Is Shear-Wave Elastography a Clinical Severity Indicator of Myofascial Pain Syndrome? An Observational Study
Since manual palpation is a subjective procedure for identifying and differentiate Myofascial Trigger Points -MTrPs-, the use of Shear Wave Elastography -SWE- as an objective alternative is increasing. This study aimed to analyze pain pressure thresholds -PPTs- and SWE differences between active MTr...
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| Format: | Article |
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MDPI AG
2021-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/13/2895 |
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| author | Juan Antonio Valera-Calero Sandra Sánchez-Jorge Jorge Buffet-García Umut Varol Gracia María Gallego-Sendarrubias Javier Álvarez-González |
| author_facet | Juan Antonio Valera-Calero Sandra Sánchez-Jorge Jorge Buffet-García Umut Varol Gracia María Gallego-Sendarrubias Javier Álvarez-González |
| author_sort | Juan Antonio Valera-Calero |
| collection | DOAJ |
| description | Since manual palpation is a subjective procedure for identifying and differentiate Myofascial Trigger Points -MTrPs-, the use of Shear Wave Elastography -SWE- as an objective alternative is increasing. This study aimed to analyze pain pressure thresholds -PPTs- and SWE differences between active MTrPs, latent MTrPs and control points located in the upper trapezius to analyze the association of SWE features with clinical severity indicators (e.g., pain extension area, PPTs, neck pain and neck disability). An observational study was conducted to calculate the correlation and to analyze the differences of sociodemographic, clinical and SWE features on 34 asymptomatic subjects with latent MTrPs and 19 patients with neck pain and active MTrPs. Significant PPT differences between active with latent MTrPs (<i>p</i> < 0.001) and control points (<i>p</i> < 0.001) were found, but no differences between latent MTrPs and control points (<i>p</i> > 0.05). No stiffness differences were found between active MTrPs with latent MTrPs or control points (<i>p</i> > 0.05). However, significant control point stiffness differences between-samples were found (<i>p</i> < 0.05). SWE showed no significant correlation with clinical severity indicators (<i>p</i> > 0.05). No stiffness differences between active and latent MTrPs were found. Neck pain patients showed increased control point stiffness compared with asymptomatic subjects. SWE showed no association with clinical severity indicators. |
| first_indexed | 2024-03-10T09:58:14Z |
| format | Article |
| id | doaj.art-efbd5a4cb559411593549b17e9e6eb65 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T09:58:14Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-efbd5a4cb559411593549b17e9e6eb652023-11-22T02:12:10ZengMDPI AGJournal of Clinical Medicine2077-03832021-06-011013289510.3390/jcm10132895Is Shear-Wave Elastography a Clinical Severity Indicator of Myofascial Pain Syndrome? An Observational StudyJuan Antonio Valera-Calero0Sandra Sánchez-Jorge1Jorge Buffet-García2Umut Varol3Gracia María Gallego-Sendarrubias4Javier Álvarez-González5Department of Physical Therapy, Universidad Camilo José Cela, Calle Castillo de Alarcón 49, Villanueva de la Cañada, 28692 Madrid, SpainHealth Sciences Faculty, Universidad Francisco de Vitoria, Pozuelo de Alarcón, 28223 Madrid, SpainHealth Sciences Faculty, Universidad Francisco de Vitoria, Pozuelo de Alarcón, 28223 Madrid, SpainIE School of Human Sciences and Technology, 28006 Madrid, SpainDepartment of Physical Therapy, Universidad Camilo José Cela, Calle Castillo de Alarcón 49, Villanueva de la Cañada, 28692 Madrid, SpainHealth Sciences Faculty, Universidad Francisco de Vitoria, Pozuelo de Alarcón, 28223 Madrid, SpainSince manual palpation is a subjective procedure for identifying and differentiate Myofascial Trigger Points -MTrPs-, the use of Shear Wave Elastography -SWE- as an objective alternative is increasing. This study aimed to analyze pain pressure thresholds -PPTs- and SWE differences between active MTrPs, latent MTrPs and control points located in the upper trapezius to analyze the association of SWE features with clinical severity indicators (e.g., pain extension area, PPTs, neck pain and neck disability). An observational study was conducted to calculate the correlation and to analyze the differences of sociodemographic, clinical and SWE features on 34 asymptomatic subjects with latent MTrPs and 19 patients with neck pain and active MTrPs. Significant PPT differences between active with latent MTrPs (<i>p</i> < 0.001) and control points (<i>p</i> < 0.001) were found, but no differences between latent MTrPs and control points (<i>p</i> > 0.05). No stiffness differences were found between active MTrPs with latent MTrPs or control points (<i>p</i> > 0.05). However, significant control point stiffness differences between-samples were found (<i>p</i> < 0.05). SWE showed no significant correlation with clinical severity indicators (<i>p</i> > 0.05). No stiffness differences between active and latent MTrPs were found. Neck pain patients showed increased control point stiffness compared with asymptomatic subjects. SWE showed no association with clinical severity indicators.https://www.mdpi.com/2077-0383/10/13/2895myofascial pain syndromestrigger pointsneck painelasticity imaging techniques |
| spellingShingle | Juan Antonio Valera-Calero Sandra Sánchez-Jorge Jorge Buffet-García Umut Varol Gracia María Gallego-Sendarrubias Javier Álvarez-González Is Shear-Wave Elastography a Clinical Severity Indicator of Myofascial Pain Syndrome? An Observational Study Journal of Clinical Medicine myofascial pain syndromes trigger points neck pain elasticity imaging techniques |
| title | Is Shear-Wave Elastography a Clinical Severity Indicator of Myofascial Pain Syndrome? An Observational Study |
| title_full | Is Shear-Wave Elastography a Clinical Severity Indicator of Myofascial Pain Syndrome? An Observational Study |
| title_fullStr | Is Shear-Wave Elastography a Clinical Severity Indicator of Myofascial Pain Syndrome? An Observational Study |
| title_full_unstemmed | Is Shear-Wave Elastography a Clinical Severity Indicator of Myofascial Pain Syndrome? An Observational Study |
| title_short | Is Shear-Wave Elastography a Clinical Severity Indicator of Myofascial Pain Syndrome? An Observational Study |
| title_sort | is shear wave elastography a clinical severity indicator of myofascial pain syndrome an observational study |
| topic | myofascial pain syndromes trigger points neck pain elasticity imaging techniques |
| url | https://www.mdpi.com/2077-0383/10/13/2895 |
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