Base de dados : MEDLINE
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[PMID]:28953648
[Au] Autor:Kim SG; Shim KS; Lee DW; Kim EJ; Lee SG; Lee JH; An JH
[Ad] Endereço:Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea.
[Ti] Título:Intramuscular hematoma with motor weakness after trigger point injection: A case report.
[So] Source:Medicine (Baltimore);96(39):e8135, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Although trigger point injection is known as an easy and low-risk procedure, it is contraindicated to patients with hemorrhagic disorders or who regularly take anticoagulants/antiplatelets. However, taking clopidogrel is not a defined contraindication to this low-risk procedure. PATIENT CONCERNS: The chief complaint of a 76-year old woman regularly taking clopidogrel was low back and left buttock pain which prolonged for several years. DIAGNOSES: The patient was diagnosed with L4-5 and L5-S1 spinal stenosis at the orthopedics department and was referred for lumbar spinal epidural steroid injection. INTERVENTION: She was treated with trigger point injection. OUTCOMES: Three hours after the injection, she complained motor weakness and pain in the injection area. A hematoma on left gluteus medium muscle was detected with ultrasonography and ultrasound-guided needle aspiration was accomplished to relieve the symptom. LESSONS: Trigger point injection for patients taking clopidogrel should be done with a caution to prevent such complication.
[Mh] Termos MeSH primário: Biópsia por Agulha Fina/métodos
Glucocorticoides/administração & dosagem
Hematoma
Injeções Epidurais
Dor Lombar/tratamento farmacológico
Estenose Espinal/complicações
Ticlopidina/análogos & derivados
[Mh] Termos MeSH secundário: Idoso
Nádegas/diagnóstico por imagem
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/diagnóstico
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/etiologia
Feminino
Hematoma/diagnóstico
Hematoma/etiologia
Hematoma/fisiopatologia
Seres Humanos
Biópsia Guiada por Imagem
Injeções Epidurais/efeitos adversos
Injeções Epidurais/métodos
Dor Lombar/etiologia
Debilidade Muscular/diagnóstico
Debilidade Muscular/etiologia
Músculo Esquelético/diagnóstico por imagem
Músculo Esquelético/patologia
Inibidores da Agregação de Plaquetas/uso terapêutico
Estenose Espinal/diagnóstico
Ticlopidina/uso terapêutico
Resultado do Tratamento
Pontos-Gatilho
Ultrassonografia/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Glucocorticoids); 0 (Platelet Aggregation Inhibitors); A74586SNO7 (clopidogrel); OM90ZUW7M1 (Ticlopidine)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170928
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008135


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[PMID]:28735825
[Au] Autor:Espejo-Antúnez L; Tejeda JF; Albornoz-Cabello M; Rodríguez-Mansilla J; de la Cruz-Torres B; Ribeiro F; Silva AG
[Ad] Endereço:Department of Medical-Surgical Therapeutics, Faculty of Medicine, Extremadura University, Elvas Avenue s/n Badajoz, Spain. Electronic address: luisea@unex.es.
[Ti] Título:Dry needling in the management of myofascial trigger points: A systematic review of randomized controlled trials.
[So] Source:Complement Ther Med;33:46-57, 2017 Aug.
[Is] ISSN:1873-6963
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This systematic review of randomized controlled trials aimed to examine the effectiveness of dry needling in the treatment of myofascial trigger points and to explore the impact of specific aspects of the technique on its effectiveness. METHODS: Relevant studies published between 2000 and 2015 were identified by searching PubMed, Scopus, The Cochrane Library and Physiotherapy Evidence Database. Studies identified by electronic searches were screened against a set of pre-defined inclusion criteria. RESULTS: Fifteen studies were included in this systematic review. The main outcomes that were measured were pain, range of motion, disability, depression and quality of life. The results suggest that dry needling is effective in the short term for pain relief, increase range of motion and improve quality of life when compared to no intervention/sham/placebo. There is insufficient evidence on its effect on disability, analgesic medication intake and sleep quality. CONCLUSIONS: Despite some evidence for a positive effect in the short term, further randomized clinical trials of high methodological quality, using standardized procedures for the application of dry needling are needed.
