A Comparison of the Effects of Depth Deep Oscillation and Combined Therapy on the Trigger Point
Authors:
K. Macháčková; J. Vyskotová; O. Jelínek
Authors‘ workplace:
Ústav rehabilitace, Lékařská fakulta, Ostravská univerzita v Ostravě, vedoucí pracoviště doc. MUDr. L. Pleva, CSc.
Published in:
Rehabil. fyz. Lék., 23, 2016, No. 1, pp. 16-23.
Category:
Original Papers
Overview
The overload of upper extremity muscles (repetitive strain injury) while working with a computer can lead to the development of trigger points with consequent motor and sensory disorders. The objective of the work was to compare the effect of a combined therapy and depth oscillation and to observe long-term effects of the combined therapy on the latent trigger point in m. extensor digitorum. The cohort included 30 probands working more than three hours with a computer daily. The probands were randomized into three groups. The first group underwent treatment with depth oscillation, the second group was treated with the combined therapy and members of the third group served as controls. Changes in the pressure algic sensitivity were observed. The resulting values demonstrated statistically significant differences among the treated groups and the control group after the therapy was completed. The pressure algic sensitivity was changed in the group treated with the combined therapy and depth oscillation. The effect was short-dated, though, and it has become obvious that causes of the origin of central trigger points must always be determined and influenced.
Keywords:
trigger point, vibration, depth deep oscillation, combined therapy, m. extensor digitorum
Sources
1. ACQUADRO, M., BORODIC, G.: Treatment of myofascial pain with botulinum A toxin. Anesthesiology, 80, 1994, s. 705-706.
2. AGUILERA, J. M. et al.: Immediate effect of ultrasound and ischemic compression for the treatment of trapezius latent myofascial trigger point in healthy subjects: A randomized controlled study. Journal of Manipulative and Physiologic Therapeuties, 23, 2009, 7, s. 515-520.
3. BALDRY, P., CUMMINGS, M.: Regional myofascial pain: diagnosis and management. Best practice and Research Clinical Rheumatology, 21, 2007, 2, 367-387.
4. BALDRY, P.: Acupuncture, trigger points and musculoskeletal pain: a scientific approach to acupuncture for use by doctors and physiotherapists in the diagnosis and management of myofascial trigger point pain. 3rd ed. Edinburgh, Elsevier/Churchill Livingstone, 2005.
5. BOISNIC, S., BRANCHET, M. CH.: Anti-inflammatory and draining effect of the Deep Oscillation® device tested clinically and on a model of human skin maintained in survival condition. Eur. J. Dermatol, 23, 2013, 1, s. 59-66.
6. ČECH, Z.: Rehabilitace v klinické praxi. Praha, Galén, 2009, s. 58-60.
7. DOMMERHOLT, J., BRON, C., FRANSSEN, J.: Myofascial trigger points: An evidence-informed review. The Journal of Manual & Manipulative Therapy, 14, 2006, 4, s. 203-221.
8. DOMMERHOLT, J., HUIJBREGTS, P.: Myofascial trigger points: Patophysiology and evidence-informed diagnosis and management. Sadbury, Massachusetts: Jones and Bartlett, 2009. 294 s.
9. DONALDSON, C. C. S., NELSON, D. V., SCHULZ, R.: Disinhibition in the gamma motoneuron circuitry. A neglected mechanism for understanding myofascial pain syndromes? Applied Psychophysiology and Biofeedback, 23, 1998, 1, s. 43-57.
10. GE, H. Y., SERRAO, M., ANDERSEN, O. K., GRAVEN-NIELSEN, T., ARENDT-NIELSEN, L.: Increased H-reflex response induced by intramuscular electrical stimulation of latent myofascial trigger points. Acupunct. Med., 27, 2009, s. 150-154.
11. GERWIN, R. D., DOMMERHOLT, J., SHAH, J.: An expansion of Simon´s integrated hypothesis of trigger point formation. Curr. Pain Headache Rep., 2004, 8, s. 468-475.
12. GIBURM, P. et al.: Reliability and usefulness of the ressure pain threshold measurement in patients with myofascial pain. Ann. Rehabil- Med., 35, 2011, 3, 412-417.
13. GILMAN, S.: Joint position sense and vibration sense: anatomical organisation and assessment. Journal of Neurology, Neurosurgery, 73, 2002, 5, s. 473-477
14. GUNN, C.: The Gunn approach to the treatment of chronic Pain-Intramuscular Stimulation for myofascial pain of radiculopathic origin. London, Churchill Livingstone, 1996.
15. HONG, CH, Z.: Comment on Gunn’s Radiculopathy „model of myofascial trigger points“. Journal of Musculoskeletal Pain. 8, 2000, 3, s. 133-135.
16. HUBBARD, D., BERKOFF, G.: Myofascial trigger points show spontaneous needle EMG activity. Spine, 18, 1993, s. 1803-1807.
17. JAHR, S., SCHOPPE, B., REISSHAUER, A.: Effect of treatment with low-intensity and extremely low-frequency electrostatic fields (Deep Oscillation®) on breast tissue and pain in patients with secondary breast lymphoedema. Journal of Rehabilitation Medicine, 40, 2008, 8, s. 645-650.
18. KENDAL, E. R., SCHWARTZ, J. H., JESSELL T. M.: Principles of neural science. New York: McGraw-Hill, Health Professions Division, 2000, 1414 s.
19. KOLÁŘ, P.: Rehabilitace v klinické praxi. Praha, Galén, 2009, 713 s.
20. LATASH, M.: Neurophysiological basis of movement. Champaign, IL: Human Kinetics, 2008.
21. LUCAS, K. R., POLUS, B. I., RICH, P. A.: Latent myofascial trigger points: their effects on muscle activation and movement efficiency. Journal of Bodywork and Movement Therapies, 2004, 8, s. 160-166.
22. MANUAL. Operating instructions DEEP OSCILLATION® Evident. PHYSIOMED® Technology for therapy, 2010, 37 s.
23. NIELSEN, L.: Increased H-reflex response induced by intramuscular electrical stimulation of latent myofascial trigger points. Acupunct. Med., 27, 2009, s. 150-154.
24. PROSKE, U.: Kinesthesia: the role of muscle receptors. Muscle & Nerve, 2006, s. 545-558.
25. SHAH, J. P. et al.: Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points. Archives of Physical Medicine and Rehabilitation, 89, 2008, s. 16-23.
26. SIMONS, D. G.: New aspects of myofascial trigger points: Etiological and Clinical. Journal of Musculoskeletal Pain, 12, 2004, 3/4, s. 15-21.
27. SIMONS, D. G., HONG, CH. Z., SIMONS, L. S.: Endplate potentials are common to midfiber myofascial trigger points. American Journal of Physical Medicine & Rehabilitation, 81, 2002, 3, s. 212-216.
28. TRAVELL, J., SIMONS, D.: Myofascial pain and dysfunction. Volume 1., 2.. ed. Philadelphia: Williams Wilkins, 1999. 1038 s.
29. VYSKOTOVÁ, J., KRHUTOVÁ, Z.: Léčebná rehabilitace II. Ostrava, Ostravská univerzita v Ostravě, 2014, s. 197-204.
30. WILLIS, J., COGGESHALL, W.: Sensory mechanism of the spinal cord. New York: Plenum Press, 1991, 575 s.
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Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2016 Issue 1
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