Skeletal muscle contractility, self-reported pain and tissue sensitivity in females with neckshoulder pain and upper Trapezius myofascial trigger points-- a randomized intervention study 英文参考文献.docVIP

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Skeletal muscle contractility, self-reported pain and tissue sensitivity in females with neckshoulder pain and upper Trapezius myofascial trigger points-- a randomized intervention study 英文参考文献.doc

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Skeletal muscle contractility, self-reported pain and tissue sensitivity in females with neckshoulder pain and upper Trapezius myofascial trigger points-- a randomized intervention study 英文参考文献

Myburghetal.ChiropracticManualTherapies2012,20:36 /content/20/1/36 CHIROPRACTIC MANUAL THERAPIES RESEARCH OpenAccess Skeletalmusclecontractility,self-reportedpain andtissuesensitivityinfemaleswithneck/ shoulderpainandupperTrapeziusmyofascial triggerpoints–arandomizedinterventionstudy CorrieMyburgh1,2*,JanHartvigsen1,2,PerAagaard1andAndersHolsgaard-Larsen3 Abstract Background:InrelationtoMyofascialTriggerpoints(MFTrPs)oftheupperTrapezius,thisstudyexploredmuscle contractilitycharacteristics,theoccurrenceofpost-interventionmusclesorenessandtheeffectofdryneedlingon musclecontractilecharacteristicsandclinicaloutcomes. Methods:Seventy-sevenfemaleofficeworkers(25-46yrs)withandwithoutneck/shoulderpainwereobservedwith respecttoself-reportedpain(NRS-101),pressure-painthreshold(PPT),maximumvoluntarycontraction(Fmax )and rateofforcedevelopment(RFD)atbaseline(pre-intervention),immediatelypost-interventionand48hours post-intervention.Symptomaticandasymptomaticparticipantgroupswereeachrandomizedintotwotreatment sub-groups(superficial(SDN)anddeepdryneedling(DDN))afterbaselinetesting.At48hourspost-intervention participantswereaskedwhetherdelayedonsetmusclesoreness(DOMS)and/orpost-needlingsorenesshad developed. Results:Musclecontractilecharacteristicsdidnotdifferbetweengroupsatbaseline.Forty-sixindividualsdeveloped musclesoreness(39frommechanicaltestingandsevenfromneedling).Nointer-groupdifferenceswereobserved post-interventionforFmax orRFDforthefoursub-groups.Overtheobservationperiod,symptomaticparticipants reportedlesspainfrombothSDN(p=0.003)andDDN(p=0.011).However,PPTlevelswerereducedforall participants(p=0.029).ThosereportingDOMSexperiencedsignificantdecreasesinPPT,irrespectiveofsymptom stateorintervention(p=0.001). Conclusions:Inselectedfemaleneck/shoulderpainsufferers,maximumvoluntarycontractionandrapidforce generationoftheupperTrapeziuswasnotinfluencedbyclinicallyrelevantself-reportedpainorthepresenceof diagnosticallyrelevantMFTrPs.Dryneedling,deeporsuperficial,didnotaffe