[Mh] Termos MeSH primário: Terapia por Acupuntura/métodos
Síndromes da Dor Miofascial/terapia
Agulhas
Manejo da Dor
Dor
Modalidades de Fisioterapia
Pontos-Gatilho
[Mh] Termos MeSH secundário: Atividades Cotidianas
Seres Humanos
Qualidade de Vida
Amplitude de Movimento Articular
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170725
[St] Status:MEDLINE


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[PMID]:28658117
[Au] Autor:Hwang UJ; Kwon OY; Yi CH; Jeon HS; Weon JH; Ha SM
[Ad] Endereço:aDepartment of Physical Therapy, Graduate School, Yonsei University bDepartment of Physical Therapy, College of Health Science, Laboratory of Kinetic Ergocise Based on Movement Analysis, Yonsei University, Wonju cDepartment of Physical Therapy, Joongbu University, Chubu-myeon, Geumsan-gun, Chungcheongnam-do dDepartment of Physical Therapy, College of Health Science, Sangji University, Wonju, South Korea.
[Ti] Título:Predictors of upper trapezius pain with myofascial trigger points in food service workers: The STROBE study.
[So] Source:Medicine (Baltimore);96(26):e7252, 2017 Jun.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Shoulder pain occurs commonly in food service workers (FSWs) who repetitively perform motions of the upper limbs. Myofascial trigger points (MTrPs) on the upper trapezius (UT) are among the most common musculoskeletal shoulder pain syndromes. This study determined the psychological, posture, mobility, and strength factors associated with pain severity in FSWs with UT pain due to MTrPs.In this cross-sectional study, we measured 17 variables in 163 FSWs with UT pain due to MTrPs: a visual analog scale (VAS) pain score, age, sex, Borg rating of perceived exertion (BRPE) scale, beck depression inventory, forward head posture angle, rounded shoulder angle (RSA), shoulder slope angle, scapular downward rotation ratio, cervical lateral-bending side difference angle, cervical rotation side difference angle, glenohumeral internal rotation angle, shoulder horizontal adduction angle, serratus anterior (SA) strength, lower trapezius (LT) strength, bicep strength, and glenohumeral external rotator strength, in 163 FSWs with UT pain due to MTrPs.The model for factors influencing UT pain with MTrPs included SA strength, age, BRPE, LT strength, and RSA as predictor variables that accounted for 68.7% of the variance in VAS (P < .001) in multiple regression models with a stepwise selection procedure. The following were independent variables influencing the VAS in the order of standardized coefficients: SA strength (ß = -0.380), age (ß = 0.287), BRPE (ß = 0.239), LT strength (ß = -0.195), and RSA (ß = 0.125).SA strength, age, BRPE, LT strength, and RSA variables should be considered when evaluating and intervening in UT pain with MTrPs in FSWs.
[Mh] Termos MeSH primário: Transtornos Traumáticos Cumulativos/diagnóstico
Serviços de Alimentação
Doenças Profissionais/diagnóstico
Dor de Ombro/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Estudos Transversais
Transtornos Traumáticos Cumulativos/patologia
Transtornos Traumáticos Cumulativos/fisiopatologia
Depressão/complicações
Feminino
Seres Humanos
Masculino
Força Muscular
Doenças Profissionais/patologia
Doenças Profissionais/fisiopatologia
Medição da Dor
Prognóstico
Escalas de Graduação Psiquiátrica
Amplitude de Movimento Articular
Análise de Regressão
Ombro/patologia
Ombro/fisiopatologia
Dor de Ombro/patologia
Dor de Ombro/fisiopatologia
Músculos Superficiais do Dorso/fisiopatologia
Inquéritos e Questionários
Pontos-Gatilho
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170718
[Lr] Data última revisão:
170718
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170629
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007252


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[PMID]:28538577
[Au] Autor:Ascha M; Kurlander DE; Sattar A; Gatherwright J; Guyuron B
[Ad] Endereço:Cleveland, Ohio From Case Western Reserve University School of Medicine; the Department of Plastic Surgery, University Hospitals; and the Department of Epidemiology and Biostatistics, Case Western Reserve University.
[Ti] Título:In-Depth Review of Symptoms, Triggers, and Treatment of Occipital Migraine Headaches (Site IV).
