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2017, Number 1

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Rev Sanid Milit Mex 2017; 71 (1)

Relationship between active myofascial trigger points in upper trapezius and the factors related to physiotherapists improper posture

Mateos-Ramos SM, García-Pinto G, Palomino-Galicia C, Rivera-Suárez JM

Language: Spanish
References: 35
Page: 69-77
PDF size: 316.54 Kb.


ABSTRACT

Background: When physical therapists provide treatment to patients, inadequate posture is often observed. Sometimes referred pain in upper back region is caused by inadequate position while giving therapy, appearing active myofascial trigger points.
Objective: To identify the relationship between myofascial trigger points (MTP) and factors associated with physiotherapist inadequate posture in Centro de Rehabilitación Infantil.
Materials and Methods: An observational descriptive study was carried out, in which all the physiotherapists included in this study were registered from January to October 2016, which deal directly with patients from 18 days to 15 years old. We analyzed and compared demographic variables in order to determine whether is a relationship between MTP in upper trapezius assets and factors related to poor posture during work. Making analysis of qualitative variables we use measures of central tendency; in comparison variables it´s been used χ2 test. For quantitative variables measures of central and dispersion tendency, we considered a degree of significance of 0.05.
Results: We studied 20 physiotherapists, who complete the inclusion criteria; the average age was 34 years old, male predominated with 13 of 20. It was observed in the study the presence of neck pain is significantly greater in the group of women, as well as it intensity, but also in this group. The proportion of inadequate posture is high. There is a significant association between being younger than 34 years and presenting an inadequate posture and also the presence of PGM.
Conclusions: Adequate posture prevents the onset of pain and active mikofascial trigger points.


REFERENCES

  1. Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual. Baltimore: Williams and Wilkins 1983.

  2. Quintner JL, Bove GM, Cohen ML. A critical evaluation of the trigger point phenomenon. Rheumatology 2015;54:392-9

  3. Simons DG. Muscle pain syndromes—Part II. Am J Phys Med 1976;55:15-42.

  4. Simons DG. Muscle pain syndromes—Part I. Am J Phys Med 1975;54:289-311.

  5. Dunning J, Butts R, Mourad F et al. Dry needling: a literature review with implications for clinical practice guidelines. Phys Ther Rev 2104;19:252-65.

  6. Gowers WR. A lecture on lumbago: its lessons and analogues. Br Med J 1904;i:117-21.

  7. Travell J, Rinzler SH. The myofascial genesis of pain. Postgrad Med 1952;11:425-34.

  8. Stockman. A discussion on fibrositis. Proc R Soc Med1913;6:36-9.

  9. Stockman R. Rheumatism and arthritis. Edinburgh: W. Green 1920

  10. Copeman WS. A clinical contribution to the study of the aetiology of the fibrositic nodule. Ann Rheum Dis 1943;3:222-6.

  11. Livingstone WK. Post-traumatic pain syndromes: an interpretation of the underlying pathological pathophysiology. Western J Obstetrics Gynaecol 1938;46:426-34.

  12. Bonica JJ. Management of myofascial pain syndromes in general practice. J Am Med Assoc 1957;164:732-8.

  13. Elliott FA. Aspects of ‘‘fibrositis’’. Ann Rheum Dis 1944;4:22-5.

  14. Johansson H, Sojka P. Pathophysiological mechanisms involved in genesis and spread of muscular tension in occupational muscle pain and in chronic musculoskeletal pain syndromes: a hypothesis. Med Hypotheses 1991;35:196-203.

  15. Copeman WS. A clinical contribution to the study of the aetiology of the fibrositic nodule. Ann Rheum Dis 1943;3:222-6.

  16. Copeman WS, Ellman P, Kersley GD. Aetiology of chronic rheumatism. Br Med J 1947;1:347

  17. Lewit K. The needle effect in the relief of myofascial pain. Pain 1979;6:83-90.

  18. Dommerholt J. Dry needling peripheral and central considerations. J Man Manip Ther 2011;19:223-7.

  19. Tough EA, White AR, Richards S et al. Variability of criteria used to diagnose myofascial trigger point pain syndrome evidence from a review of the literature. Clin J Pain 2007;23:278-86.

  20. Lucas N, Macaskill P, Irwig L et al. Reliability of physical examination for diagnosis of myofascial trigger points: a systematic review of the literature. Clin J Pain 2009;25

  21. Hsieh CY, Hong CZ, Adams AH et al. Interexaminer reliability of the palpation of trigger points in the trunk and lower limb muscles. Arch Phys Med Rehabil 2000;81:258-64.

  22. Lew PC, Lewis J, Story I. Inter-therapist reliability in locating latent myofascial trigger points using palpation. Man Ther 1997;2:87-90.

  23. Brendstrup P, Jespersen K, Asboe H. Morphological and chemical connective tissue changes in fibrositic muscles. Ann Rheum Dis 1957;16:438-40.

  24. Windisch A, Reitinger A, Traxler H et al. Morphology and histochemistry of myogelosis. Clin Anat 1999;12:266-71.

  25. Shah J, Danoff J, Desai M et al. Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points. Arch Phys Med Rehabil 2008;89:16-23.

  26. Mense S. Algesic agents exciting muscle nociceptors. Exp Brain Res 2009;196:89-100.

  27. Chiu IM, von Hehn CA, Woolf CJ. Neurogenic inflammation and the peripheral nervous system in host defense and immunopathology. Nat Neurosci 2012;15:1063-7.

  28. Simons DG, Hong CZ, Simons LS. Endplate potentials are common to midfiber myofacial trigger points. Am J Phys Med Rehabil 2002;81:212-22.

  29. Ge HY, Fernández-de-Las-Penas C, Yue SW. Myofascial trigger points: spontaneous electrical activity and its consequences for pain induction and propagation. Chin Med 2011;6:13.

  30. Skootsky, S. Incidence of myofascial pain in an internal medical group practice. Paper presented to the American Pain Society, Washington, DC, November 6-9, 1986

  31. Fröhlich D, Fröhlich R. Das Piriformis syndrom: eine häufige differential diagnose des lumboglutäalen schmerzes. Manuelle Medizin. 1995;33:7–10.

  32. Fricton, J.R., Kroening, R., Haley, D., and Siegert, R. Myofascial pain syndrome of the head and neck: a review of clinical characteristics of 164 patients. Oral Surgery 1985;60:615-23

  33. Sola AE, Rodenberger ML, Gettys BB. Incidence of hypersensitive areas in posterior shoulder muscles; a survey of two hundred young adults. Am J Phys Med. 1955;34:585–90

  34. Fishbain, A.A., Goldberg, M., Meagher, B.R., Steele, R., and Rosomoff, H. Male and female chronic pain patients categorized by DSM-III psychiatric diagnostic criteria. Pain 1986;26:181-97

  35. Gerwin R. A study of 96 subjects examined both for fibromyalgia and myofascial pain. J Musculoskeletal Pain. 1995;3(Suppl 1).




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