple sclerosis

2017 ◽  
Vol 8 (2) ◽  
pp. 197-203
Author(s):  
Y. Lysenko
Keyword(s):  
Multiple Sclerosis ◽  
Muscle Tone ◽  
Medical Center ◽  
Motor Units ◽  
Trigger Points ◽  
Pathogenetic Mechanism ◽  
Subjective Pain ◽  
Minimum Amplitude ◽  
Clinical Changes ◽  
Myofascial Syndrome

The purpose of this research was to conduct a comprehensive analysis of clinical changes and electroneuro­myographic indices in people with multiple sclerosis in combination with various types of functional disorders of posture. The study involved 105 people with multiple sclerosis aged 26–58 who were undergoing rehabilitation at a specialized medical center. The degree of spasticity of the muscles was determined by the modified Ashworth scale. To assess the intensity and nature of pain, a neurologic examination was performed using a visual analogue scale and a McGilovsky pain questionnaire. Interference and stimulation electroneuromyography was used to characterize the functional state of the peripheral neuromotor apparatus of skeletal muscles, the results of which determined the maximum arbitrary contraction of the muscle using quantitative analysis of time, amplitude and frequency parameters, and also determined the speed of the pulse, the amplitude and duration of the F wave, latent period and polyphase M-wave, monosynaptic testing (H-reflex) was carried out. The percentage of Hmax/Mmax was calculated from the electroneuro­myographic results. By the ratio between the maximum and minimum amplitude of the M-response, the number of motor units was calculated. To analyze the denervation-reinvational processes of motor units and degenerative-restorative changes in the muscle fibers, spontaneous fibrillation potentials and positive acute waves were recorded. By the stage of manifestation of pain myofascial syndrome, all patients were divided into three groups, in which the force characteristics decreased by 10.2%, 25.0% and 30.2%, respectively. It is well understood in clinic-instrumental research, that in 67.3% cases of multiple sclerosis the patient also suffers from functional scoliosis. This pathological symptom complex contributes to the creation of not only muscular, but also fascial-ligamental trigger points. They, in turn, are the source of the formation of secondary trigger loci. In terms of the degree of manifestation of subjective pain in the presence of myo-fascial syndrome, all patients were divided into three groups, and depending on the value of individual indicators, three stages of spontaneous fibrillation potentials were identified that clearly correlate with the degree of fibromyalgic syndrome and manifest specific electroneuromyographic disorders in each of these stages. The main pathogenetic mechanism that contributes to the formation of pathological bends of the spine in people with multiple sclerosis is a painful muscular-fascial syndrome. It is provoked by myofascial hypertonia and takes part in the development of cross syndromes, which is also manifested by clear changes in electroneuromyographic parameters in the form of asymmetric muscle tone. This article discusses clinical variants of the course of local muscular-tonic syndromes. Pathogenetic approaches to the prevention of posture disorders in patients with multiple sclerosis are presented here. 

Carboxytherapy in the practice of an occupational pathologist: experience of use in cervical dorsopathy in workers of harmful professions

2020 ◽  
pp. 8-18
Author(s):  
Shaykhlislamova Elmira Radikovna ◽  
Urmantseva Ferdaus Anvarovna ◽  
Gallyamova Svetlana Anifovna ◽  
Valeeva Elvira Timeryanovna
Keyword(s):  
Carbon Dioxide ◽  
Peripheral Nerves ◽  
Nerve Impulse ◽  
Pain Syndrome ◽  
Upper Extremities ◽  
Negative Consequences ◽  
Basic Drug ◽  
Physiological Properties ◽  
Myofascial Syndrome ◽  
Nerve Impulse Conduction

The task of ensuring the working capacity of the country’s industrial potential is to preserve the health of employees of enterprises with harmful working conditions. High rates of general morbidity and disability of the working population due to vertebrogenic diseases of the spine, the genesis of which is associated with organ overstrain, microtraumatization and vibration exposure, make the problem of treatment, prevention and rehabilitation of this pathology a priority in occupational medicine. In the present study, the expediency of using carboxytherapy in the treatment of cervical dorsopathies in 2 groups of patients working in harmful professions has been studied, in one of which, along with basic drug treatment, physiotherapy exercises and massage, injections of purified carbon dioxide into paravertebral points are included in the complex of therapy. At the end of the course of treatment in the group of patients receiving carboxytherapy, a more significant improvement in clinical and electrophysiological parameters was achieved: a decrease in the intensity of pain syndrome according to a visual analogue scale by 73.3 %, myofascial syndrome by 33.3 %, expansion of the range of motion by 40 %; according to stimulation electroneuromyography and rheovasography — improvement of nerve impulse conduction along the peripheral nerves of the upper extremities and the roots of the C6–8 — Th1 spinal nerves by 35 %, the hemodynamics of peripheral blood vessels of the upper extremities by 45 %. The extensive physiological properties of carbon dioxide, the availability and safety of the method, the absence of negative consequences, the effectiveness shown in the study allows us to recommend the use of carboxytherapy in occupational pathological practice in the treatment of vertebrogenic reflex syndromes in workers in hazardous occupations.

SYSTEMIC VERTIGO AS A SYMPTOM OF TRIGGER IN STERNOCLEIDOMASTOID MUSCLE MYOFASCIAL SYNDROME OF CERVICAL MUSCLES IS WIDELY DISCUSSED IN THE LITERATURE

2015 ◽  
Vol 20 (2) ◽  
pp. 24 ◽  
Author(s):  
I. D. Stulin ◽  
M. V. Tardov ◽  
E. A. Kovragkina ◽  
A. I. Rudkovsky ◽  
E. V. Baybakova ◽  
...  
Keyword(s):  
Sternocleidomastoid Muscle ◽  
Cervical Muscles ◽  
Myofascial Syndrome
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