[So] Source:Plast Reconstr Surg;139(6):1333e-1342e, 2017 Jun.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study reports the surgical technique and efficacy of deactivation of occipital-triggered migraine headaches. In addition, it reports the effect of surgical deactivation of occipital-triggered migraine headaches on migraine triggers and associated symptoms other than pain. METHODS: One hundred ninety-five patients undergoing surgery for occipital-triggered migraine headaches performed by a single surgeon, and followed for at least 1 year, were analyzed. Median regression adjusted for age, sex, and follow-up time was used to determine postoperative reduction in occipital-specific Migraine Headache Index, which is the product of migraine duration, frequency, and severity. Reduction in migraine-days was also measured. The association between symptom or trigger resolution and occipital-specific Migraine Headache Index reduction was studied by logistic regression. Details of surgical treatment are discussed and complication rates reported. RESULTS: Eighty-two percent of patients (n = 160) reported successful surgery at least 12 months postoperatively (mean follow-up, 3.67 years). Eighty-six percent (n = 168) had successful surgery as measured by migraine-days. Fifty-two percent reported complete occipital-triggered migraine headaches elimination. Symptoms resolving with successful surgery beyond headache include being bothered by light and noise, feeling lightheaded, difficulty concentrating, vomiting, blurred/double vision, diarrhea, visual aura, numbness and tingling, speech difficulty, and limb weakness (p < 0.05). Triggers resolving with successful surgery include missed meals; bright sunshine; loud noise; fatigue; certain smells; stress; certain foods; coughing, straining, and bending over; letdown after stress; and weather change (p < 0.05). CONCLUSIONS: Surgical deactivation of occipital-triggered migraine headaches provides long-lasting migraine relief. Successful site IV surgery is associated with changes in specific symptoms and triggers. This can assist in trigger avoidance and aid occipital-triggered migraine headache trigger-site identification. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
[Mh] Termos MeSH primário: Transtornos de Enxaqueca/diagnóstico
Transtornos de Enxaqueca/cirurgia
Procedimentos Neurocirúrgicos/métodos
Lobo Occipital/cirurgia
Pontos-Gatilho/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Estudos de Coortes
Feminino
Seguimentos
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Procedimentos Neurocirúrgicos/efeitos adversos
Medição da Dor
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/fisiopatologia
Estudos Retrospectivos
Índice de Gravidade de Doença
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003395


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[PMID]:28504067
[Au] Autor:Espí-López GV; Serra-Añó P; Vicent-Ferrando J; Sánchez-Moreno-Giner M; Arias-Buría JL; Cleland J; Fernández-de-Las-Peñas C
[Ti] Título:Effectiveness of Inclusion of Dry Needling in a Multimodal Therapy Program for Patellofemoral Pain: A Randomized Parallel-Group Trial.
[So] Source:J Orthop Sports Phys Ther;47(6):392-401, 2017 Jun.
[Is] ISSN:1938-1344
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Study Design Randomized controlled trial. Background Evidence suggests that multimodal interventions that include exercise therapy may be effective for patellofemoral pain (PFP); however, no study has investigated the effects of trigger point (TrP) dry needling (DN) in people with PFP. Objectives To compare the effects of adding TrP DN to a manual therapy and exercise program on pain, function, and disability in individuals with PFP. Methods Individuals with PFP (n = 60) recruited from a public hospital in Valencia, Spain were randomly allocated to manual therapy and exercises (n = 30) or manual therapy and exercise plus TrP DN (n = 30). Both groups received the same manual therapy and strengthening exercise program for 3 sessions (once a week for 3 weeks), and 1 group also received TrP DN to active TrPs within the vastus medialis and vastus lateralis muscles. The pain subscale of the Knee injury and Osteoarthritis Outcome Score (KOOS; 0-100 scale) was used as the primary outcome. Secondary outcomes included other subscales of the KOOS, the Knee Society Score, the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC), and the numeric pain-rating scale. Patients were assessed at baseline and at 15-day (posttreatment) and 3-month follow-ups. Analysis was conducted with mixed analyses of covariance, adjusted for baseline scores. Results At 3 months, 58 subjects (97%) completed the follow-up. No significant between-group differences (all, P>.391) were observed for any outcome: KOOS pain subscale mean difference, -2.1 (95% confidence interval [CI]: -4.6, 0.4); IKDC mean difference, 2.3 (95% CI: -0.1, 4.7); knee pain intensity mean difference, 0.3 (95% CI: -0.2, 0.8). Both groups experienced similar moderate-to-large within-group improvements in all outcomes (standardized mean differences of 0.6 to 1.1); however, only the KOOS function in sport and recreation subscale surpassed the prespecified minimum important change. Conclusion The current clinical trial suggests that the inclusion of 3 sessions of TrP DN in a manual therapy and exercise program did not result in improved outcomes for pain and disability in individuals with PFP at 3-month follow-up. Level of Evidence Therapy, level 1b. Prospectively registered July 27, 2015 at www.clinicaltrials.gov (NCT02514005). J Orthop Sports Phys Ther 2017;47(6):392-401. doi:10.2519/jospt.2017.7389.
