Presence of Latent Myofascial Trigger Points and Determination of Pressure Pain Thresholds of the Shoulder Girdle in Healthy Children and Young Adults: A Cross-sectional Study

Sacramento, Luciane S.; Camargo, Paula R.; Siqueira-Junior, Aristides L.; Ferreira, Jean P.; Salvini, Tania F.; Alburquerque‐Sendín, Francisco

doi:10.1016/j.jmpt.2016.10.007

Cited by 9 publications

(5 citation statements)

References 62 publications

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“…In children, knowledge of this association is limited, but it has been reported that approximately 20% of children with chronic tension-type headache also had pericranial trigger points 73 , 74 , which is lower than in this study. One reason for this difference could be that our study sample is older, and the presence of trigger points have been shown to increase with age 75 . Another reason could be type of headache.…”

Section: Discussionmentioning

confidence: 92%

Headache and musculoskeletal pain in school children are associated with uncorrected vision problems and need for glasses: a case–control study

Thorud

Aurjord

Falkenberg

2021

Sci Rep

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Musculoskeletal pain and headache are leading causes of years lived with disability, and an escalating problem in school children. Children spend increasingly more time reading and using digital screens, and increased near tasks intensify the workload on the precise coordination of the visual and head-stabilizing systems. Even minor vision problems can provoke headache and neck- and shoulder (pericranial) pain. This study investigated the association between headaches, pericranial tenderness, vision problems, and the need for glasses in children. An eye and physical examination was performed in twenty 10–15 year old children presenting to the school health nurse with headache and pericranial pain (pain group), and twenty age-and-gender matched classmates (control group). The results showed that twice as many children in the pain group had uncorrected vision and needed glasses. Most children were hyperopic, and glasses were recommended mainly for near work. Headache and pericranial tenderness were significantly correlated to reduced binocular vision, reduced distance vision, and the need for new glasses. That uncorrected vision problems are related to upper body musculoskeletal symptoms and headache, indicate that all children with these symptoms should have a full eye examination to promote health and academic performance.

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Section: Discussionmentioning

confidence: 92%

Headache and musculoskeletal pain in school children are associated with uncorrected vision problems and need for glasses: a case–control study

Thorud

Aurjord

Falkenberg

2021

Sci Rep

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“…We noted no differences in the PPT of the shoulder among the groups. In a recent study, Sacramento et al 35 demonstrated that children had lower PPTs in the shoulder girdle than healthy adults. Researchers [8][9][10] have shown that exercise may induce hypoalgesia, yet the amount of exposure to the exercise that is necessary to affect pain perception is not clear.…”

Section: Discussionmentioning

confidence: 96%

Swimming Practice and Scapular Kinematics, Scapulothoracic Muscle Activity, and the Pressure-Pain Threshold in Young Swimmers

Habechian

Lozana

Cools

et al. 2018

Journal of Athletic Training

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Context Whereas alterations in scapular kinematics, scapulothoracic muscle activity, and pain sensitivity have been described in adult swimmers, no researchers have examined these outcomes in young swimmers. Objectives To compare scapular kinematics, scapulothoracic muscle activation, and the pressure-pain threshold (PPT) of the shoulder muscles among young nonpractitioners (those who were not involved in sports involving the upper limbs), amateur swimmers, and competitive swimmers. Design Cross-sectional study. Setting Laboratory. Patients or Other Participants A total of 90 individuals (age = 11.63 ± 0.61 years) in 3 groups: nonpractitioners, amateur swimmers, and competitive swimmers. Intervention(s) Scapular kinematics and activity of the upper trapezius, lower trapezius, and serratus anterior (SA) were measured during upper extremity elevation in the scapular plane. The PPT was assessed in the upper trapezius, infraspinatus, supraspinatus, middle deltoid, and tibialis anterior. Main Outcome Measure(s) Scapular kinematics, scapulothoracic muscle activation, and PPT. We conducted a 2-way mixed-model analysis of variance and a 1-way analysis of variance for scapular rotation and PPT, respectively. A Kruskal-Wallis test was used to assess muscle activity. The α level was set at .05. Results Competitive swimmers presented more internal rotation at 90° (P = .03) and 120° (P = .047) and more anterior tilt at 90° (P = .03) than nonpractitioners. Amateur swimmers demonstrated more anterior tilt at 90° (P = .004) and 120° (P = .005) than nonpractitioners. Competitive swimmers had greater SA activation in the intervals from 60° to 90° (P = .02) and 90° to 120° (P = .01) than amateur swimmers. They also displayed more SA activation in the interval from 90° to 120° than nonpractitioners (P = .04). No differences were found in any of the muscles for the PPT (P > .05). Conclusions Young competitive swimmers presented alterations in scapular kinematics and scapulothoracic muscle activation during upper extremity elevation that may be due to sport practice. Mechanical pain sensitivity was not altered in young swimmers.

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“…This could be because of the fact that referred muscle pain is more complex in origin and in its characteristics. The mechanisms underlying myofascial syndromes and myofascial trigger points are not completely described [ 29 , 30 ], although there are current theories that relate peripheral nociception to central sensitization, also involving the microvascular system and neurotransmitters at a the cellular level [ 31 ], and even age as a relevant factor that determines their origin [ 32 ]. Furthermore, there are theories that include the role of the fascia in myofascial pain and referred pain [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Validity of the Isometric Contraction Test of the Masticatory Muscles for Diagnosis of Muscular Temporomandibular Disorders

Iglesias-Peón

Mesa-Jiménez

Fernández‐de‐las‐Peñas

et al. 2022

Diagnostics

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In recent years, the Diagnostic Criteria for Temporomandibular Pain Disorders (DC/TMD) has been questioned, mainly because of the dependence on the muscular pressure needed to be applied during the clinical examination. Therefore, it is necessary to establish improvements in diagnostic strategies for DC/TMD of axis I. The aim of this study was to determine the validity of the Isometric Contraction Test of the masticatory muscles (ICTest) to diagnose DC/TMD of axis I. Forty (n = 40) patients with muscular TMD (myalgia in any of its subtypes), as well as forty age and sex matched controls, participated. They were diagnosed according to DC/TMD of axis I and performed the ICTest in a single session. Sensitivity, specificity, positive (PPV) and negative predictive values (NPV), and positive (LR+) and negative likelihood ratios (LR−) of the ICTest compared with the DC/TMD of axis I were calculated. The ICTest showed a specificity of 95% for the diagnosis of myalgia, and between 94.9% and 96.8% for all subtypes in relation to the DC/TMD of axis I. For sensitivity, lower values were obtained, that is, 90.0% for myalgia, and losing sensitivity depending on the type of myalgia. The LR+ was over 10 for all diagnoses, with the exception of myofascial pain with referral, which was lower. When addressing the LR−, the myofascial diagnosis was the only one below 0.2. According to the results, the ICTest could be considered a valid procedure to diagnose subjects with muscular TMD in a clinical setting.

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Presence of Latent Myofascial Trigger Points and Determination of Pressure Pain Thresholds of the Shoulder Girdle in Healthy Children and Young Adults: A Cross-sectional Study

Cited by 9 publications

References 62 publications

Headache and musculoskeletal pain in school children are associated with uncorrected vision problems and need for glasses: a case–control study

Headache and musculoskeletal pain in school children are associated with uncorrected vision problems and need for glasses: a case–control study

Swimming Practice and Scapular Kinematics, Scapulothoracic Muscle Activity, and the Pressure-Pain Threshold in Young Swimmers

Validity of the Isometric Contraction Test of the Masticatory Muscles for Diagnosis of Muscular Temporomandibular Disorders

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