A systematic comparison between subjects with no pain and pain associated with active myofascial trigger points.
A systematic comparison between subjects with no pain and pain associated with active myofascial trigger points.
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DOI：
10.1016/j.pmrj.2013.06.006
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发表时间：
2013-11
期刊：
影响因子：
--
通讯作者：
Shah J
中科院分区：
文献类型：
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作者：
Gerber LH;Sikdar S;Armstrong K;Diao G;Heimur J;Kopecky J;Turo D;Otto P;Gebreab T;Shah J
确定疼痛的标准评估是否将无疼痛的受试者与肌筋膜疼痛综合征（MPS）和活动触发点（MTrPs）受试者区分开来;并评估这些组之间的情绪，功能和健康相关生活质量的自我报告是否存在差异。前瞻性、描述性研究。我们评估了患有MPS和活动性（疼痛）MTRP的成年人和没有疼痛的成年人。“活性”（“A”）组中的受试者至少有一次活动性MTrP伴自发性疼痛，持续时间超过3个月，触诊时有特征性疼痛。“无疼痛”（“Np”）组中的受试者没有自发性疼痛。然而，一些患者在触诊MTrP时感到不适（潜伏性MTrP），而Np组的其他患者在触诊结节时没有不适或没有结节。每位参与者都进行了运动范围（ROM）测量，10点手动肌肉测试，手动和痛觉触诊。后者使用沿着上肌沿着的4个预定解剖部位的痛觉计确定疼痛/压力阈值。参与者使用语言模拟量表（0-10）评定疼痛;完成简明疼痛量表和奥斯韦斯特里残疾量表（ODS），其中包括睡眠子量表;简明量表36（SF 36）和情绪状态量表（POMS）。A组24例（平均36岁，16名女性），Np组26例（平均26岁，12名女性）。“A”组受试者与“Np”组受试者在以下方面存在差异：潜伏性MTrP的数量（p=.0062）;不对称颈椎ROM（p=.01侧弯和p=.002旋转）;所有疼痛报告（p<.0001）;痛觉测量（p <.03）; POMS（p<.038）; SF 36（p<.01）和ODS（p<.0001）。对MPS患者进行系统的肌肉骨骼评估可以可靠地将其与无疼痛的受试者区分开来。两组在身体检查和疼痛、睡眠障碍、残疾、健康状况和情绪的自我报告方面存在显著差异。这些发现支持了这样一种观点，即“局部”疼痛综合征与情绪、健康相关的生活质量和功能有显著的相关性。
To determine whether standard evaluations of pain distinguish subjects with no pain from those with myofascial pain syndromes (MPS) and active trigger points (MTrPs); and to assess whether self-reports of mood, function and health-related quality of life differ between these groups. Prospective, descriptive study. University Adults with and without neck pain We evaluated adults with MPS and active (painful) MTrPs and those without pain. Subjects in the “Active” (‘A’) group had at least one active MTrP with spontaneous pain which was persistent, lasted more than 3 months and had characteristic pain on palpation. Subjects in the “No pain” (‘Np’) group had no spontaneous pain. However, some had discomfort on MTrP palpation (latent MTrP) while others in the Np group had no discomfort on palpation of nodules or had no nodules. Each participant underwent range of motion (ROM) measurement, 10-point manual muscle test, and manual and algometric palpation. The latter determined the pain/pressure threshold using an algometer of 4 pre-determined anatomical sites along the upper trapezius. Participants rated pain using a verbal analogue scale (0–10); completed the Brief Pain Inventory and Oswestry Disability Scale (ODS), which included a sleep sub-scale; Short Form 36(SF36) and the Profile of Mood States (POMS). here were 24 in the ‘A’ group (mean 36 yrs, 16 women) and 26 in the ‘Np’ group (mean 26 yrs, 12 women). Subjects in group ‘A’ differed from ‘Np’ in number of latent MTrPs (p=.0062); asymmetrical cervical ROM (p=.01 side bending and p=.002 rotation); in all pain reports (p<.0001); algometry (p<.03); POMS (p<.038); SF36 (p<.01) and ODS (p<.0001). A systematic musculoskeletal evaluation of people with MPS reliably distinguishes them from subjects with no pain. The two groups are significantly different in their physical findings and self-reports of pain, sleep disturbance, disability, health status and mood. These findings support the view that a “local” pain syndrome has significant associations with mood, health-related quality of life and function..