[Mh] Termos MeSH primário: Artralgia/terapia
Articulação Patelofemoral
Modalidades de Fisioterapia
[Mh] Termos MeSH secundário: Terapia por Acupuntura
Adulto
Terapia Combinada
Feminino
Seres Humanos
Masculino
Agulhas
Pontos-Gatilho
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170802
[Lr] Data última revisão:
170802
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170516
[St] Status:MEDLINE
[do] DOI:10.2519/jospt.2017.7389


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[PMID]:28445290
[Au] Autor:Velázquez-Saornil J; Ruíz-Ruíz B; Rodríguez-Sanz D; Romero-Morales C; López-López D; Calvo-Lobo C
[Ad] Endereço:aPhysiotherapy Department, Physical Therapy and Health Sciences Research Group, Faculty of Health, Exercise and Sport, European University of Madrid, Villaviciosa de Odón, Madrid bResearch, Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, Ferrol cNursing and Physical Therapy Department, Institute of Biomedicine (IBIOMED), University of León, León, Spain.
[Ti] Título:Efficacy of quadriceps vastus medialis dry needling in a rehabilitation protocol after surgical reconstruction of complete anterior cruciate ligament rupture.
[So] Source:Medicine (Baltimore);96(17):e6726, 2017 Apr.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Several new rehabilitation modalities have been proposed after anterior cruciate ligament (ACL) reconstruction. Among these, trigger point dry needling (TrP-DN) might be useful in the treatment of myofascial pain syndrome associated with ACL reconstruction to reduce pain intensity, increase knee flexion range and modify the mechanical properties of the quadriceps muscle during late-stage rehabilitation. To date, this is the first randomized clinical trial to support the use of TrP-DN in the early rehabilitation process after ACL reconstruction. The aim of this study was to determine the pain intensity, range of motion (ROM), stability, and functionality improvements by adding quadriceps vastus medialis TrP-DN to the rehabilitation protocol (Rh) provided to subacute ACL reconstructed patients. METHODS: This randomized, single-blinded, clinical trial (NCT02699411) included 44 subacute patients with surgical reconstruction of complete ACL rupture. The patients were randomized into 2 intervention groups: Rh (n = 22) or Rh + TrP-DN (n = 22). Pain intensity, ROM, stability, and functionality were measured at baseline (A0) and immediately (A1), 24 hours (A2), 1 week (A3), and 5 weeks (A4) after the first treatment. RESULTS: Comparing statistically significant differences (P ≤ .001; Eta = 0.198-0.360) between both groups, pain intensity (at A1), ROM (at A1, A2, and A3), and functionality (at A2, A3, and A4) were increased. Nevertheless, the rest of measurements did not show significant differences (P > .05). CONCLUSION: Quadriceps vastus medialis TrP-DN in conjunction with a rehabilitation protocol in subacute patients with surgical reconstruction of complete ACL rupture increases ROM (short-term) and functionality (short- to mid-term). Although there was an increase in pain intensity with the addition of TrP-DN, this was not detected beyond immediately after the first treatment. Furthermore, stability does not seem to be modified after TrP-DN.
