China
Africa
Explore chapters and articles related to this topic
Myofascial Trigger Point Therapy
Published in David Lesondak, Angeli Maun Akey, Fascia, Function, and Medical Applications, 2020
Myofascial trigger point therapy has developed significantly from the last century up to the present time. This article begins by presenting its initial development in the last century, specifically in the United States. Trigger points (TrPs)—tender contraction knots beneath dysfunctional motor endplates—are further defined and then a number of theoretical objections to their existence are counter-argued. The final section deals with how trigger points can be treated from various perspectives and approaches.
Physical Therapy Approach to Fibromyalgia with Myofascial Trigger Points: A Case Report
Published in Robert M. Bennett, The Clinical Neurobiology of Fibromyalgia and Myofascial Pain, 2020
Rehabilitation of patients diagnosed with fibromyalgia syndrome [FMS] and myofascial pain syndrome [MPS] presents a unique challenge for the physical therapist [PT], These patients usually present with a great complexity of common enigmatic neuromusculoskeletal pain problems. Fibromyalgia syndrome and MPS are clearly distinguishable, different clinical conditions (I) and can interact strongly. Each can be managed when it is clearly identified as such and the appropriate management corrections are applied. Fibromyalgia syndrome can be effectively treated if the treatment also includes effective management of the concurrent myofascial trigger point [TrP] problem.
Myofascial Pain Syndrome: Clinical Evaluation and Management of Patients *
Published in Michael S. Margoles, Richard Weiner, Chronic PAIN, 2019
Myofascial trigger point — latent. A focus of hyperirritability in a muscle or its fascia that is clinically quiescent with respect to spontaneous pain; it is painful only when palpated. A latent trigger point may have all the other clinical characteristics of an active trigger point from which it is to be distinguished (Travell and Simons, 1983).
Treatment of shoulder pathologies based on irritability: a case series
Published in Physiotherapy Theory and Practice, 2020
Kristin Somerville, Zachary Walston, Tye Marr, Dale Yake
Both moderate- and low-irritability patients were treated with manual therapy to address tissue impairments and mobility restrictions at trigger points located at the shoulder, cervical spine, and thoracic spine. Simons, Travell, and Simons (1999) defined a myofascial trigger point in the literature as “a hyperirritable spot in skeletal muscle that is associated with a hypersensitive palpable nodule in a taut band. The spot is tender when pressed, and can give rise to characteristic referred pain, motor dysfunction, and autonomic phenomena…”. Manual intervention through trigger point pressure release has been shown to be effective in treatment of tissue dysfunction. It is hypothesized that the manual pressure along the trigger point affects the neuromuscular junction where the alpha-motor neuron synapses on the target muscle fiber and leads to a mechanical uncoupling of actin and myosin to reduce ATP demand (McPartland and Simons, 2006). Research has shown myofascial trigger points may produce symptoms such as shoulder pain at rest, pain with movement, and sleep disturbances and therefore needed to be addressed during the treatment session (Bron et al., 2011). Palpation is currently the only reliable method for diagnosing myofascial trigger points and therefore manual tissue work was used as a treatment in this case series to reduce irritability (Al-Shenqiti and Oldham, 2005; Bron, Franssen, Wensing, and Oostendorp, 2007).
Improvement in clinical outcomes after dry needling versus myofascial release on pain pressure thresholds, quality of life, fatigue, pain intensity, quality of sleep, anxiety, and depression in patients with fibromyalgia syndrome
Published in Disability and Rehabilitation, 2019
Adelaida M. Castro Sánchez, Hector García López, Manuel Fernández Sánchez, José Manuel Pérez Mármol, María Encarnación Aguilar-Ferrándiz, Alejandro Luque Suárez, Guillermo Adolfo Matarán Peñarrocha
Myofascial trigger point (MTrPs) pain is defined as pain caused by one or more hyperirritable spots in the skeletal muscle that are related to hypersensitivity palpable nodules in taut bands [8]. Alonso-Blanco et al. [9] reported that local and referred pain from widespread active MTrPs fully reproduced the overall spontaneous clinical pain area in patients with FMS. Simons et al. [10] suggested that MTrPs can play an important role in the treatment of pain in FMS. Patients with FMS usually present multiple active trigger points, which are related to generalized pressure hyperalgesia, and contribute to regional pain. In fact, trigger points have been considered the main peripheral pain generator in this population. Peripheral inputs from active MTrPs may lead to central sensitization of FMS patients [9]. Staud et al. [11] concluded that the overall spontaneous pain is located in certain body areas. Local and referred pain has been induced from active trigger points identified in the trapezius muscle, which reproduced neck-shoulder pain patterns in FMS [12]. Previous studies have suggested that the number of active MTrPs found in patients with FMS is directly related to pain intensity [9,13–15]. Lucas et al. [13] reported that latent MTrPs in the scapular rotator muscles change the muscle activation pattern of this muscle group and of muscles further distal in the shoulder girdle kinetic chain.
Treatment of thoracic spine pain and pseudovisceral symptoms with dry needling and manual therapy in a 78-year-old female: A case report
Published in Physiotherapy Theory and Practice, 2022
“A myofascial trigger point can be defined as a hyper-irritable nodule of spot tenderness in a palpable taught band of skeletal muscle” (Simons, 2004). Myofascial trigger points are tender to palpation, can trigger local or referred pain, and can cause distant motor and autonomic effects (Dommerholt, Bron, and Franssen, 2006; Simons, 2004). Trigger points can be caused by several mechanisms. These include: sudden muscle overload (Simons, 2004); sustained muscular contraction in a shortened position (Dommerholt, Bron, and Franssen, 2006; Simons, 2004); repetitive activity (Simons, 2004); sustained postures (Dommerholt, 2011; Hoyle, Marras, Sheedy, and Hart, 2011; Treaster et al., 2006); and direct trauma (Dommerholt, Bron, and Franssen, 2006).