Reliability of the Upper Trapezius Muscle and Fascia Thickness and Strain Ratio Measures by Ultrasonography and Sonoelastography in Participants With Myofascial Pain Syndrome

Salavati, Mahyar; Akhbari, Behnam; Takamjani, Ismail Ebrahimi; Ezzati, Kamran; Haghighatkhah, Hamidreza

doi:10.1016/j.jcm.2017.06.003

Cited by 26 publications

(23 citation statements)

References 52 publications

(96 reference statements)

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“…Our study provides evidence of excellent reliability when using our novel estimation method for vibration-based shear wave elastography measurements of phantom elasticity and skeletal muscle stiffness. These observations are clinically important because skeletal muscle stiffness is observed in various conditions, such as myofascial pain syndrome 36 , neck and shoulder pain 27 , and low back pain 37 . Thus, our results suggest that multiple patient groups who experience muscle stiffness may benefit from our proposed method, which is a useful tool for evaluating diseases characterized by muscle stiffness and determining treatment effects; this method is expected to help reduce costs and promote introduction of vibration-based shear wave elastography in general clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Application of the novel estimation method by shear wave elastography using vibrator to human skeletal muscle

Tsuchida

Yamakoshi

Matsuo

et al. 2020

Sci Rep

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In recent years, non-invasive measurement of tissue stiffness (hardness) using ultrasound elastography has attracted considerable attention. It has been used to evaluate muscle stiffness in the fields of rehabilitation, sports, and orthopedics. However, ultrasonic diagnostic devices with elastography systems are expensive and clinical use of such devices has been limited. In this study, we proposed a novel estimation method for vibration-based shear wave elastography measurement of human skeletal muscle, then determined its reproducibility and reliability. The coefficient of variation and correlation coefficient were used to determine reproducibility and reliability of the method by measuring the shear wave velocities in konjac phantom gels and agar phantom gels, as well as skeletal muscle. The intra-day, day-to-day, and inter-operator reliabilities were good when measuring the shear wave velocities in phantom gels. The intra-day and day-to-day reliabilities were good when measuring the shear wave velocities in skeletal muscle. The findings confirmed adequate reproducibility and reliability of the novel estimation method for vibration-based shear wave elastography. Therefore, the proposed measurement method may be a useful tool for evaluation of muscle stiffness.

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Section: Discussionmentioning

confidence: 99%

Application of the novel estimation method by shear wave elastography using vibrator to human skeletal muscle

Tsuchida

Yamakoshi

Matsuo

et al. 2020

Sci Rep

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“…The reliability of tissue stiffness assessment via ultrasound elastography as well as via myometry and indentometry has been recently documented (Pruyn et al, ; Salavati et al, ; Wilke et al, ). Because mechanoadaptation of collagenous tissues does not always go along with the adaptation of related skeletal muscles (Mersmann et al, ), it is suggested to enhance the incorporation of fascial tissue assessments in future therapeutic as well as scientific investigations in the field of sports medicine (Zuegel et al, ).…”

Section: Discussionmentioning

confidence: 99%

Active contractile properties of fascia

Schleip

Klingler

2019

Clinical Anatomy

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The ubiquitous network of fascial tissues in the human body is usually regarded as a passive contributor to musculoskeletal dynamics. This review aims to highlight the current understanding of fascial stiffness regulation. Notably the ability for active cellular contraction which may augment the stiffness of fascial tissues and thereby contribute to musculoskeletal dynamics. A related narrative literature search via PubMed and Google Scholar reveals a multitude of studies indicating that the intrafascial presence of myofibroblasts may enable these tissues to alter their stiffness. This contractile tissue behavior occurs not only in several pathological fibrotic contractures but has also been documented in normal fasciae. When viewed at time frames of seconds and minutes the force of such tissue contractions is not sufficient for exerting a significant effect on mechanical joint stability. However, when viewed in a time-window of several minutes and longer, such cellular contractions can impact motoneuronal coordination. In addition, over a time frame of days to months, this cellular activity can induce long-term and severe tissue contractures. These findings tend to question the common clear distinction between active tissues and passive tissues in musculoskeletal dynamics. Clin. Anat. 32:891-895, 2019.

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“…Approximately 95% of patients with chronic pain encounter Myofascial Pain Syndrome (MPS), which affects millions of individuals. It also imposes a heavy financial burden on the affected individual and society [1,2]. Approximately 54% of females and 45% of males are affected by MPS, especially due to a sedentary lifestyle and low physical activity [3].…”

Section: Introductionmentioning

confidence: 99%

“…Evidence suggests that MPS is more prevalent in the age group of 27-50 years. MPS has been studied for more than a century; however, its diagnostic, clinical, and therapeutic aspects remain unclear [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…MPS is a common, non-articular, and musculoskeletal disorder, characterized by myofascial trigger points [4]. MPS symptoms include diffuse pain, Local Twitch Response (LTR) to pressure, decreased Range of Motion (ROM), and autonomic nervous system-induced symptoms [2,4]. Trigger points include hyperirritable spots along the taut bands of muscle fibers; they become painful upon pressure or stretching and can spread with a specific pattern [3,4].…”

Section: Introductionmentioning

confidence: 99%

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The Effects of Ultrasound-guided Dry Needling on Patients With Myofascial Pain Syndrome

Takamjani

Ezzati

Khani

et al. 2020

IRJ

Self Cite

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Objectives: Dry Needling (DN) is a novel and effective intervention for patients with Myofascial Pain Syndrome (MPS). Some characteristics, such as needle penetration depth, needle insertion into the target muscle, and trigger points must be identified in this intervention. The Ultrasound (US)-guided DN is a technique that involves needle insertion at the site of injury and the simulation of tissue injury and inflammation under US guidance; it indicates the needle insertion site to ensure that it does not penetrate the adjacent tissues. The current study aimed to review previous studies regarding the effects of US-guided DN on MPS. Methods: A search was performed in PubMed, Scopus, Cochrane, Google Scholar, Springer, and Science Direct databases to retrieve studies published from 2010 to March 2020. We included investigations regarding the effects of US-guided DN on the treatment of MPS. The following keywords and MeSH terms were used in the search process: “ultrasound-guided, musculoskeletal ultrasonography, myofascial pain syndrome, trigger points, and dry needling.” Results: A total of 47 relevant articles were retrieved. However, based on the inclusion and exclusion criteria of the review, 11 articles were finally selected. All studies reported significant pain relief following the use of US-guided DN in patients with MPS. Discussion: Considering the precise visualization of the site of muscle involvement, precise needle insertion, and reduction of the risk of further injury in US-guided DN may be a useful approach for MPS management in short-term and long-term studies.

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Reliability of the Upper Trapezius Muscle and Fascia Thickness and Strain Ratio Measures by Ultrasonography and Sonoelastography in Participants With Myofascial Pain Syndrome

Abstract: Upper trapezius thickness measurements by ultrasonography and strain ratio by sonoelastography are reliable methods in participants with myofascial pain syndrome.

Cited by 26 publications

References 52 publications

Application of the novel estimation method by shear wave elastography using vibrator to human skeletal muscle

Application of the novel estimation method by shear wave elastography using vibrator to human skeletal muscle

Active contractile properties of fascia

The Effects of Ultrasound-guided Dry Needling on Patients With Myofascial Pain Syndrome

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