Prophylaxis of Pain and Fractures within Feet in the Course of Osteoporosis: The Issue of Diagnosing

Bitenc-Jasiejko, Aleksandra; Konior, Krzysztof; Gonta, Kinga; Dulęba, Magdalena; Lietz–Kijak, Danuta

doi:10.1155/2020/1391026

Cited by 1 publication

(2 citation statements)

References 118 publications

(134 reference statements)

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“…The musculoskeletal system is the largest organ in the human body, and its system of force and pressure distribution can be associated with different types of pain, often coexisting not only with problems specific to musculoskeletal structures, but also with systemic diseases, postural defects, psychoemotional disorders, etc. [42,50,91]. The most commonly reported causes of MTrPs include trauma and structural overload [16,36,[92][93][94][95], coexisting osteoarticular and neurological dysfunctions [14,45,[96][97][98][99][100], psychoemotional state and stress [101], and damage to muscle fibres [17,[102][103][104].…”

Section: Main Issue -Criterion I Etiopathogenesis Of Myofascial Painmentioning

confidence: 99%

“…Some theories cite abnormalities in fascial structures as the main factor in MPS development [47][48]. MTrPs can develop in different muscle groups, but they are most common in the sternocleidomastoid, trapezius, levator scapulae, infraspinatus, and rhomboid muscles of the upper back and neck [49][50][51][52]. Chronic headache, including migraine, and chronic complaints in the upper quadrant (quarter pain), as well as craniofacial complaints are often attributed to MTrPs [20,[53][54][55][56][57].…”

Section: Introductionmentioning

confidence: 99%

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Multimodal programmes in the treatment of myofascial pain syndrome (MPS) – a two-step review

Konior

Bitenc-Jasiejko

Lietz–Kijak

et al. 2023

Fiz Pol

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Myofascial pain syndrome (MPS) is one of the most common ailments associated with the human musculoskeletal system, characterised by the presence of the so-called trigger points (TrP – trigger point; MTrPs – myofascial trigger points). The International Association for the Study of Pain indicates that MPS may affect approximately one-third of people with chronic musculoskeletal pain, and that there is a lack of appropriate classification which can be attributed to a misunderstanding and/or misinterpretation of the pathophysiology. Given the diverse causes of pain syndromes in myofascial structures, it is vital to properly select and integrate therapeutic methods. The scientific literature indicates that treatment programmes should include a variety of manual therapy methods and rehabilitation exercises. Trigger point therapies, such as dry needling or dry cupping, are also widely used. At the heart of the success of rehabilitation programmes, in the opinion of the authors of this publication, is their multimodality, i.e. selection of therapeutic methods based on the cause of the pain, providing for measurable, reproducible diagnostic methods in therapy. Aim of the study. The aim of this study is to analyse and infer conclusions on multimodal myofascial pain therapy programmes. Material and methods. Given the complex research problem set as the aim, the study was carried out through a literature review in terms of two criteria: Criterion I (C I): analysis of the literature on the etiology and pathogenesis of myofascial pain (i.e. causes and triggers, symptoms, social and environmental factors determining the onset of MPS), diagnostic procedures (initial diagnosis and ongoing monitoring of treatment outcomes), and therapeutic methods used in the course of MPS. Criterion II (C II): a literature study of research publications addressing multimodal programmes for myofascial pain therapy, with their qualitative evaluation using the modified PEDro scale, and empirical testing of hypotheses based on the literature study and the analysis made in Part I. Data sources: PubMed, SCOPUS, Science Direct, MEDLINE, PEDro, Cochrane, Embase, Web of Science Core Collection, Google Scholar electronic databases were searched systematically, restricting the languages to English and German only. Results. The analysis of the literature showed that the causes, symptoms and associations of myofascial pain have been described in detail. There are also numerous reports on a variety of therapeutic methods, together with a precisely described methodology for their implementation. It is not uncommon to recommend combining methods into multimodal programmes, which unfortunately does not mean that there are many such programmes or that studies on MPS are consistent. The literature study on multimodal treatment programmes for MPS revealed that there is no correlation between its pathogenesis and a purposeful selection of specific therapeutic methods. In a small number of cases, a complex etiopathogenesis led to the formation of multidisciplinary teams. This may be associated with the absence of strict recommendations on the diagnostic methods applicable to the assessment of MPS. Conclusions. 1. Multimodal programmes for the treatment of musculoskeletal pain, notably MPS and MTrPs, should include a detailed and comprehensive diagnosis (structural, biochemical, psycho-emotional) which should serve as the basis for the formation of interdisciplinary rehabilitation teams. 2. Musculoskeletal diagnosis, in addition to radiological assessment, should include measurable techniques of postural and functional assessment (such as pedobarography, wearable sensors, assisted anthropometry, i.e. photogrammetry, videogrammetry, etc.), aimed primarily at the ongoing assessment of posture. 3. The choice of therapeutic methods and patient education should be based on the causes of the patient’s pain, taking into account systemic diseases, postural defects, lifestyle and psycho-emotional state. 4. Scientific research in multimodal treatment programmes should be carried out in randomised groups, with due attention to the methodologies of diagnostic and therapeutic procedures and group selection.

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Section: Main Issue -Criterion I Etiopathogenesis Of Myofascial Painmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Multimodal programmes in the treatment of myofascial pain syndrome (MPS) – a two-step review

Konior

Bitenc-Jasiejko

Lietz–Kijak

et al. 2023

Fiz Pol

Self Cite

View full text Add to dashboard Cite

show abstract

Prophylaxis of Pain and Fractures within Feet in the Course of Osteoporosis: The Issue of Diagnosing

Cited by 1 publication

References 118 publications

Multimodal programmes in the treatment of myofascial pain syndrome (MPS) – a two-step review

Multimodal programmes in the treatment of myofascial pain syndrome (MPS) – a two-step review

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