Immediate Effects of Dry Needling and Myofascial Release on Local and Widespread Pressure Pain Threshold in Individuals With Active Upper Trapezius Trigger Points: A Randomized Clinical Trial

Stieven, Fábio Franciscatto; Ferreira, Giovanni E; Araújo, F. X. de; Angellos, Rodrigo F.; Silva, Marcelo F.; Rosa, Luís Henrique Telles da

doi:10.1016/j.jmpt.2020.07.003

Cited by 30 publications

(45 citation statements)

References 34 publications

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“…Os tratamentos usados para comparar com o dry needling incluídos foram: quiropraxia, terapia manual, alongamento passivo, protocolo de exercícios, eletroestimulação, ondas de choque e liberação por pressão. Os resultados nos grupos de aplicação do dry needling foram significativos para a redução na intensidade da dor, amplitude de movimento, incapacidade em curto, médio e longo prazo (TÉLLEZ et al, 2016a;TÉLLEZ et al, 2016b;VÁZQUEZ et al, 2014;CASTRILLO et al, 2021;STIEVEN et al, 2021).…”

Section: Resultsunclassified

Atuação Multidisplinar Na Promoção Da Saúde

Lopes¹,

Silva²,

Filho³

et al. 2023

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LICENÇA CREATIVE COMMONS ATUAÇÃO MULTIDISPLINAR NA PROMOÇÃO DA SAÚDE de SCISAUDE está licenciado com uma Licença Creative Commons -Atribuição-NãoComercial-SemDerivações 4.0 Internacional. (CC BY-NC-ND 4.0). Baseado no trabalho disponível em https://www.scisaude.com.br/catalogo/atuacaomultidisplinar-na-promocao-da-saude/10 Apresentação O E-BOOK "ATUAÇÃO MULTIDISPLINAR NA PROMOÇÃO DA SAÚDE" através de pesquisas científicas aborda em seus 23 capítulos o conhecimento multidisciplinar que compõe essa grande área da saúde pública em diversas modalidades. Almeja-se que a leitura deste e-book possa incentivar o desenvolvimento de estratégias de promoção da saúde.De acordo com o Art. 196, da Constituição Brasileira: a saúde é direito de todos e dever do Estado, garantido mediante políticas sociais e econômicas que visem à redução do risco de doença e de outros agravos e ao acesso universal e igualitário às ações e serviços para sua promoção, proteção e recuperação. A promoção da saúde é uma das estratégias do setor saúde para buscar a melhoria da qualidade de vida da população. Ações de promoção da saúde devem considerar os determinantes sociais da saúde e de que maneira estes causam impacto na qualidade de vida da população. Os determinantes sociais são fatores sociais, econômicos, culturais, étnico-raciais, psicológicos, comportamentais e ambientais que influenciam o processo saúde-doença.A educação para a saúde busca ampliar os compreensão dos indivíduos, dotando-os de instrumentos que lhes permitam uma melhor aprendizagem, aumentando o nível de informações e desenvolvendo competências que permitam melhorar a saúde individual e da comunidade em que vive.A Promoção da Saúde, segundo a Carta de Ottawa, contempla 5 campos de ação: elaboração e implementação de políticas públicas saudáveis, criação de ambientes saudáveis, capacitação da comunidade, desenvolvimento de habilidades individuais e coletivas e reorientação de serviços de saúde.

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Section: Resultsunclassified

Atuação Multidisplinar Na Promoção Da Saúde

Lopes¹,

Silva²,

Filho³

et al. 2023

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“…The PPT values collected from several studies were obtained from varying parts of the body and thus may not be directly comparable [ 22 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 ]. However, using these values, we propose a database of PPTs that could serve as a benchmark for future research with pressure algometers on healthy subjects and subjects with some disease or pain.…”

Section: Discussionmentioning

confidence: 99%

“…Forty-nine studies, in which the PPT of the neck–shoulder area was measured in patients with neck/shoulder pain and/or healthy volunteers, are listed in Table 2 [ 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 ]. The subjects of studies of healthy volunteers, workers, children, and young adults without pain were also reported in 10 articles, shown at the bottom of Table 2 [ …”

