ABSTRACT
The authors draw attention to the role of a whiplash injury in the pathogenesis of scapulohumeral periarthrosis (SHP). Peculiarities of the specific pathological biomechanical changes associated with this condition are described. The study included a group of 64 patients in whom the localization of the myofascial trigger points (MFTT) of the shortened muscles is described with reference to the differential techniques for soft-tissue manual therapy. Spatial emphasis is laid on the diagnostic dynamic ischemic compression of trigger points (TT) for their inactivation using the method proposed by J. Travel in the original modifications proposed by the authors of the present article. The results of the application of myofascial meridional reflexotherapy of scapulohumeral periarthrosis are presented and analysed in the context of the combined spa and health resort-based treatment.
Subject(s)
Myofascial Pain Syndromes/rehabilitation , Periarthritis/rehabilitation , Reflexotherapy , Female , Health Resorts , Humans , Male , Scapula/pathology , Trigger Points/pathologyABSTRACT
The authors present a detailed description of the following diagnostic and therapeutic modalities: palpation techniques for the detection of myofascial trigger points, the dynamic ischemic compression maneuver that makes it possible to identify the pathomorphological substrate of the trigger point lying deep in the muscular tissue, and the methods of musculofascial meridional reflexotherapy for the alleviation ofmyofascial pains. The importance of the correction of structural disproportions in the musculoskeletal apparatus potentiating inactivation of myofscial trigger points (MfTP) is emphasized.
Subject(s)
Abdominal Muscles , Myofascial Pain Syndromes/diagnosis , Myofascial Pain Syndromes/therapy , Reflexotherapy/methods , Trigger Points , Abdominal Muscles/innervation , Adult , Aged , Female , Humans , Male , Meridians , Middle Aged , Myofascial Pain Syndromes/diagnostic imaging , Radiography , Treatment OutcomeABSTRACT
This paper summarizes experience gained in the Central Military Sanatorium, Sochi, in the field of diagnosis, treatment, and rehabilitation of patients with myofascial pain syndrome affecting the quadratum lumborum muscle. Conditions facilitating development of triggering myofascial structures in these muscles are analysed and methods of their diagnosis are discussed. The proposed compression test allows active trigger structures to be identified in the quadratum lumborum muscle. Detailed description of the method of myofascial meridional reflexotherapy is presented (ischemic compression of condensed trigger structures or points with dry needling, taking account of the breathing act). The authors emphasize the importance of correction of structural disproportions responsible for the formation of myofascial trigger structures.