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Halil Unalan - One of the best experts on this subject based on the ideXlab platform.
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comparison of high power Pain Threshold ultrasound therapy with local injection in the treatment of active myofascial trigger points of the upper trapezius muscle
Archives of Physical Medicine and Rehabilitation, 2011Co-Authors: Halil Unalan, Javid Majlesi, Filiz Aydin, Deniz PalamarAbstract:Abstract Unalan H, Majlesi J, Aydin FY, Palamar D. Comparison of high-power Pain Threshold ultrasound therapy with local injection in the treatment of active myofascial trigger points of the upper trapezius muscle. Objective To compare the effects of high-power Pain Threshold ultrasound (HPPTUS) therapy and local anesthetic injection on Pain and active cervical lateral bending in patients with active myofascial trigger points (MTrPs) of the upper trapezius muscle. Design Randomized single-blinded controlled trial. Setting Physical medicine and rehabilitation department of university hospital. Participants Subjects (N=49) who had active MTrPs of the upper trapezius muscle. Interventions HPPTUS or trigger point injection (TrP). Main Outcome Measures Visual analog scale, range of motion (ROM) of the cervical spine, and total length of treatments. Results All patients in both groups improved significantly in terms of Pain and ROM, but there was no statistically significant difference between groups. Mean numbers of therapy sessions were 1 and 1.5 in the local injection and HPPTUS groups, respectively. Conclusions We failed to show differences between the HPPTUS technique and TrP injection in the treatment of active MTrPs of the upper trapezius muscle. The HPPTUS technique can be used as an effective alternative to TrP injection in the treatment of myofascial Pain syndrome.
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high power Pain Threshold ultrasound technique in the treatment of active myofascial trigger points a randomized double blind case control study
Archives of Physical Medicine and Rehabilitation, 2004Co-Authors: Javid Majlesi, Halil UnalanAbstract:Abstract Majlesi J, Unalan H. High-power Pain Threshold ultrasound technique in the treatment of active myofascial trigger points: a randomized, double-blind, case-control study. Arch Phys Med Rehabil 2004;85:833-6. Objective To study what effects a high-power, Pain-Threshold, static ultrasound technique applied to acute myofascial trigger points of the upper trapezius has on Pain and on active cervical lateral bending. Design Double-blind randomized trial. Setting Physical therapy unit of a private general hospital. Participants Seventy-two adults with acute Pain on 1 side of the neck, admitted to the outpatient unit during 1999 and 2000. Interventions Not applicable. Main outcome measures Visual analog scale and goniometric measurement of active lateral bending of the neck performed daily after treatment sessions and length of treatment (number of therapy sessions). Results High-power ultrasound applied to the trigger points before stretching the muscle was more effective ( P P Conclusions High-power, Pain-Threshold, static ultrasound technique may be considered in the treatment of patients with acute myofascial Pain syndrome, with the understanding that this technique demands more concentration and communication between the patient and the therapist.
Kazunori Nosaka - One of the best experts on this subject based on the ideXlab platform.
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changes in electrical Pain Threshold of fascia and muscle after initial and secondary bouts of elbow flexor eccentric exercise
European Journal of Applied Physiology, 2015Co-Authors: Anthony J Blazevich, Michael Newton, Sam Shi Xuan Wu, Kazunori NosakaAbstract:Purpose This study investigated changes in electrical Pain Threshold (EPT) after repeated eccentric exercise bouts to test the hypothesis that fascia would become more sensitive than muscle when greater delayed onset muscle soreness (DOMS) is induced. Methods Ten young men performed two eccentric exercise bouts (ECC1, ECC2) consisting of ten sets of six maximal isokinetic eccentric contractions of the elbow flexors with the same arm separated by 4 weeks. Maximal voluntary isometric contraction torque, range of motion, muscle soreness assessed by a visual analogue scale (VAS) and pressure Pain Threshold (PPT) were measured before, immediately after and 1–5 days after exercise. EPT was assessed in the biceps brachii fascia (BBF), biceps brachii muscle, and brachialis fascia (BF) 1 day before, immediately after, and 1, 2 and 4 days after exercise. Results All measures showed smaller changes (P < 0.05) after ECC2 than ECC1. EPT decreased after both bouts and the largest decreases were evident at 2 days post-exercise (P < 0.05). The decreases in EPT after ECC1 were greater (P < 0.05) for both BBF (Baseline: 1.45 ± 0.23 mA, 2 days post-exercise: 0.13 ± 0.11 mA) and BF (1.64 ± 0.29 mA, 0.26 ± 0.2 mA) than muscle (1.56 ± 0.29 mA, 0.69 ± 0.33 mA). Changes in EPT were correlated with the changes in PPT (r = 0.63–0.87, P ≤ 0.05) but not with VAS (r = −0.01 to 0.50). Conclusion These results show that fascia becomes more sensitive than muscle to electrical stimulation after the initial eccentric exercise, suggesting that damage inflammation to fascia than muscle fibres is more associated with DOMS.