Section: Systematic Review Of Ppt Values In Healthy Control Subjects ...mentioning

confidence: 99%

“…There were 39 studies that measured PPT in the neck–shoulder area of patients with neck/shoulder pain ( Table 2 ) [ 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 ]. Algometers made by Somedic AB (units in kPa) and Wagner Instruments (units in kg/cm 2 ) were mainly used for PPT measurements, but more than 10 different devices were used in the articles.…”

Section: Systematic Review Of Ppt Values In Healthy Control Subjects ...mentioning

confidence: 99%

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Current Concept of Quantitative Sensory Testing and Pressure Pain Threshold in Neck/Shoulder and Low Back Pain

et al. 2022

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In recent years, several published articles have shown that quantitative sensory testing (QST) and pressure pain threshold (PPT) are useful in the analysis of neck/shoulder and low back pain. A valid reference for normal PPT values might be helpful for the clinical diagnosis of abnormal tenderness or muscle pain. However, there have been no reliable references for PPT values of neck/shoulder and back pain because the data vary depending on the devices used, the measurement units, and the area examined. In this article, we review previously published PPT articles on neck/shoulder and low back pain, discuss the measurement properties of PPT, and summarize the current data on PPT values in patients with chronic pain and healthy volunteers. We also reveal previous issues related to PPT evaluation and discuss the future of PPT assessment for widespread use in general clinics. We outline QST and PPT measurements and what kinds of perceptions can be quantified with the PPT. Ninety-seven articles were selected in the present review, in which we focused on the normative values and abnormal values in volunteers/patients with neck/shoulder and low back pain. We conducted our search of articles using PubMed and Medline, a medical database. We used a combination of “Pressure pain threshold” and “Neck shoulder pain” or “Back pain” as search terms and searched articles from 1 January 2000 to 1 June 2022. From the data extracted, we revealed the PPT values in healthy control subjects and patients with neck/shoulder and low back pain. This database could serve as a benchmark for future research with pressure algometers for the wide use of PPT assessment in clinics.

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“…Then the pressure was maintained till the pain was minimized by around 50%. Two more times, the pressure was increased till the onset of pain [20] . MFRT was applied unilaterally on the operated side at low amplitude; long duration to stretch the muscles and fascia for a long time [14] .…”

Section: Treatmentmentioning

confidence: 99%

Effect of Manual Pressure Release and Scapular Stabilization Exercises on Myofascial Pain Syndrome Following Neck Dissection Surgery

Attia¹,

Aboelnour²,

Sherif³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Neck dissection (ND) is a popular technique to treat malignant growths in the head and neck caused by carcinoma of squamous cells. Spinal accessory nerve damage related to the type of neck dissection surgery (NDS) results in scapular dyskinesia, trapezius atrophy, shoulder dysfunction, and chronic neck pain. Myofascial pain syndrome (MPS) is identified in 13% of individuals with neck and head cancer. Objective: The aim of the study is to explore the impact of MPR and SSE at MPS following ND surgery in reducing pain and improving cervical ROM. Patients and methods: A total of 40 patients with cervical MPS post NDS were enrolled, and divided into 2 equal groups in a random manner. The intervention group (Group A) applied manual pressure release (MPR) for 20 minutes and scapular stabilization exercises (SSE) for approximately 30 minutes, in addition to traditional therapy (ROM exercises, strengthening exercises, and stretching exercises) for about 15 minutes. The control group (Group B) received only traditional therapy. The trial lasted 8 weeks and involved 3sessions per week. Results: Comparing between the intervention group and the control group after treatment showed that the intervention group had a significantly lower VAS (p=0.001) and a significantly higher pressure pain threshold (p=0.002). Moreover, side bending and rotation ROM of the neck for both sides were significantly improved within the intervention group compared to the control group (p=0.001). Conclusion Better results were observed within neck pain and ROM in the patients who received MPR and SSE.

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Immediate Effects of Dry Needling and Myofascial Release on Local and Widespread Pressure Pain Threshold in Individuals With Active Upper Trapezius Trigger Points: A Randomized Clinical Trial

Cited by 30 publications

References 34 publications

Atuação Multidisplinar Na Promoção Da Saúde

Atuação Multidisplinar Na Promoção Da Saúde

Current Concept of Quantitative Sensory Testing and Pressure Pain Threshold in Neck/Shoulder and Low Back Pain

Effect of Manual Pressure Release and Scapular Stabilization Exercises on Myofascial Pain Syndrome Following Neck Dissection Surgery

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