Untersuchung myofaszialer Triggerpunkte ist zuverlässig

Licht, G.; Müller-Ehrenberg, Hannes; Mathis, Johannes; Berg, Georg; Greitemann, Georg

doi:10.1007/s00337-007-0559-0

Cited by 13 publications

(14 citation statements)

References 7 publications

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“…Licht et al recently demonstrated that some 'key' diagnostic criteria acc. to Simons and Travell [31] of myofascial trigger points could reliably be found by two different examiners in a smaller sample group [35]. Harden et al presented 2000 a list of additional 31 signs and symptoms that are related to myofascial disorders [36].…”

Section: Discussionmentioning

confidence: 99%

Discrepancy between prevalence and perceived effectiveness of treatment methods in myofascial pain syndrome: Results of a cross-sectional, nationwide survey

Fleckenstein¹,

Zaps²,

Rüger³

et al. 2010

BMC Musculoskelet Disord

163

108

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BackgroundMyofascial pain is a common dysfunction with a lifetime prevalence affecting up to 85% of the general population. Current guidelines for the management of myofascial pain are not available. In this study we investigated how physicians on the basis of prescription behaviour evaluate the effectiveness of treatment options in their management of myofascial pain.MethodsWe conducted a cross-sectional, nationwide survey with a standardized questionnaire among 332 physicians (79.8% male, 25.6% female, 47.5 ± 9.6 years) experienced in treating patients with myofascial pain. Recruitment of physicians took place at three German meetings of pain therapists, rheumatologists and orthopaedists, respectively. Physicians estimated the prevalence of myofascial pain amongst patients in their practices, stated what treatments they used routinely and then rated the perceived treatment effectiveness on a six-point scale (with 1 being excellent). Data are expressed as mean ± standard deviation.ResultsThe estimated overall prevalence of active myofascial trigger points is 46.1 ± 27.4%. Frequently prescribed treatments are analgesics, mainly metamizol/paracetamol (91.6%), non-steroidal anti-inflammatory drugs/coxibs (87.0%) or weak opioids (81.8%), and physical therapies, mainly manual therapy (81.1%), TENS (72.9%) or acupuncture (60.2%). Overall effectiveness ratings for analgesics (2.9 ± 0.7) and physical therapies were moderate (2.5 ± 0.8). Effectiveness ratings of the various treatment options between specialities were widely variant. 54.3% of all physicians characterized the available treatment options as insufficient.ConclusionsMyofascial pain was estimated a prevalent condition. Despite a variety of commonly prescribed treatments, the moderate effectiveness ratings and the frequent characterizations of the available treatments as insufficient suggest an urgent need for clinical research to establish evidence-based guidelines for the treatment of myofascial pain syndrome.

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Section: Discussionmentioning

confidence: 99%

Discrepancy between prevalence and perceived effectiveness of treatment methods in myofascial pain syndrome: Results of a cross-sectional, nationwide survey

Fleckenstein¹,

Zaps²,

Rüger³

et al. 2010

BMC Musculoskelet Disord

163

108

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show abstract

“…3 Several studies have shown that experienced physicians, physical therapists, and chiropractors can reach acceptable degrees of inter-and intrarater reliability. [42][43][44][45][46][47][48][49] In a recent study, experienced clinicians reached good agreement, but inexperienced clinicians did not reach acceptable levels of agreement in spite of having completed a brief training program to improve standardization of the research protocol. 48 Trigger points can be verified objectively using magnetic resonance or ultrasound elastography [50][51][52] …”

Section: Introductionmentioning

confidence: 99%

Dry needling — peripheral and central considerations

Dommerholt¹

2011

Journal of Manual & Manipulative Therapy

229

140

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Dry needling is a common treatment technique in orthopedic manual physical therapy. Although various dry needling approaches exist, the more common and best supported approach targets myofascial trigger points. This article aims to place trigger point dry needling within the context of pain sciences. From a pain science perspective, trigger points are constant sources of peripheral nociceptive input leading to peripheral and central sensitization. Dry needling cannot only reverse some aspects of central sensitization, it reduces local and referred pain, improves range of motion and muscle activation pattern, and alters the chemical environment of trigger points. Trigger point dry needling should be based on a thorough understanding of the scientific background of trigger points, the differences and similarities between active and latent trigger points, motor adaptation, and central sensitize application. Several outcome studies are included, as well as comments on dry needling and acupuncture.

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“…3 Further testing of these hypotheses is valid considering the wealth of data available to support the presence of altered central nociceptive processing in patients with chronic whiplash-associated disorders. 5 For these reasons, we opted to use the dry needling intervention to target hyperalgesic muscle areas with the aim of influencing central nociceptive processing. Previous research had provided some basis that needling and/or acupuncture techniques may have the capacity to do this.…”

Section: Johannes Fleckensteinmentioning

confidence: 99%

“…These diagnostic criteria have been reproduced and are part of the curricula of the respective medical and therapeutical societies. 1,2,5 In consequence, dry needling is supposed to be a technique that touches the most irritated intramuscular spot within the muscle by a needle. 4 The treatment should induce local twitch phenomena and is repeated until extinction or exhaustion of the patient.…”

mentioning

confidence: 99%

Diagnostic requirements are necessary before dry needling in the treatment of chronic pain

Fleckenstein

2015

Pain

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Untersuchung myofaszialer Triggerpunkte ist zuverlässig

Cited by 13 publications

References 7 publications

Discrepancy between prevalence and perceived effectiveness of treatment methods in myofascial pain syndrome: Results of a cross-sectional, nationwide survey

Discrepancy between prevalence and perceived effectiveness of treatment methods in myofascial pain syndrome: Results of a cross-sectional, nationwide survey

Dry needling — peripheral and central considerations

Diagnostic requirements are necessary before dry needling in the treatment of chronic pain

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