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changes in electrical Pain Threshold of fascia and muscle after initial and secondary bouts of elbow flexor eccentric exercise
European Journal of Applied Physiology, 2015Co-Authors: Wing Yin Lau, Anthony J Blazevich, Michael J Newton, Kazunori NosakaAbstract:This study investigated changes in electrical Pain Threshold (EPT) after repeated eccentric exercise bouts to test the hypothesis that fascia would become more sensitive than muscle when greater delayed onset muscle soreness (DOMS) is induced. Ten young men performed two eccentric exercise bouts (ECC1, ECC2) consisting of ten sets of six maximal isokinetic eccentric contractions of the elbow flexors with the same arm separated by 4 weeks. Maximal voluntary isometric contraction torque, range of motion, muscle soreness assessed by a visual analogue scale (VAS) and pressure Pain Threshold (PPT) were measured before, immediately after and 1–5 days after exercise. EPT was assessed in the biceps brachii fascia (BBF), biceps brachii muscle, and brachialis fascia (BF) 1 day before, immediately after, and 1, 2 and 4 days after exercise. All measures showed smaller changes (P < 0.05) after ECC2 than ECC1. EPT decreased after both bouts and the largest decreases were evident at 2 days post-exercise (P < 0.05). The decreases in EPT after ECC1 were greater (P < 0.05) for both BBF (Baseline: 1.45 ± 0.23 mA, 2 days post-exercise: 0.13 ± 0.11 mA) and BF (1.64 ± 0.29 mA, 0.26 ± 0.2 mA) than muscle (1.56 ± 0.29 mA, 0.69 ± 0.33 mA). Changes in EPT were correlated with the changes in PPT (r = 0.63–0.87, P ≤ 0.05) but not with VAS (r = −0.01 to 0.50). These results show that fascia becomes more sensitive than muscle to electrical stimulation after the initial eccentric exercise, suggesting that damage inflammation to fascia than muscle fibres is more associated with DOMS.
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visual analog scale and pressure Pain Threshold for delayed onset muscle soreness assessment
Faculty of Health; Institute of Health and Biomedical Innovation, 2013Co-Authors: Wing Yin Lau, Makii Muthalib, Kazunori NosakaAbstract:Objectives: To investigate the relationship between two assessments to quantify delayed onset muscle soreness [DOMS]: visual analog scale [VAS] and pressure Pain Threshold [PPT]. Methods: Thirty-one healthy young men [25.8 ± 5.5 years] performed 10 sets of six maximal eccentric contractions of the elbow flexors with their non-dominant arm. Before and one to four days after the exercise, muscle Pain perceived upon palpation of the biceps brachii at three sites [5, 9 and 13 cm above the elbow crease] was assessed by VAS with a 100 mm line [0 = no Pain, 100 = extremely Painful], and PPT of the same sites was determined by an algometer. Changes in VAS and PPT over time were compared amongst three sites by a two-way repeated measures analysis of variance, and the relationship between VAS and PPT was analyzed using a Pearson product-moment correlation. Results: The VAS increased one to four days after exercise and peaked two days post-exercise, while the PPT decreased most one day post-exercise and remained below baseline for four days following exercise [p < 0.05]. No significant difference among the three sites was found for VAS [p = 0.62] or PPT [p = 0.45]. The magnitude of change in VAS did not significantly correlate with that of PPT [r = −0.20, p = 0.28]. Conclusion: These results suggest that the level of muscle Pain is not region-specific, at least among the three sites investigated in the study, and VAS and PPT provide different information about DOMS, indicating that VAS and PPT represent different aspects of Pain.
