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Prevalence of myofascial trigger points in patients with rheumatoid arthritis
Vítek, Jiří ; Čech, Zdeněk (advisor) ; Procházka, Michal (referee)
Bibliography VÍTEK, Jiří. Prevalence of myofascial trigger points in patients with rheumatoid arthritis. Prague: Charles University, 2nd Faculty of Medicine, Department of Rehabilitation and Sports Medicine, 2014. 98 p. Supervisor Zdeněk Čech DPT Abstract Objectives The main objective of this bachelor thesis is a pilot study to analyse the prevalence of myofascial trigger point ( MTrPs ) in patients with rheumatoid arthritis (RA). Methods The total number of 37 patients was examined. The patients were divided in three groups: 1) patients with rheumatoid arthritis, 2) patients with any other rheumatoid disease and 3) hospitalised patients without any rheumatoid disease. We monitored the frequency of typical clinical signs of MTrPs - taut band, spot of tenderness and a local twitch response in 18 selected muscles. Results It was confirmed that in patients with rheumatoid arthritis, age does not correspond with the number of myofascial trigger points. These assumptions were not confirmed: different prevalence of MTrPs in patients with RA compared to both control groups, the decreasing prevalence of MTrPs corelating with progression of RA, the effect of biological treatment on the prevalence of MTrPs, presence of acute inflammatory joints on the prevalence of MTrPs, the impact of sleep disorders on the...
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The comparation of triggerlytic effect of combination therapy (ultrasound + TENS) and ultra electrostimulation
Klesnilová, Eliška ; Demeková, Júlia (advisor) ; Kavka, Tomáš (referee)
The thesis deals with the effect of two methods of physical therapy on myofascial trigger point, in particular combined therapy (US + TENS) and ultra- electrostimulation. Furthermore, there is investigated whether the release of MTrP is reflected in values of pressure pain threshold in chained muscles and there is discussed the use of combined therapy as an objectification tool. The theoretical part of the thesis deals with general and latest knowledge about myofascial trigger points. There are discussed some possibilities of the therapy with emphasis on physical therapy and transcutaneous electroneurostimulation, which form the basis for combined therapy (CT) and ultra-electrostimulation. The research part evaluates the effect of combined therapy and ultra-electrostimulation on a group of 12 probands randomly divided into two subgroups. Values of pressure pain threshold sensitivity, visual analogue pain scale (VAS) and the minimum intensity of electric current necessary to induce muscle contraction (measured by combined therapy) are used for objectification. Ultra-electrostimulation has proven to be a more effective method in VAS values, but in summary, the results cannot be considered statistically significant. The effect of MTrP release (of the trapezius muscle) on the chained muscles could not...
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Myofascial headaches causes and physiotherapy treatment option
Beranová, Kateřina ; Bitnar, Petr (advisor) ; Kövári, Martina (referee)
This bachelor thesis is written in form of background research. The aim of this study was to summarize types of myofascial headaches, causes and treatment options in the field of physical therapy. This thesis focuses as well on comparsion of recent foreign scientific studies concerned with nonfarmacological treatment of headaches in general. First part of the thesis describes forms of headaches, mostly treatable with physical therapy. One chapter is dedicated to myofascial trigger points. In the other part physical therapy treatments are explained and compared individually, enumeration of physical therapy techniques, which are used and signifi cantly effect live in treatments of headaches as migraine, tension type headache and cervigenic headache. Powered by TCPDF (www.tcpdf.org)
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Myofascial trigger point dry needling
Halatová, Jana ; Čech, Zdeněk (advisor) ; Joachimová, Marie (referee)
The historical roots of dry needling go back to the fist half of the 20th century. According to huge spread of issues connected with myofascial trigger points in society, dry needling is together with other therapeutic methods more and more on the front burner all around the world. This bachelor thesis is theoretical and introduces dry needling as possible treatment of myofascial pain and myofascial pain syndrome. The first part is focused on characteristic of myofascial trigger points, in the next part is written detailed description of dry needling. Emphasis is put on explanation of mechanism of dry needling, its description, safety principles and possible contraindications. Different techniques, that can be used, and possible effects, including side effects, are described afterwards. Next part is devoted to case report of patient, who could be recommended for dry needling. In the annex is added schematic diagram, which describes possible proposal of procedure, when the dry needling is indicated. Powered by TCPDF (www.tcpdf.org)
