Myofascial Trigger Points in Patients with Whiplash‐Associated Disorders and Mechanical Neck Pain

作者: Matteo Castaldo , Hong-You Ge , Alessandro Chiarotto , Jorge H. Villafane , Lars Arendt-Nielsen

DOI: 10.1111/PME.12429

关键词:

摘要: Objective The aim of this study was to investigate pain patterns and the distribution myofascial trigger points (MTPs) in whiplash-associated disorders (WADs II III) as compared with mechanical neck (MNP). Methods Manual examination suboccipital, upper trapezius, elevator scapula, temporalis, supraspinatus, infraspinatus, deltoid, sternocleidomastoid muscles, done search for presence both active or latent MTPs 49 WAD patients 56 MNP patients. Local referred from each MTP recorded on an anatomical map. Results The mean number significantly greater group (6.71 ± 0.79) than (3.26 ± 0.33) (P   0.05). In group, current intensity (visual analogue scale) correlated (rs = 0.03, P = 0.03) spontaneous area (rs = 0.25, P = 0.07), (rs = 0.3, P = 0.03). significant correlation found only between duration (rs = 0.29, P = 0.02). Conclusions Active are more prominent related size whiplash This may underlie a lower degree sensitization WAD.

参考文章(47)
Hong-You Ge, Lars Arendt-Nielsen, Pascal Madeleine, Accelerated muscle fatigability of latent myofascial trigger points in humans. Pain Medicine. ,vol. 13, pp. 957- 964 ,(2012) , 10.1111/J.1526-4637.2012.01416.X
Patrick H. Finan, Luis F. Buenaver, Sara C. Bounds, Shahid Hussain, Raymond J. Park, Uzma J. Haque, Claudia M. Campbell, Jennifer A. Haythornthwaite, Robert R. Edwards, Michael T. Smith, Discordance between pain and radiographic severity in knee osteoarthritis: Findings from quantitative sensory testing of central sensitization Arthritis & Rheumatism. ,vol. 65, pp. 363- 372 ,(2013) , 10.1002/ART.34646
Elizabeth A. Tough, Adrian R. White, Suzanne H. Richards, John L. Campbell, Myofascial trigger point needling for whiplash associated pain – A feasibility study Manual Therapy. ,vol. 15, pp. 529- 535 ,(2010) , 10.1016/J.MATH.2010.05.010
W. Häuser, F. Wolfe, Diagnosis and diagnostic tests for fibromyalgia (syndrome). Reumatismo. ,vol. 64, pp. 194- 205 ,(2012) , 10.4081/REUMATISMO.2012.194
Michael Freeman, Ake Nystrom, Christopher Centeno, Chronic whiplash and central sensitization; an evaluation of the role of a myofascial trigger points in pain modulation. Journal of Brachial Plexus and Peripheral Nerve Injury. ,vol. 4, pp. 2- 2 ,(2014) , 10.1186/1749-7221-4-2
Jason C Eck, Scott D Hodges, S.Craig Humphreys, Whiplash: a review of a commonly misunderstood injury. The American Journal of Medicine. ,vol. 110, pp. 651- 656 ,(2001) , 10.1016/S0002-9343(01)00680-5
Roy La Touche, César Fernández-de-las-Peñas, Josué Fernández-Carnero, Santiago Díaz-Parreño, Alba Paris-Alemany, Lars Arendt-Nielsen, Bilateral Mechanical-Pain Sensitivity Over the Trigeminal Region in Patients With Chronic Mechanical Neck Pain The Journal of Pain. ,vol. 11, pp. 256- 263 ,(2010) , 10.1016/J.JPAIN.2009.07.003
Daniel C. Cherkin, Richard A. Deyo, Kimberly Wheeler, Marcia A. Ciol, Physician views about treating low back pain. The results of a national survey. Spine. ,vol. 20, pp. 1- 9 ,(1995) , 10.1097/00007632-199501000-00001
César Fernández-de-las-Peñas, Cristina Alonso-Blanco, Maria Luz Cuadrado, Juan A. Pareja, Myofascial trigger points in the suboccipital muscles in episodic tension-type headache. Manual Therapy. ,vol. 11, pp. 225- 230 ,(2006) , 10.1016/J.MATH.2006.07.003
Steven J. Kamper, Trudy J. Rebbeck, Christopher G. Maher, James H. McAuley, Michele Sterling, Course and prognostic factors of whiplash: A systematic review and meta-analysis Pain. ,vol. 138, pp. 617- 629 ,(2008) , 10.1016/J.PAIN.2008.02.019