[Mh] Termos MeSH primário: Terapia por Acupuntura
Lesões do Ligamento Cruzado Anterior/reabilitação
Lesões do Ligamento Cruzado Anterior/cirurgia
Reconstrução do Ligamento Cruzado Anterior
Terapia por Estimulação Elétrica
Manipulações Musculoesqueléticas
[Mh] Termos MeSH secundário: Terapia por Acupuntura/efeitos adversos
Adulto
Ligamento Cruzado Anterior/cirurgia
Lesões do Ligamento Cruzado Anterior/fisiopatologia
Terapia por Estimulação Elétrica/efeitos adversos
Feminino
Seres Humanos
Masculino
Meia-Idade
Manipulações Musculoesqueléticas/efeitos adversos
Síndromes da Dor Miofascial/etiologia
Síndromes da Dor Miofascial/reabilitação
Variações Dependentes do Observador
Medição da Dor
Dor Pós-Operatória/reabilitação
Músculo Quadríceps/fisiopatologia
Método Simples-Cego
Resultado do Tratamento
Pontos-Gatilho
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170601
[Lr] Data última revisão:
170601
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170427
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006726


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[PMID]:28353618
[Au] Autor:Palacios-Ceña M; Castaldo M; Wang K; Catena A; Torelli P; Arendt-Nielsen L; Fernández-de-Las-Peñas C
[Ad] Endereço:aDepartment of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain bDepartment of Health Science and Technology, Center for Sensory-Motor Interaction (SMI), School of Medicine, Aalborg University, Aalborg, Denmark cDepartment of Physical Therapy, University of Siena, Siena dPoliambulatorio Fisiocenter, Collecchio eDepartment of Experimental Clinical Medicine, Headache Center, University of Parma, Parma, Province of Parma, Italy.
[Ti] Título:Relationship of active trigger points with related disability and anxiety in people with tension-type headache.
[So] Source:Medicine (Baltimore);96(13):e6548, 2017 Mar.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To investigate the differences in the presence of trigger points (TrPs) and their association with headache-related disability and mood disorders in people with frequent episodic tension-type headache (TTH) (FETTH) and chronic TTH (CTTH). One hundred twenty-two individuals with TTH participated. Clinical features of headache (i.e., intensity, duration, and frequency) were recorded on a headache diary. Headache-related disability was assessed with the Headache Disability Inventory, trait and state anxiety levels with State-Trait Anxiety Inventory, and depression with the Hospital Anxiety and Depression Scale. TrPs were bilaterally explored in the temporalis, masseter, suboccipital, upper trapezius, splenius capitis, and sternocleidomastoid muscles. Sixty-two (51%) patients were classified as FETTH, whereas 60 (49%) were classified as CTTH. Individuals with CTTH showed higher burden of headache and depression than FETTH (P < 0.001). Subjects with FETTH showed similar number of TrPs (total number: 5.9 ±â€Š3.1, active TrPs: 4.7 ±â€Š2.5, and latent TrPs: 1.2 ±â€Š1.9) than those with CTTH (total number: 5.7 ±â€Š3.2, active TrPs: 4.2 ±â€Š3.0, and latent TrPs: 1.5 ±â€Š1.8). The number of active TrPs was significantly associated with the burden of headache (r = 0.189; P = 0.037) and trait anxiety (r = 0.273; P = 0.005): the higher the number of active TrPs, the greater the physical burden of headache or the more the trait anxiety level. No association with the depression was observed. The presence of active TrPs in head and neck/shoulder muscles was similar between individuals with FETTH and CTTH and associated with the physical burden of headache and trait anxiety levels independently of the subgroup of TTH.
[Mh] Termos MeSH primário: Ansiedade/complicações
Transtornos do Humor/complicações
Cefaleia do Tipo Tensional/psicologia
Pontos-Gatilho
[Mh] Termos MeSH secundário: Adulto
Doença Crônica
Avaliação da Deficiência
Feminino
Seres Humanos
Masculino
Meia-Idade
Cefaleia do Tipo Tensional/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170413
[Lr] Data última revisão:
170413
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170330
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006548


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[PMID]:28301865
[Au] Autor:Dibai-Filho AV; de Oliveira AK; Girasol CE; Dias FR; Guirro RR
[Ad] Endereço:From the Laboratory of Physiotherapeutic Resources, Postgraduate Program in Rehabilitation and Functional Performance; Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.
[Ti] Título:Additional Effect of Static Ultrasound and Diadynamic Currents on Myofascial Trigger Points in a Manual Therapy Program for Patients With Chronic Neck Pain: A Randomized Clinical Trial.
