Pain and Disability of the Shoulder and Arm

Travell, Janet; Rinzler, Seymour H.; Herman, Myron

doi:10.1001/jama.1942.02830410005002

Cited by 225 publications

(41 citation statements)

References 15 publications

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“…This is in contrast with the pain-spasm-pain model, first formally proposed by Travell et al (1942) suggesting that pain leads to muscle hyperactivity. The results from the above summarized series of studies do not support that the amount of muscle activity is a linear response to the level of reported pain or disability, although a lack of flexion relaxation of the superficial lumbar multifidus was a common feature of both sub-groups.…”

Section: Motor Pattern Driven By Pain Disability?contrasting

confidence: 65%

The validity of O’Sullivan’s classification system (CS) for a sub-group of NS-CLBP with motor control impairment (MCI): Overview of a series of studies and review of the literature

Dankaerts

O’Sullivan

2011

Manual Therapy

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a b s t r a c tChronic Low Back Pain (LBP) remains a common, recalcitrant and costly problem for the individual sufferer and for society. Effective treatments that reduce the social and economic burden have yet to be established for the majority of chronic LBP cases. Lack of evidence for specific interventions has been blamed on the heterogeneity of the chronic LBP population as well as a lack of a patient centred biopsycho-social approach. This issue of heterogeneity has resulted in classification being considered the highest research priority in the area of chronic LBP. The potential for a 'wash-out effect' caused by the heterogeneity of the chronic LBP populations sampled for randomised controlled clinical trials (RCTs), has driven the need for classifying patients with nonspecific chronic LBP. A summary of a series of studies is outlined in this review paper. They represent a comprehensive investigation into the validity of O'Sullivan's proposed mechanism-based classification system (CS) for a sub-group of localized mechanically provoked nonspecific chronic LBP with motor control impairment (MCI). Further, the findings of these studies are discussed in relation to the relevant literature and the clinical implications arising are presented. Finally, the limitations of this research are outlined and recommendations for future research are made.

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Section: Motor Pattern Driven By Pain Disability?contrasting

confidence: 65%

The validity of O’Sullivan’s classification system (CS) for a sub-group of NS-CLBP with motor control impairment (MCI): Overview of a series of studies and review of the literature

Dankaerts

O’Sullivan

2011

Manual Therapy

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“…If muscle spasm causes pain, and pain reflexively produces muscle spasm, a self-perpetuating cycle might be established. 32 While this concept is still widely held, controlled studies have shown no significant difference in resting electromyographic activity when painful and nonpainful muscles are compared. 33,34,35 A painful inflamed muscle can actually have lower-than-normal tension.…”

Section: The Vicious Cycle Relating Muscle Spasm and Pain (1940s)mentioning

confidence: 99%

Visceral and Somatic Disorders: Tissue Softening with Frequency-Specific Microcurrent

McMakin

Oschman²

2013

The Journal of Alternative and Complementary Medicine

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Frequency-specific microcurrent (FSM) is an emerging technique for treating many health conditions. Pairs of frequencies of microampere-level electrical stimulation are applied to particular places on the skin of a patient via combinations of conductive graphite gloves, moistened towels, or gel electrode patches. A consistent finding is a profound and palpable tissue softening and warming within seconds of applying frequencies appropriate for treating particular conditions. Similar phenomena are often observed with successful acupuncture, cranialsacral, and other energy-based techniques.

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“…Travell et al (1942) described a condition, "idiopathic myalgia" or "painful shoulder syndrome," in which shoulder pain was hypothesized to be due to tender areas within muscles. They found that "the muscle that most often caused pain in the shoulder region and arm was the serratus posterior superior."…”

Section: Clinical Relevancementioning

confidence: 99%

Serratus posterior muscles: Anatomy, clinical relevance, and function

et al. 2001

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The serratus posterior superior and inferior muscles are generally considered clinically insignificant muscles that, based on attachments, probably function in respiration. Interestingly, however, there is no evidence supporting a respiratory role for these muscles. In fact, some electromyographic data refute a respiratory function for these muscles. We suggest that the serratus posterior muscles function primarily in proprioception. Further, these muscles, especially the superior, have been implicated in myofascial pain syndromes and therefore may have greater clinical relevance than commonly attributed to them.

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Pain and Disability of the Shoulder and Arm

Abstract: severe trauma, the physician usually thinks of the joints, bursae, tendons or nerves rather than of the shoulder girdle muscles as the primary source of pain. Thus the customary diagnosis in this type of patient is either arthritis, subacromial bursitis, brachial neuritis or radiculitis.

Cited by 225 publications

References 15 publications

The validity of O’Sullivan’s classification system (CS) for a sub-group of NS-CLBP with motor control impairment (MCI): Overview of a series of studies and review of the literature

The validity of O’Sullivan’s classification system (CS) for a sub-group of NS-CLBP with motor control impairment (MCI): Overview of a series of studies and review of the literature

Visceral and Somatic Disorders: Tissue Softening with Frequency-Specific Microcurrent

Serratus posterior muscles: Anatomy, clinical relevance, and function

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