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visual analog scale and pressure Pain Threshold for delayed onset muscle soreness assessment
Journal of Musculoskeletal Pain, 2013Co-Authors: Wing Yin Lau, Makii Muthalib, Kazunori NosakaAbstract:AbstractObjectives: To investigate the relationship between two assessments to quantify delayed onset muscle soreness [DOMS]: visual analog scale [VAS] and pressure Pain Threshold [PPT].Methods: Thirty-one healthy young men [25.8 ± 5.5 years] performed 10 sets of six maximal eccentric contractions of the elbow flexors with their non-dominant arm. Before and one to four days after the exercise, muscle Pain perceived upon palpation of the biceps brachii at three sites [5, 9 and 13 cm above the elbow crease] was assessed by VAS with a 100 mm line [0 = no Pain, 100 = extremely Painful], and PPT of the same sites was determined by an algometer. Changes in VAS and PPT over time were compared amongst three sites by a two-way repeated measures analysis of variance, and the relationship between VAS and PPT was analyzed using a Pearson product-moment correlation.Results: The VAS increased one to four days after exercise and peaked two days post-exercise, while the PPT decreased most one day post-exercise and remain...
Javid Majlesi - One of the best experts on this subject based on the ideXlab platform.
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comparison of high power Pain Threshold ultrasound therapy with local injection in the treatment of active myofascial trigger points of the upper trapezius muscle
Archives of Physical Medicine and Rehabilitation, 2011Co-Authors: Halil Unalan, Javid Majlesi, Filiz Aydin, Deniz PalamarAbstract:Abstract Unalan H, Majlesi J, Aydin FY, Palamar D. Comparison of high-power Pain Threshold ultrasound therapy with local injection in the treatment of active myofascial trigger points of the upper trapezius muscle. Objective To compare the effects of high-power Pain Threshold ultrasound (HPPTUS) therapy and local anesthetic injection on Pain and active cervical lateral bending in patients with active myofascial trigger points (MTrPs) of the upper trapezius muscle. Design Randomized single-blinded controlled trial. Setting Physical medicine and rehabilitation department of university hospital. Participants Subjects (N=49) who had active MTrPs of the upper trapezius muscle. Interventions HPPTUS or trigger point injection (TrP). Main Outcome Measures Visual analog scale, range of motion (ROM) of the cervical spine, and total length of treatments. Results All patients in both groups improved significantly in terms of Pain and ROM, but there was no statistically significant difference between groups. Mean numbers of therapy sessions were 1 and 1.5 in the local injection and HPPTUS groups, respectively. Conclusions We failed to show differences between the HPPTUS technique and TrP injection in the treatment of active MTrPs of the upper trapezius muscle. The HPPTUS technique can be used as an effective alternative to TrP injection in the treatment of myofascial Pain syndrome.
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high power Pain Threshold ultrasound technique in the treatment of active myofascial trigger points a randomized double blind case control study
Archives of Physical Medicine and Rehabilitation, 2004Co-Authors: Javid Majlesi, Halil UnalanAbstract:Abstract Majlesi J, Unalan H. High-power Pain Threshold ultrasound technique in the treatment of active myofascial trigger points: a randomized, double-blind, case-control study. Arch Phys Med Rehabil 2004;85:833-6. Objective To study what effects a high-power, Pain-Threshold, static ultrasound technique applied to acute myofascial trigger points of the upper trapezius has on Pain and on active cervical lateral bending. Design Double-blind randomized trial. Setting Physical therapy unit of a private general hospital. Participants Seventy-two adults with acute Pain on 1 side of the neck, admitted to the outpatient unit during 1999 and 2000. Interventions Not applicable. Main outcome measures Visual analog scale and goniometric measurement of active lateral bending of the neck performed daily after treatment sessions and length of treatment (number of therapy sessions). Results High-power ultrasound applied to the trigger points before stretching the muscle was more effective ( P P Conclusions High-power, Pain-Threshold, static ultrasound technique may be considered in the treatment of patients with acute myofascial Pain syndrome, with the understanding that this technique demands more concentration and communication between the patient and the therapist.