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Prevalence of myofascial trigger points in patients with rheumatoid arthritis
Vítek, Jiří ; Čech, Zdeněk (advisor) ; Procházka, Michal (referee)
Bibliography VÍTEK, Jiří. Prevalence of myofascial trigger points in patients with rheumatoid arthritis. Prague: Charles University, 2nd Faculty of Medicine, Department of Rehabilitation and Sports Medicine, 2014. 98 p. Supervisor Zdeněk Čech DPT Abstract Objectives The main objective of this bachelor thesis is a pilot study to analyse the prevalence of myofascial trigger point ( MTrPs ) in patients with rheumatoid arthritis (RA). Methods The total number of 37 patients was examined. The patients were divided in three groups: 1) patients with rheumatoid arthritis, 2) patients with any other rheumatoid disease and 3) hospitalised patients without any rheumatoid disease. We monitored the frequency of typical clinical signs of MTrPs - taut band, spot of tenderness and a local twitch response in 18 selected muscles. Results It was confirmed that in patients with rheumatoid arthritis, age does not correspond with the number of myofascial trigger points. These assumptions were not confirmed: different prevalence of MTrPs in patients with RA compared to both control groups, the decreasing prevalence of MTrPs corelating with progression of RA, the effect of biological treatment on the prevalence of MTrPs, presence of acute inflammatory joints on the prevalence of MTrPs, the impact of sleep disorders on the...
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Evaluation of short-term effect of Extracorporeal shockwave therapy into muscular trriger points.
Novák, Jan ; Čech, Zdeněk (advisor) ; Vaculín, Šimon (referee)
Diplomová práce Hodnocení krátkodobého efektu aplikace rázové vlny na MTrP Abstract This thesis concerns the application of radial extracorporeal shockwave therapy into muscular trigger points. It's location is derived from the descending part of trapezius muscle on the side of the dominant upper extremity. The performance analysis is based on using partially double-blind placebo-controlled, randomized clinical trial. The effects of the therapy were investigated in 28 subjects divided into experimental and control groups and objectively manifested by measuring the pressure pain threshold. Furthermore, the measuring of the active range of motion of the cervical spine, and the measuring of the maximal voluntary wrist and third finger flexion (measured before and after the therapy). After the therapy, the pressure pain threshold value of the trigger point located in trapezius muscle increased on average from 199 to 295 kPa (p = 0,025). The cervical spine lateral flexion increased on average by 3 degrees towards to the side of non-dominant upper extremity (p = 0,045). This study also investigates the pressure pain threshold value changes of 7 reference points placed remotely from the area of the application. After the shockwave therapy, the pressure pain threshold values of these reference points increased on...
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Myofascial Trigger point and Two point discrimination changes in MTrP region
Homolka, Pavel ; Čech, Zdeněk (advisor) ; Strapková, Zuzana (referee)
The main purpose of this thesis, called The local changes in discriminatory sensation above a myofascial Trigger Point, was to assess the relationship of a local nociception in the form of the myofascial Trigger Point to the local discriminatory sensation. Based on the theoretical information, hypothesis concerning the relationship of MTrP and two point discrimination were experimentally checked. The subject of the research was the trigger point trapezius pars ascendens. Localized MTrP was clinically evaluated in terms of both static and dynamic factors. Using a palpometer, its sensitivity by level of pressure generated pain (pressure generated pain threshold) was rated. The quality of two-point discrimination was rated as well. Furthermore it was also rated how a made isometric relaxation changed the sensitivity as nociceptive so discriminatory. Discriminatory sensation (attention threshold (AT-TPD), stable threshold (SSV-TPD)) in the region above the trigger point was measured by a mechanical caliper with modified tips radius of 1mm. Generally 23 probands were examined, 11 of them had simultaneously diagnosed a presence of the constitutional hypermobility. The results of the work confirmed that the made isometric relaxation had a significant influence on the change of thresholds discrimination of two...
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