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Referred Pain Patterns of the Infraspinatus Muscle Elicited by Deep Dry Needling and Manual Palpation
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Título : Referred Pain Patterns of the Infraspinatus Muscle Elicited by Deep Dry Needling and Manual Palpation |
Autor : POVEDA-PAGÁN, EMILIO J.  Lozano-Quijada, Carlos  Segura-Heras, José Vicente  Peral-Berna, María Lumbreras, Blanca  |
Editor : Mary Ann Liebert, Inc. |
Departamento: Departamentos de la UMH::Patología y Cirugía |
Fecha de publicación: 2017-11 |
URI : https://hdl.handle.net/11000/34540 |
Resumen :
Objectives: To identify the most common referred pain (ReP) pattern of the infraspinatus myofascial trigger
point (MTrP) and compare its coincidence with the original ReP pattern, to verify whether there are any
significant differences by sex and types of technique and to determine the observed signs and symptoms evoked
by deep dry needling (DDN) and manual palpation (MPal).
Design: A cohort study of patients randomized to two different examination methods (July and August 2016).
Settings: Students and staff recruited from Miguel Hernandez University (Southeast Spain).
Patients: One hundred thirty-three participants (70.7% women) with shoulder complaints were randomly
assigned to either an MPal (n = 67) or DDN group (n = 66).
Interventions: The same physiotherapist carried out the techniques on all participants, and the same protocol
was followed for both the DDN and MPal groups. The physiotherapist did not ask participants about their pain
features or other relevant issues.
Outcome measures: Local twitch response (LTR) and ReP assessed through a visual analogue scale and
features of ReP of the infraspinatus muscle.
Results: The areas with the highest percentage of ReP were the front (area 3; 27.1%) and back (area 11;
21.1%) of the arm, anterior (area 4; 36.1%) and posterior (area 12; 42.1%) shoulder, and infraspinatus muscle area.
DDN proved to be significantly easier than MPal in evoking an LTR ( p £ 0.001). There were significant differences between sexes in zone 2 ( p = 0.041) and no statistically significant differences were found by technique.
Conclusions: The ReP pattern of the infraspinatus muscle coincides with the original pattern described by
Travell and Simons, although the neck area should be questioned. The study found no significant differences in
the ReP pattern by sex and when comparing MPal with DDN of MTrP of the infraspinatus muscle. DDN proved
to be significantly easier than MPal in evoking an LTR
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Palabras clave/Materias: shoulder pain trigger points referred pain visual analogue scale dry needling |
Tipo de documento : info:eu-repo/semantics/article |
Derechos de acceso: info:eu-repo/semantics/closedAccess Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
DOI : 10.1089/acm.2016.0306 |
Aparece en las colecciones: Artículos Patología y Cirugía
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La licencia se describe como: Atribución-NonComercial-NoDerivada 4.0 Internacional.