Journal of Musculoskeletal Pain最新文献_第5页

A Preliminary Study on the Effect of High-Power Pain Threshold Ultrasound to Desensitize Latent Trigger Points: A Double-Blinded Randomized Study 高功率痛阈超声对潜在触发点脱敏作用的初步研究:一项双盲随机研究

Journal of Musculoskeletal Pain Pub Date : 2014-05-27 DOI: 10.3109/10582452.2014.883027

Yushin Kim, Jungjin Kim, Kun Kwak, BumChul Yoon

{"title":"A Preliminary Study on the Effect of High-Power Pain Threshold Ultrasound to Desensitize Latent Trigger Points: A Double-Blinded Randomized Study","authors":"Yushin Kim, Jungjin Kim, Kun Kwak, BumChul Yoon","doi":"10.3109/10582452.2014.883027","DOIUrl":"https://doi.org/10.3109/10582452.2014.883027","url":null,"abstract":"Abstract Objectives: To determine the ideal number of applications of high-power pain threshold ultrasound [HPPTUS] for the desensitization of latent myofascial trigger points [LTrPs] in the elderly. Methods: Twenty-four elderly participants [65–73 years, four males, 20 females] with LTrPs identified in the upper trapezius muscle were included in the study. The participants were equally assigned to the HPPTUS-5, HPPTUS-9, and conventional US groups. The participants received five or nine times of HPPTUS or conventional US intervention to an upper trapezius myofascial TrP. Treatments were applied during three sessions for 1 week. The primary outcome variable was pressure pain threshold to evaluate the sensitivity of LTrP in the upper trapezius muscle. The secondary outcome variables were pressure pain tolerance and visual analog scale [VAS] for the subjective pressure pain intensity at 4.5 kg/cm2. Results: Between-group comparisons showed that the participants who received nine applications of HPPTUS showed a significantly greater increase in the pressure pain threshold and tolerance than the other groups at the end of the 1-week intervention. Within-group changes showed significantly decreased pain in all groups. No adverse effects were found. Conclusions: The results of this study indicate that nine applications of HPPTUS are more effective to reduce the pain sensitivity of LTrPs than conventional US techniques. Furthermore, this preliminary study showed no adverse effects of HPPTUS technique, even though strong stimulation was given to LTrPs.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"175 - 181"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Does Transforaminal Epidural Steroid Injection Cause Weight Gain? 经椎间孔硬膜外类固醇注射会导致体重增加吗?

Journal of Musculoskeletal Pain Pub Date : 2014-05-27 DOI: 10.3109/10582452.2014.883013

S. Deniz, A. Atım, T. Purtuloğlu, Memduh Yetim, Sukru Tekindur, E. Kurt

{"title":"Does Transforaminal Epidural Steroid Injection Cause Weight Gain?","authors":"S. Deniz, A. Atım, T. Purtuloğlu, Memduh Yetim, Sukru Tekindur, E. Kurt","doi":"10.3109/10582452.2014.883013","DOIUrl":"https://doi.org/10.3109/10582452.2014.883013","url":null,"abstract":"Abstract Objectives: Transforaminal epidural steroid injection [TFESI] is a common treatment method used for low back pain and radicular pain. In this study, our goal was to evaluate the effect of TFESI on weight gain and its efficiency in pain control in the long-term [longer than six months]. Methods: This retrospective study was performed by examining the records of patients to whom TFESI procedures were performed between January 2008 and January 2012, after acquiring ethics committee approval. Patients who had undergone TFESI were telephoned, and their current weights and pain level on a numerical rating scale [NRS] were asked. A 50% or more decrease of NRS scores was considered as successful treatment. Results: Records of 252 patients [292 injections] were analyzed retrospectively. Two hundred patients with available follow up data were recruited in the study. We found no relationship between TFESI and weight gain. Conclusions: We conclude that low-dose triamcinolone is an effective treatment option that does not cause significant weight gain in the long-term.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"129 - 132"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Biomechanical Evaluation of Refractory Chronic Low Back Pain Treatment with Botulinum Toxin Type A A型肉毒毒素治疗难治性慢性腰痛的生物力学评价

Journal of Musculoskeletal Pain Pub Date : 2014-05-27 DOI: 10.3109/10582452.2014.883021

