Myofascial trigger points in subjects with non-specific neck pain
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Background: In recent years, non-specific neck pain has become a frequent complaint due to poor head postures. It is characterized by Myofascial Trigger Points (MTrPs) in palpable taut bands of skeletal muscle that refer pain to a distance, and that can cause distant motor and autonomic effects.
Objective. The aim of the study was to assess the prevalence of active and latent MTrPs in subjects suffering from non-specific neck pain in two hospitals, Sri Lanka.
Method: This cross- sectional descriptive study was carried out among 31 patients with non-specific neck pain, presented to the department of physiotherapy, Teaching Hospital Peradeniya and National Hospital, Kandy, Sri Lanka. Participants were referred by a physician for non-specific neck pain and MTrPs were determined by a physiotherapist. MTrPs diagnosis criteria were the presence of a palpable taut band in a skeletal muscle; presence of a hyper-sensible tender spot in the taut band; local twitch response; reproduction of the referred pain pattern in response to compression; and spontaneous presence of the typical referred pain pattern and/or patient recognition.
Results. The prevalence of MTrPs among patients with non-specific neck pain was 100%. Each of the 31 patients exhibited at least two MTrPs in the analyzed muscles. The mean number of MTrPs on each patient was 4.71± 2.036. MTrPs of the upper trapezius muscles were the most prevalent, in 96.8% of the participants. MTrPs in the suboccipital muscles, sternocleidomastoid, levator scapulae reached a prevalence of 58.1%, 45.2%, 35.5% respectively. 76.74% of total number of MTrPs in all analyzed muscles were active MTrPs.
Conclusions. MTrP is a common source of pain in subjects presenting non-specific neck pain. Our study determined the presence of both active and latent MTrPs in this population with a higher prevalence of active MTrPs compared to latent MTrPs in all individual muscles.
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Cerezo-Téllez E, Torres-Lacomba M, Mayoral-Del-Moral O, Pacheco-Da-Costa S, Prieto-Merino D, Sánchez-Sánchez B. Health related quality of life improvement in chronic non-specific neck pain: Secondary analysis from a single blinded, randomized clinical trial. Health Qual Life Outcomes [Internet]. BioMed Central Ltd.; 2018 [cited 2021 Aug 10];16:207. Available from: https://hqlo.biomedcentral.com/articles/10.1186/s12955-018-1032-6
Côté P, Cassidy JD, Carroll LJ, Kristman V. The annual incidence and course of neck pain in the general population: A population-based cohort study. Pain. 2004;112:267–73.
Jull GA, Falla D, Vicenzino B, Hodges PW. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther. 2009;14:696–701.
Top 10 Productivity Hacks and Tips November 2018 - MOSS Rehabilitation Center [Internet]. [cited 2020 Jan 11]. Available from: https://drmosspt.com/top-10-productivity-hacks-and-tips-november-2018/
Chronic Cervical Myofascial | Etiology | Pathophysiology | Arthritis [Internet]. [cited 2020 Jan 11]. Available from: https://www.spectrumphysio.info/chronic-cervical-myofascial-syndrome/
Alvarez DJ, Rockwell PG. Trigger points: Diagnosis and management. Am Fam Physician. 2002;65:653–60.
Cerezo-Téllez E, Torres-Lacomba M, Mayoral-del Moral O, Sánchez-Sánchez B, Dommerholt J, Gutiérrez-Ortega C. Prevalence of myofascial pain syndrome in chronic non-specific neck pain: A population- based cross-sectional descriptive study. Pain Med (United States). 2016;17:2369–77.
Fernández-de-las-Peñas C, Alonso-Blanco C, Miangolarra JC. Myofascial trigger points in subjects presenting with mechanical neck pain: A blinded, controlled study. Man Ther. 2007;12:29–33.
Nasb M, Qun X, Ruckmal Withanage C, Lingfeng X, Hong C. Dry Cupping, Ischemic Compression, or Their Combination for the Treatment of Trigger Points: A Pilot Randomized Trial. J Altern Complement Med. 2019;00:1–7.
Simons DG. Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction. J Electromyogr Kinesiol. Elsevier Ltd; 2004;14:95–107.
Hong CZ. Persistence of local twitch response with loss of conduction to and from the spinal cord. Arch Phys Med Rehabil. W.B. Saunders; 1994;75:12–6.
Myofascial Pain and Dysfunction: The Trigger Point Manual - Janet G. Travell, David G. Simons - Google Books [Internet]. [cited 2021 Aug 13]. Available from: https://books.google.lk/books?redir_esc=y&id=8pGrvso0vnkC&q=183#v=snippet&q=183&f=false
Kidd RF, Nelson R. Musculoskeletal Dysfunction of the Neck in Migraine and Tension Headache. Headache J Head Face Pain. 1993;33:566–9.
14. Fernández-De-Las-Peñas C, Cuadrado ML, Pareja JA. Myofascial trigger points, neck mobility, and forward head posture in episodic tension-type headache. Headache. 2007;47:662–72.
Fernández-de-las-Peñas C, Ge HY, Arendt-Nielsen L, Cuadrado ML, Pareja JA. Referred pain from trapezius muscle trigger points shares similar characteristics with chronic tension type headache. Eur J Pain. 2007;11:475–82.
Musculoskeletal disorders and workplace factors. A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. [Internet]. 1997 Jul. Available from: https://www.cdc.gov/niosh/docs/97-141/
Shah JP, Phillips TM, Danoff J V., Gerber LH. An in vivo microanalytical technique for measuring the local biochemical milieu of human skeletal muscle. J Appl Physiol [Internet]. American Physiological Society; 2005 [cited 2021 Aug 21];99:1977–84. Available from: http://www.jap.org
Kitahara T, Schnoz M, Läubli T, Wellig P, Krueger H. Motor-unit activity in the trapezius muscle during rest, while inputting data, and during fast finger tapping. Eur J Appl Physiol [Internet]. Springer; 2000 [cited 2021 Aug 24];83:181–9. Available from: https://link.springer.com/article/10.1007/s004210000277
Ribeiro DC, Belgrave A, Naden A, Fang H, Matthews P, Parshottam S. The prevalence of myofascial trigger points in neck and shoulder-related disorders: a systematic review of the literature. BMC Musculoskelet Disord [Internet]. BioMed Central Ltd.; 2018 [cited 2021 Aug 24];19:252. Available from: https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-018-2157-9
Choi YH, Jung SJ, Lee CH, Lee SU. Additional effects of transcranial direct-current stimulation and trigger-point injection for treatment of myofascial pain syndrome: A pilot study with randomized, single-blinded trial. J Altern Complement Med [Internet]. Mary Ann Liebert Inc.; 2014 [cited 2021 Aug 24];20:698–704. Available from: https://www.liebertpub.com/doi/abs/10.1089/acm.2013.0243
Moraska AF, Schmiege SJ, Mann JD, Butryn N, Krutsch JP. Responsiveness of Myofascial Trigger Points to Single and Multiple Trigger Point Release Massages: A Randomized, Placebo Controlled Trial. Am J Phys Med Rehabil [Internet]. Lippincott Williams and Wilkins; 2017 [cited 2021 Aug 24];96:639–45. Available from: /pmc/articles/PMC5561477/
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