B mode, Doppler and ultrasound elastography imaging on active trigger point in women with myofascial pain syndrome treated by dry needling

Adigozali, Hakimeh; Shadmehr, Azadeh; Ebrahimi, Esmaeil; Rezasoltani, Asghar; Naderi, Farrokh

doi:10.32098/mltj.03.2019.16

Cited by 13 publications

(13 citation statements)

References 23 publications

(56 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Meanwhile, it has been proved that masseter muscle thickness could be accurately measured by ultrasonography [ 27 ]. B mode, Doppler and ultrasound elastography imaging has been used for locating active trigger point for dry needling in treatment of female patients with myofascial pain syndrome [ 28 ]. It has been demonstrated real-time ultrasonography could even be used for non-symptomatic females, with regarding to the measurement of morphometric features of upper trapezius, its stiffness and blood supply, which could provide numerical reference value and objective assessment for clinical plans [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided five-point injection of botulinum toxin for patients with trapezius hypertrophy

Chen

Zhang

et al. 2021

J Orthop Surg Res

View full text Add to dashboard Cite

Objectives Our study aimed to explore the clinical therapeutic effects of ultrasound-guided five-point injection of botulinum toxin type A for patients with trapezius hypertrophy. Methods Twenty female patients diagnosed with trapezius hypertrophy were enrolled in this study. The thicknesses of the trapezius muscle were measured by using the ultrasound scanner to locate the thickest point of trapezius, followed by labelling the other four points around the first point. Botulinum toxin type A was injected bilaterally (50 IU/side, 5 points/side) in the trapezius muscle of these patients. The surgery effects were evaluated by thicknesses of the trapezius muscle, intramuscular needle electromyographic and electroneurographic examinations, appearance changes and patients’ satisfactions. Results Statistically significant differences in thicknesses of the trapezius muscle were observed at 4 weeks (p < 0.001), 12 weeks (p < 0.001), 20 weeks (p < 0.001), 28 weeks (p = 0.011), 36 weeks (p = 0.022), and 44 weeks (p = 0.032) after surgery. The latencies of trapezius muscle became longer at 12 weeks after surgery (left: 2.40 ms, right: 2.53 ms vs. left: 1.75 ms, right: 2.00 ms). Electroneurographic results showed amplitude reduction of compound muscle action potentials (CMAPs) at 12 weeks after surgery (left: 1.91 uV, right: 3.10 uV vs. left: 15.00 uV, right: 15.40 uV). Obvious appearance changes were revealed at 12 weeks after surgery. All of 80% patients were very satisfied, 15% patients were relatively satisfied, and 5% patients were not satisfied with the surgery. Conclusion Ultrasound-guided five-point injection of botulinum toxin type A might be effective for patients with trapezius hypertrophy.

show abstract

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided five-point injection of botulinum toxin for patients with trapezius hypertrophy

Chen

Zhang

et al. 2021

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…На сегодняшний день имеются результаты исследований, указывающие на возможность применения ультразвуковой диагностики МТТ [12,34]. Применение простого, безопасного, доступного и неинвазивного метода позволяет дифференцировать бурсит, тендинит, а также активные и латентные МТТ от окружающих тканей скелетной мускулатуры с помощью B-режима, допплер-эффекта, усиления контрастности и эластографии [34]. Для внедрения критериев ультразвуковой диагностики в диагностические критерии требуются мультицентровые исследования его специфичности и чувствительности в сравнении с пальпаторным обследованием.…”

Section: о б з о р ыunclassified

Contemporary views of the mechanisms for development of myofascial pain syndrome and its treatment strategies

Tabeeva

Kiryanova

2020

RJTAO

View full text Add to dashboard Cite

Myofascial pain syndrome (MFPS) is a regional pain syndrome that can be diagnosed in any age group and is characterized by the presence of a trigger point in the muscle involved in the pathological process. Clarifying the molecular mechanisms of trigger point formation and dysregulation of specific skeletal muscle proteins is important to understand the causes of abnormal sarcomere contraction observed in myofascial pain. Wide variability in using the diagnostic criteria in some cases leads to the impossibility of performing a meta-analysis of the data; in this connection, the search for the gold standard for MFPS diagnosis is actively underway. At the moment, a special clinical examination is of paramount diagnostic value. The paper considers various treatment options for myofascial pain and discusses the priority importance of using nonsteroidal anti-inflammatory drugs and muscle relaxants, as well as non-drug therapies.

show abstract

“…Recent studies proved that ultrasound permits the quantitative assessment of the excursion and thickness of the respiratory muscles to quantify their function (Cala et al, 1998;Sferrazza Papa et al, 2016;Yoshida et al, 2019;Bedewi et al, 2021;Kang et al, 2021). Different ultrasonic techniques have been validated through several studies (Adigozali et al, 2016;Tahan et al, 2016;Bedewi et al, 2021). Stroke disrupts multiple functions (Benditt and Boitano, 2013).…”

Section: Introductionmentioning

confidence: 99%

Respiratory muscle ultrasonography evaluation and its clinical application in stroke patients: A review

2023

View full text Add to dashboard Cite

BackgroundRespiratory muscle ultrasound is a widely available, highly feasible technique that can be used to study the contribution of the individual respiratory muscles related to respiratory dysfunction. Stroke disrupts multiple functions, and the respiratory function is often significantly decreased in stroke patients.MethodA search of the MEDLINE, Web of Science, and PubMed databases was conducted. We identified studies measuring respiratory muscles in healthy and patients by ultrasonography. Two reviewers independently extracted and documented data regarding to the criteria. Data were extracted including participant demographics, ultrasonography evaluation protocol, subject population, reference values, etc.ResultA total of 1954 participants from 39 studies were included. Among them, there were 1,135 participants from 19 studies on diaphragm, 259 participants from 6 studies on extra-diaphragmatic inspiratory muscles, and 560 participants from 14 studies on abdominal expiratory muscles. The ultrasonic evaluation of diaphragm and abdominal expiratory muscle thickness had a relatively typically approach, while, extra-diaphragmatic inspiratory muscles were mainly used in ICU that lack of a consistent paradigm.ConclusionDiaphragm and expiratory muscle ultrasound has been widely used in the assessment of respiratory muscle function. On the contrary, there is not enough evidence to assess extra-diaphragmatic inspiratory muscles by ultrasound. In addition, the thickness of the diaphragm on the hemiplegic side was lower than that on the non-hemiplegic side in stroke patients. For internal oblique muscle (IO), rectus abdominis muscle (RA), transversus abdominis muscle (TrA), and external oblique muscle (EO), most studies showed that the thickness on the hemiplegic side was lower than that on the non-hemiplegic side.Clinical Trial Registration: The protocol of this review was registered in the PROSPERO database (CRD42022352901).

show abstract

B mode, Doppler and ultrasound elastography imaging on active trigger point in women with myofascial pain syndrome treated by dry needling

Cited by 13 publications

References 23 publications

Ultrasound-guided five-point injection of botulinum toxin for patients with trapezius hypertrophy

Ultrasound-guided five-point injection of botulinum toxin for patients with trapezius hypertrophy

Contemporary views of the mechanisms for development of myofascial pain syndrome and its treatment strategies

Respiratory muscle ultrasonography evaluation and its clinical application in stroke patients: A review

Contact Info

Product

Resources

About