[So] Source:Am J Phys Med Rehabil;96(4):243-252, 2017 Apr.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess the additional effect of static ultrasound and diadynamic currents on myofascial trigger points in a manual therapy program to treat individuals with chronic neck pain. DESIGN: A single-blind randomized trial was conducted. Both men and women, between ages 18 and 45, with chronic neck pain and active myofascial trigger points in the upper trapezius were included in the study. Subjects were assigned to 3 different groups: group 1 (n = 20) was treated with manual therapy; group 2 (n = 20) was treated with manual therapy and static ultrasound; group 3 (n = 20) was treated with manual therapy and diadynamic currents. Individuals were assessed before the first treatment session, 48 hours after the first treatment session, 48 hours after the tenth treatment session, and 4 weeks after the last session. RESULTS: There was no group-versus-time interaction for Numeric Rating Scale, Neck Disability Index, Pain-Related Self-Statement Scale, pressure pain threshold, cervical range of motion, and skin temperature (F-value range, 0.089-1.961; P-value range, 0.106-0.977). Moreover, we found no differences between groups regarding electromyographic activity (P > 0.05). CONCLUSION: The use of static ultrasound or diadynamic currents on myofascial trigger points in upper trapezius associated with a manual therapy program did not generate greater benefits than manual therapy alone.
[Mh] Termos MeSH primário: Dor Crônica/reabilitação
Manipulações Musculoesqueléticas
Cervicalgia/reabilitação
Pontos-Gatilho/fisiologia
Terapia por Ultrassom
[Mh] Termos MeSH secundário: Adolescente
Adulto
Dor Crônica/fisiopatologia
Avaliação da Deficiência
Eletromiografia
Feminino
Seres Humanos
Masculino
Meia-Idade
Músculos do Pescoço/fisiopatologia
Cervicalgia/fisiopatologia
Medição da Dor
Limiar da Dor/fisiologia
Amplitude de Movimento Articular/fisiologia
Método Simples-Cego
Temperatura Cutânea/fisiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000595


  9 / 314 MEDLINE  
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[PMID]:28291046
[Au] Autor:Fernández-Carnero J; Gilarranz-de-Frutos L; León-Hernández JV; Pecos-Martin D; Alguacil-Diego I; Gallego-Izquierdo T; Martín-Pintado-Zugasti A
[Ad] Endereço:From the Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Madrid, Spain (JF-C, LG-d-F, IA-D); Research Group on Movement and Behavioural Science and Study of Pain, The Center for Advanced Studies University La Salle, Autónoma University, Madrid, Spain (JF-C, JVL-H); La Paz Hospital Institute for Health Research, IdiPAZ, Madrid, Spain (JF-C); Grupo Multidisciplinar de Investigación y Tratamiento del Dolor, Grupo de Excelencia Investigadora URJC-Banco de Santander, Madrid, Spain (JF-C); Department of Physiotherapy, Faculty of Health Science, The Center for Advanced Studies University La Salle, Autónoma University, Madrid, Spain (JVL-H); Department of Nurse and Physical Therapy of Alcalá University, Alcalá de Henares, Spain (DP-M, TG-I); Physiotherapy and Pain Group, Alcalá de Henares, Spain (DP-M, TG-I); and Department of Physical Therapy, Faculty of Medicine, CEU-San Pablo University, Madrid, Spain (AM-P-Z).
[Ti] Título:Effectiveness of Different Deep Dry Needling Dosages in the Treatment of Patients With Cervical Myofascial Pain: A Pilot RCT.
[So] Source:Am J Phys Med Rehabil;96(10):726-733, 2017 Oct.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess the effectiveness of different dosages of local twitch responses (LTRs) elicited by deep dry needling (DDN) in relation to pain intensity, pressure pain threshold (PPT), cervical range of movement (CROM), and disability degree in cervical myofascial pain patients. DESIGN: A randomized, double-blind clinical trial. PARTICIPANTS: Eighty-four patients (21 males, 63 females; 27.18 ± 10.91 yrs) with cervical pain. INTERVENTIONS: DDN in active myofascial trigger points (MTrPs) in the upper trapezius. Patients were randomly divided into four groups: (a) no LTRs elicited, (b) four LTRs elicited, (c) six LTRs elicited, and (d) needling until no more LTRs were elicited. OUTCOME MEASURES: Pain intensity, PPT, CROM, and disability degree were assessed before treatment, post-immediate, 48 hrs, 72 hrs, and 1 wk after treatment. RESULTS: Significant differences were found in the time factor for all the variables (P < 0.005), but no significant changes were found in the group-time interaction (P > 0.05). CONCLUSIONS: DDN in the upper trapezius MTrP improved pain at a 1-wk follow-up, but improvements were not significantly different among DDN dosages. A higher number of patients with neck pain improvements superior to the moderate clinically important differences were observed when eliciting 6 LTRs and LTRs until exhaustion compared with not eliciting LTRs.
