OBJECTIVIZATION OF A PATIENT’S STATE WITH MYOFASCIAL PAIN SYNDROME IN PHYSIOTHERAPY PRACTICE
Journal Title: Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion-IRONS - Year 2012, Vol 1, Issue 1
Abstract
Abstract Myofascial pain syndrome (MPS) with myofascial trigger points (TrPs) diagnosed in patients is a very common musculoskeletal disorder. Beside pain symptoms MPS is concerned with many other symptoms like muscle weakness, decreased range of motion or muscle stiffness. Although many researches indicate objective changes in the area of trigger points, in clinical practice subjective methods of patients state assessment are still used. This article presents an objective diagnostic methods enhancing reliability of trigger point examination. Apart from palpation, examination of pressure pain threshold using algometry and bioelectrical activity of muscles using electromyography will be presented. Trigger points are characterised by a lower pressure pain threshold, different depending on their irritability. Needle electromyography examination provides an opportunity to obtain characteristic spontaneous electrical activity recordings, while surface electromyography examination gives an opportunity to obtain increased muscle tension recordings at the resting state and decreased muscle motor units efficiency during maximal voluntary contraction.
Authors and Affiliations
Marcin Wytrążek, Małgorzata Chochowska, Juliusz Huber
Keywords
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