Understanding effective treatments of myofascial trigger points. The effectiveness of simultaneous thermotherapy with ultrasound and electrotherapy with combined AC and DC current on the immediate pain relief of myofascial trigger points. Travell trigger points –molecular and osteopathic perspectives. Muscle activation patterns in the scapular positioning muscles during loaded scapular plane elevation: the effects of latent myofascial trigger points. Clinical massage and modified Proprioceptive Neuromuscular Facilitation stretching in males with latent myofascial trigger points. Management of cumulative trauma disorders. Review article: understanding of myofascial trigger points. Kao MJ, Han TI, Kuan TS, Hsieh YL, Su BH, Hong CZ. Mechanical pain sensitivity of deep tissues in children –possible development of myofascial trigger points in children.
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Han TI, Hong CZ, Kuo FC, Hsieh YL, Chou LW, Kao MJ. Peripheral pain mechanisms in chronic widespread pain. Office management of chronic pain in the elderly. Trigger point injections for chronic non-malignant musculoskeletal pain: a systematic review. Management of shoulder injuries using dry needling in elite volleyball players. Shoulder impingement in tennis/racquetball players treated with subscapularis myofascial treatments. A systematic comparison between subjects with no pain and pain associated with active myofascial trigger points. Gerber LH, Sikdar S, Armstrong K, Diao G, Heimur J, Kopecky J. An in-vivo microanalytical technique for measuring the local biochemical milieu of human skeletal muscle. Trigger points: diagnosis and management. J Electromyogr Kinesiol 2004 14:95–107.ĭavid JA, Pamela GR. Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction. Baltimore, MD: Lippincott Williams & Wilkins 1999. Myofascial pain and dysfunction: the trigger point manual. However, the PPR technique has been considered to be superior to DDDN in the management of cervical L-MTrPs. Within the scope of our study, we have concluded that both techniques have been effective in increasing PPT, cervical lateral flexion, and rotation. The PPR group showed a significant increase in PPT values ( P<0.01), cervical lateral flexion ( P<0.006), and rotation ( P<0.027) compared with the DDDN group. Both groups received 3 sessions/week for eight consecutive weeks. The PPR group included 28 participants who received passive stretch and PPR, and the DDDN group included 27 participants who received passive stretch and DDDN. Data were collected before the first treatment and at the end of the 8-week trial. Secondary outcome included active cervical lateral flexion and rotation using a baseline bubble inclinometer. Primary measurement outcome included pressure pain threshold (PPT) using an electronic digital algometer.
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#Travell and simons trigger points research trial
Single-blinded randomized trial design was used, in which 60 pain-free participants with more than two L-MTrPs in the upper trapezius were allocated randomly to two equal groups. The aim of this study was to compare the effect of both PPR and DDDN on pain and range of motion in upper trapezius L-MTrPs. Progressive pressure release (PPR) and dynamic deep dry needling (DDDN) are two recognized techniques used in the management of myofascial trigger points. Latent myofascial trigger points (L-MTrPs) may account for the development of muscle cramps, restricted joint range of motion, muscle weakness, and accelerated fatigability.