S. Yoon, S. Song, Young Jin Kim, Ho Young Kang, S. H. Lee

{"title":"Biomechanical Evaluation of Refractory Chronic Low Back Pain Treatment with Botulinum Toxin Type A","authors":"S. Yoon, S. Song, Young Jin Kim, Ho Young Kang, S. H. Lee","doi":"10.3109/10582452.2014.883021","DOIUrl":"https://doi.org/10.3109/10582452.2014.883021","url":null,"abstract":"Abstract Objectives: To investigate changes in isometric strength and the cross-sectional area [CSA] of the lumbar extensors induced by botulinum toxin type A [BoNT-A] treatment and the relationship between these changes and the clinical efficacy of BoNT-A for reducing refractory chronic low back pain [LBP]. Methods: Thirty-five patients suffered from chronic LBP refractory to other conservative treatments. Each was injected with 50 units of BoNT-A [Dysport®, Llandudno, UK] at the tender points in the lumbar extensor muscles. Visual analog scale [VAS] pain scores, Oswestry Low Back Pain Questionnaire [OLBPQ] responses, changes in the isometric strength, and CSA of the lumbar extensors were assessed at baseline and 1, 2, and 3 months. Results: The VAS pain scores were significantly reduced at all post-treatment time points. A significant improvement in mean OLBPQ scores was evident at 2 and 3 months after treatment. Significant increases in lumbar extensor isometric strength were observed at three months on 0°, 24°, and 60° lumbar flexion angles. Increases in muscle size were seen at the L3-4 inter-vertebral level and the L4-5 inter-vertebral level at 3 months. No strong correlation was found between VAS score and isometric strength of the total lumbar extensor. The change in VAS scores was significantly correlated with the CSA of the L4-5 intervertebral level of extensor. A negative correlation was found between OLBPQ scores and isometric strength of the lumbar extensors. No serious adverse events were reported. Conclusion: The BoNT-A may have clinical utility in terms of pain reduction and functional improvement in patients with refractory chronic LBP. This therapy could serve as a suitable alternative for patients with refractory chronic LBP who experience no benefit from conservative treatments.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"152 - 159"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does Suprascapular Nerve Block Improve Shoulder Disability in Impingement Syndrome? A Randomized Placebo-Contolled Study 肩胛上神经阻滞能改善撞击综合征的肩部残疾吗?一项随机安慰剂对照研究

Journal of Musculoskeletal Pain Pub Date : 2014-05-27 DOI: 10.3109/10582452.2014.883026

Korhan Barış Bayram, S. Bal, Ismail Safa Satoglu, H. Koçyiğit, A. Gürgan, Serkan Akçay, C. Kazımoğlu

{"title":"Does Suprascapular Nerve Block Improve Shoulder Disability in Impingement Syndrome? A Randomized Placebo-Contolled Study","authors":"Korhan Barış Bayram, S. Bal, Ismail Safa Satoglu, H. Koçyiğit, A. Gürgan, Serkan Akçay, C. Kazımoğlu","doi":"10.3109/10582452.2014.883026","DOIUrl":"https://doi.org/10.3109/10582452.2014.883026","url":null,"abstract":"Abstract Objectives: A randomized placebo-controlled study was designed to determine the efficacy of suprascapular nerve block [SSNB] in the treatment of shoulder impingement syndrome. Methods: The study group consist of 96 patients who were randomized to an injection group [n = 51] or a placebo group [n = 45]. Patients in the group receiving active treatment had a single SSNB while patients in the control group received a placebo injection of normal saline. The evaluations were performed in terms of visual analog scale for pain intensity, and constant shoulder score [CSS] for shoulder function. Results: The SSNB group showed significant improvments compared with the placebo group with respect to pain improvment and shoulder function at the 2-week and 3-month follow-up periods. Conclusion: Suprascapular nerve block is a very effective treatment in shoulder impingement syndrome. It improves pain, disability, and range of movement at the shoulder compared with placebo.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"170 - 174"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Complex Regional Pain Syndrome in an Adult Following Tetanus–Diphteria Toxoid Vaccine: Case Report and Review of the Literature 成人破伤风-白喉类毒素疫苗接种后的复杂局部疼痛综合征:病例报告和文献回顾

Journal of Musculoskeletal Pain Pub Date : 2014-05-27 DOI: 10.3109/10582452.2014.883023

A. Seyrek, O. Yemişçi, Seyhan Sozay

引用次数: 1

Fibromyalgia Literature Review 纤维肌痛文献综述

Journal of Musculoskeletal Pain Pub Date : 2014-03-01 DOI: 10.3109/10582452.2014.885476

M. Spaeth

{"title":"Fibromyalgia Literature Review","authors":"M. Spaeth","doi":"10.3109/10582452.2014.885476","DOIUrl":"https://doi.org/10.3109/10582452.2014.885476","url":null,"abstract":"It has been shown that pathophysiology of fibromyalgia syndrome [FMS] involves disturbed neuroendocrine function, including impaired function of the growth hormone/insulin-like growth factor-1 axis. Recently, micro ribonueclic acids [RNAs] have been detected to be important regulatory factors in a number of diseases. The aim of this study was to try to identify cerebrospinal microRNAs with expression specific for FMS and to determine their correlation to pain and fatigue. The genome-wide profile of microRNAs in cerebrospinal fluid was assessed in 10 women with FMS and eight healthy controls using real-time quantitative polymerase chain reaction. Pain thresholds were examined by algometry. Levels of pain [FIQ pain] were rated on a 0–100 mm scale [Fibromyalgia Impact Questionnaire [FIQ]]. Levels of fatigue [FIQ fatigue] were rated on a 0–100 mm scale using the FIQ and by the multidimensional fatigue inventory [MFI-20] general fatigue [MFIGF]. Expression levels of nine microRNAs were significantly lower in patients with FMS patients [n1⁄4 10] compared with healthy controls [n1⁄4 8]. The microRNAs identified were miR-21-5p, miR-145-5p, miR-29 a-3p, miR-99b-5p, miR-125b5p, miR-23 a-3p, 23b-3p, miR-195-5p, and miR223-3p. The identified microRNAs with significantly lower expression in FMS were assessed with regard to pain and fatigue. miR-145-5p correlated positively with FIQ pain [r1⁄4 0.709, p1⁄4 0.022, n1⁄4 10] and with FIQ fatigue [r1⁄4 0.687, p1⁄4 0.028, n1⁄4 10]. This study highlights a disease-specific pattern of cerebrospinal microRNAs in 10 FMS patients as compared with eight healthy controls. One of the identified microRNAs, miR-145, was associated with the cardinal symptoms of FMS, pain, and fatigue. This very interesting finding needs confirmation in studies with larger cohorts.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"106 - 110"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.885476","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Other Soft Tissue Pain Conditions 其他软组织疼痛状况