[Mh] Termos MeSH primário: Terapia por Acupuntura
Síndromes da Dor Miofascial/terapia
Cervicalgia/terapia
Pontos-Gatilho
[Mh] Termos MeSH secundário: Adolescente
Adulto
Método Duplo-Cego
Feminino
Seres Humanos
Masculino
Meia-Idade
Limiar da Dor
Projetos Piloto
Amplitude de Movimento Articular
Músculos Superficiais do Dorso
Escala Visual Analógica
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170315
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000733


  10 / 314 MEDLINE  
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[PMID]:28272251
[Au] Autor:Calvo-Lobo C; Diez-Vega I; Martínez-Pascual B; Fernández-Martínez S; de la Cueva-Reguera M; Garrosa-Martín G; Rodríguez-Sanz D
[Ad] Endereço:aNursing and Physical Therapy Department, Faculty of Health Sciences, University of León, Ponferrada, León, Spain bSport Sciences Department, Assessment and Control of Performance and Sport Learning Research Group, Faculty of Health, Exercise and Sport, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, Spain cPhysiotherapy Department, Physical Therapy and Health Sciences Research Group, Faculty of Health, Exercise and Sport, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, Spain.
[Ti] Título:Tensiomyography, sonoelastography, and mechanosensitivity differences between active, latent, and control low back myofascial trigger points: A cross-sectional study.
[So] Source:Medicine (Baltimore);96(10):e6287, 2017 Mar.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The myofascial pain syndrome (MPS) is considered the most common musculoskeletal condition. The lumbopelvic pain (LPP) is established as one of the most prevalent musculoskeletal disorders. Nevertheless, previous research has not yet studied the contractibility changes by tensiomyography between myofascial trigger point (MTrP) types and normal tissue. Therefore, the aim of this study was to determine the tensiomyography, sonoelastography, and pressure pain threshold (PPT) differences between the palpation area of active and latent MTrPs with regards to control points in the lumbar erector spinae muscles of subjects with LPP. A cross-sectional descriptive study was performed. A convenience sample of 60 points (20 active MTrPs, 20 latent MTrPs, and 20 control points) was registered bilaterally in the lumbar erector spinae muscles from subjects with nonspecific LPP. The palpation order of active MTrPs, latent MTrPs, or control points was randomized for each side. The outcome assessors were blinded to the order or point type. The outcome measurements order for each point was sonoelastography manual strain index, tensiomyography, and PPT, separated by 15 minutes. Five contractile objective parameters were: maximal radial displacement (Dm), contraction time (Tc), sustain time (Ts), delay time (Td), and half-relaxation time (Tr). Tensiomyography parameters did not show any statistically significant difference (P > 0.05) between active MTrPs, latent MTrPs, and control points. Nevertheless, PPT and sonoelastography showed statistically significant differences (P < 0.05) between all point types, except for active and latent MTrPs PPT comparison (P = 0.091). Regarding the active MTrPs, a moderate positive correlation was observed between PPT and Dm (P = 0.047; τB = 0.450). Considering the control points, a moderate positive correlation was shown between sonoelastography and Td (P = 0.044; τB = 0.328). The tensiomyography contractile properties did not seem to show differences, while the sonoelastography and mechanosensitivity presented a higher stiffness and a lower PPT, respectively, between the palpation area of active and latent MTrPs with regards to control points in the lumbar erector spinae muscles of subjects with LPP. Considering the correlations, further research is needed regarding the muscle contractile properties modifications under MPS treatments, especially Dm in active MTrPs and Td in normal sites.
[Mh] Termos MeSH primário: Técnicas de Imagem por Elasticidade
Dor Lombar/diagnóstico
Síndromes da Dor Miofascial/diagnóstico
Miografia
Pontos-Gatilho
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Seres Humanos
Masculino
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170324
[Lr] Data última revisão:
170324
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006287



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