Ultrasound Imaging and Guidance for Cervical Myofascial Pain: A Narrative Review

Ricci, Vincenzo; Mezian, Kamál; Chang, Ke‐Vin; Tarantino, Domiziano; Güvener, Orhan; Gervasoni, Fabrizio; Naňka, Ondřej; Özçakar, Levent

doi:10.3390/ijerph20053838

Cited by 10 publications

(9 citation statements)

References 50 publications

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“…Firstly, the majority of the studies we reviewed were focused on the lower limbs, compared to limited research on the potential benefits of SMR techniques in the upper limbs, with only one study found in this regard. The muscular demands in various sports reliant on the upper limb musculature are evident, and the prevalence of pathologies in this area is significant, particularly in the shoulder [ 105 ] and cervical [ 106 ] regions. Therefore, studying diagnosis and intervention in this context appears to be fundamental.…”

Section: Discussionmentioning

confidence: 99%

Effects of Self-Myofascial Release on Athletes’ Physical Performance: A Systematic Review

Martínez-Aranda,

Sanz-Matesanz,

García-Mantilla

et al. 2024

JFMK

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Therapists and strength and conditioning specialists use self-myofascial release (SMR) as an intervention tool through foam rollers or massage rollers for soft tissue massage, with the purpose of improving mobility in the muscular fascia. Moreover, the use of SMR by professional and amateur athletes during warm-ups, cool downs, and workouts can have significant effects on their physical performance attributes, such as range of motion (ROM) and strength. The purpose of this study was to analyse the literature pertaining to these types of interventions and their effects found in different physical performance attributes for athletes. A systematic search was carried out using the following databases: PUBMED, ISI Web of Science, ScienceDirect, and Cochrane, including articles up to September 2023. A total of 25 articles with 517 athletes were studied in depth. SMR seems to have acute positive effects on flexibility and range of motion, without affecting muscle performance during maximal strength and power actions, but favouring recovery perception and decreasing delayed-onset muscle soreness. Some positive effects on agility and very short-range high-speed actions were identified, as well. In conclusion, although there is little evidence of its method of application due to the heterogeneity in that regard, according to our findings, SMR could be used as an intervention to improve athletes’ perceptual recovery parameters, in addition to flexibility and range of motion, without negatively affecting muscle performance.

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Section: Discussionmentioning

confidence: 99%

Effects of Self-Myofascial Release on Athletes’ Physical Performance: A Systematic Review

Martínez-Aranda,

Sanz-Matesanz,

García-Mantilla

et al. 2024

JFMK

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“…Deep dry needling was performed using 0.25 × 25 mm disposable sterile steel acupuncture needles (HuaLong, China) while the patient was in a prone position. The marked trigger point location was assessed with ultrasonography to detect the typical pattern of trigger point characterized by a focal hypoechoic area with heterogeneous internal texture 20 . After visualizing this area the depth of the trigger point was measured.…”

Section: Methodsmentioning

confidence: 99%

“…The marked trigger point location was assessed with ultrasonography to detect the typical pattern of trigger point characterized by a focal hypoechoic area with heterogeneous internal texture. 20 After visualizing this area the depth of the trigger point was measured. The needle was inserted into the trigger point using the indirect technique, and stimulation was applied by manipulating it up and down several times.…”

Section: Dry Needling Groupmentioning

confidence: 99%

Comparison of Dry Needling and Cold‐Spray‐Stretching Treatments by Ultrasonography and Electrophysiology

Ustun,

Yorulmaz,

Geler‐Kulcu

2024

J of Ultrasound Medicine

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ObjectivesTo compare the efficacy of dry needling (DN) and cold‐spray‐stretching treatments using surface electromyography (sEMG) and ultrasound (US) in the treatment of patients with myofascial pain syndrome (MPS) with active trigger point (ATrP) in the upper trapezius muscle.MethodsThis prospective randomized single‐blind study included 60 MPS patients aged 18–65 years who have ATrP in the upper trapezius muscle. Patients were randomized into two treatment groups as DN and cold spray stretching. Both treatment groups received 1 treatment per week and totally 3 sessions. Evaluation parameters were pain level assessed by Numeric Rating Scale and algometer, neck range of motion angles, neck disability index (NDI). The effects of the treatments on ATrP were evaluated by sEMG and US histogram. All parameters were evaluated at the beginning of the treatment and at the end. Algometer and sEMG were performed also before and after the first and third sessions.ResultsThere was no significant difference between the two groups regarding demographic data. The mean age of the participants was 39.7 ± 11.6 years. Fifty‐one patients were female. Significant improvement in terms of pain level, functionality, sEMG, and US histogram were achieved in both groups (P < .05). When comparing the two groups, algometer scores and the NDI score were statistically higher in the cold‐spray‐stretching group than in the DN group (P < .008 and P < .028, respectively).ConclusionBoth treatment options should be preferred. The efficacy of both treatments was observed via sEMG and US histograms.

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“…The latter then forms the dorsal scapular artery. [4,5] Clinically, the LS is often required for trigger point injection to alleviate symptoms of myofascial pain syndrome, for botulinum toxin injection in cervical dystonia, and for electromyographic evaluation to differentiate between dorsal scapular neuropathy and cervical radiculopathy. [3,6,7] Perotto technique, based on the surface anatomy at the medial angle of the scapulae and fingerbreadths, is used widely.…”

Section: Introductionmentioning

confidence: 99%

Surface anatomy and levator scapulae muscle injection: A cadaveric investigation

Chang,

Lim,

Kim

et al. 2024

Medicine

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Accurate detection of the levator scapulae muscle is critical for effective diagnostic and therapeutic interventions. The commonly used surface anatomy approach has not been validated and is less accurate than ultrasound-guided techniques. Therefore, we determined the needle insertion point for the levator scapulae using a new technique based on the anatomy of the scapula. This investigation used 15 fresh-frozen cadavers to explore the relationship between the acromial angle and medial tip of the scapular spine (O) of the scapular spine. Based on the x-axis (the distance [L] from Point O to point acromial angle) and the y-axis perpendicular to the x-axis passing through Point O, the barycentric coordinates were determined through the intersections of each axis and the superior angle of the scapula with the levator scapulae. Various ratios involving the established distance L) were ascertained, we compared the measurements and ratios between the male and female groups, and the accuracy of the new technique was compared with the conventional technique. The optimal site of the new technique was within 6 to 7% of distance L on the x-axis and 42 to 44% of distance L on the y-axis. This technique was significantly more accurate than the conventional technique (P = .006). Although ultrasound allows for accurate injections via real-time visualization, its unavailability in some cases highlights the importance of understanding surface anatomy landmarks. Our new technique, based on the anatomy of the scapula and relative measurements, is more accurate than the conventional technique. This should enable more precise detection of the levator scapulae for accurate and efficient diagnostic and therapeutic procedures.

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Ultrasound Imaging and Guidance for Cervical Myofascial Pain: A Narrative Review

Cited by 10 publications

References 50 publications

Effects of Self-Myofascial Release on Athletes’ Physical Performance: A Systematic Review

Effects of Self-Myofascial Release on Athletes’ Physical Performance: A Systematic Review

Comparison of Dry Needling and Cold‐Spray‐Stretching Treatments by Ultrasonography and Electrophysiology

Surface anatomy and levator scapulae muscle injection: A cadaveric investigation

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