Journal of Musculoskeletal Pain Pub Date : 2014-03-01 DOI: 10.3109/10582452.2014.885101

T. Romano

引用次数: 0

Myofascial Pain Syndrome: Trigger Points 肌筋膜疼痛综合征:触发点

Journal of Musculoskeletal Pain Pub Date : 2014-03-01 DOI: 10.3109/10582452.2014.885102

J. Dommerholt

引用次数: 1

Work Characteristics and Musculoskeletal Disorders among Postgraduate Dental Students: A Pilot Study 牙科研究生的工作特征与肌肉骨骼疾病:一项初步研究

Journal of Musculoskeletal Pain Pub Date : 2014-02-20 DOI: 10.3109/10582452.2014.883010

Ş. Kurşun, Ş. Evirgen, N. Akbulut, B. Oztaş, S. Vaizoğlu

{"title":"Work Characteristics and Musculoskeletal Disorders among Postgraduate Dental Students: A Pilot Study","authors":"Ş. Kurşun, Ş. Evirgen, N. Akbulut, B. Oztaş, S. Vaizoğlu","doi":"10.3109/10582452.2014.883010","DOIUrl":"https://doi.org/10.3109/10582452.2014.883010","url":null,"abstract":"Abstract Objectives: Dentists are at high risk of musculoskeletal disorders [MSD], which is one of the occupational health issues in healthcare workers. The aim of this study is to determine the prevalence and risk factors of MSD and to identify ergonomic conditions of postgraduate students in the Ankara University Faculty of Dentistry. Methods: A questionnaire was administered to 264 postgraduate dental students in different departments. After the students had completed the questionnaire, observers noted the ergonomic working conditions of the students and recorded their observations. Results: The prevalence of musculoskeletal pain was found to be 49 percent in postgraduate dental students. The lower back was found to be the most commonly affected area [34%]. No statistically significant difference was found among daily working time, duration of employment, and presence and intensity of pain [p > 0.05]. The prevalence of pain was higher among female than among male students participating in this study [p < 0.05]. Conclusions: These results emphasize the need for ergonomic preventive measures in dentistry including training on ergonomic principles from the beginning of the clinical period. Also, special attention should be paid to the design of the working environment in faculties conforming to ergonomic principles.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"79 1","pages":"62 - 67"},"PeriodicalIF":0.0,"publicationDate":"2014-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Journal of Musculoskeletal Pain Pub Date : 2014-02-20 DOI: 10.3109/10582452.2014.883035

Ju-Wen Cheng, W. Tsai, Tung-Yang Yu

{"title":"Gender-Related Effect of Aging on the Sonographic Appearance of Plantar Fascia","authors":"Ju-Wen Cheng, W. Tsai, Tung-Yang Yu","doi":"10.3109/10582452.2014.883035","DOIUrl":"https://doi.org/10.3109/10582452.2014.883035","url":null,"abstract":"Abstract Objectives: To investigate the association between demographic variables [especially age] and the sonographic appearance of the plantar fascia [PF]. Methods: Twenty-six healthy volunteers [52 feet, age 24–79 years] without inferior heel pain were recruited. The thickness of the PF of the participants was measured in sonographic examination. The mean grey level in the region of interest in the sonogram of each PF was calculated using image processing software. Pearson’s correlation and stepwise regression analyses were performed between demographic variables and sonographic measures. Results: The mean thickness of the PF was 0.319 ± 0.059 cm for men and 0.309 ± 0.093 cm for women. Stepwise regression analysis showed that age is an independent predictor of the thickness of the PF, and age and gender are independent predictors of echogenicity of the PF. Pearson’s correlation analysis showed significant positive correlations between age and thickness of the PF [r = 0.538] and between gender [male/female = 0/1] and echogenicity of the PF [r = 0.437]. A negative correlation between age and echogenicity of the PF [r = −0.344] was also shown. We divided the subjects into two gender-based groups and found significant correlations between age and sonographic measures only in the female group. Conclusions: The thickness of the PF increases and the echogenicity of the PF decreases with age. Although the echogenicity of the PF is higher in women than in men, the PF of women shows a greater association with aging.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"121 1","pages":"33 - 37"},"PeriodicalIF":0.0,"publicationDate":"2014-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3