Deniz Palamar - One of the best experts on this subject based on the ideXlab platform.
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comparison of high power Pain Threshold ultrasound therapy with local injection in the treatment of active myofascial trigger points of the upper trapezius muscle
Archives of Physical Medicine and Rehabilitation, 2011Co-Authors: Halil Unalan, Javid Majlesi, Filiz Aydin, Deniz PalamarAbstract:Abstract Unalan H, Majlesi J, Aydin FY, Palamar D. Comparison of high-power Pain Threshold ultrasound therapy with local injection in the treatment of active myofascial trigger points of the upper trapezius muscle. Objective To compare the effects of high-power Pain Threshold ultrasound (HPPTUS) therapy and local anesthetic injection on Pain and active cervical lateral bending in patients with active myofascial trigger points (MTrPs) of the upper trapezius muscle. Design Randomized single-blinded controlled trial. Setting Physical medicine and rehabilitation department of university hospital. Participants Subjects (N=49) who had active MTrPs of the upper trapezius muscle. Interventions HPPTUS or trigger point injection (TrP). Main Outcome Measures Visual analog scale, range of motion (ROM) of the cervical spine, and total length of treatments. Results All patients in both groups improved significantly in terms of Pain and ROM, but there was no statistically significant difference between groups. Mean numbers of therapy sessions were 1 and 1.5 in the local injection and HPPTUS groups, respectively. Conclusions We failed to show differences between the HPPTUS technique and TrP injection in the treatment of active MTrPs of the upper trapezius muscle. The HPPTUS technique can be used as an effective alternative to TrP injection in the treatment of myofascial Pain syndrome.
Cesar Fernandezdelaspenas - One of the best experts on this subject based on the ideXlab platform.
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immediate effects on pressure Pain Threshold following a single cervical spine manipulation in healthy subjects
Journal of Orthopaedic & Sports Physical Therapy, 2007Co-Authors: Cesar Fernandezdelaspenas, Marta Perezdeheredia, Miguel Brearivero, Juan Carlos MiangolarrapageAbstract:Design A placebo, control, repeated-measures, single-blinded randomized study. Objectives To compare the immediate effects on pressure Pain Threshold (PPT) tested over the lateral elbow region following a single cervical high-velocity low-amplitude (HVLA) thrust manipulation, a sham-manual application (placebo), or a control condition; and to analyze if a different effect was evident on the side ipsilateral to, compared to the side contralateral to, the intervention. Background Previous studies investigating the effects of spinal manual therapy used passive mobilization procedures. There is a lack of studies exploring the effect of cervical manipulative interventions. Methods Fifteen asymptomatic volunteers (7 male, 8 female; aged 19–25 years) participated in this study. Each subject attended 3 experimental sessions on 3 separate days, at least 48 hours apart. At each session, subjects received either the manipulation, placebo, or control intervention provided by an experienced therapist. The manipulative...
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increased pericranial tenderness decreased pressure Pain Threshold and headache clinical parameters in chronic tension type headache patients
The Clinical Journal of Pain, 2007Co-Authors: Cesar Fernandezdelaspenas, Lars Arendtnielsen, M L Cuadrado, Juan A ParejaAbstract:ObjectiveThe aim was to investigate whether increased pericranial tenderness or decreased pressure Pain Threshold (PPT) was related to headache intensity, duration, and frequency in chronic tension-type headache (CTTH).MethodsTwenty-five CTTH patients and 25 matched controls were studied. A headache
