000131155 001__ 131155
000131155 005__ 20240206154529.0
000131155 0248_ $$2sideral$$a65948
000131155 037__ $$aART-2009-65948
000131155 041__ $$aeng
000131155 100__ $$0(orcid)0000-0002-5770-5146$$aPerez-Palomares, Sara$$uUniversidad de Zaragoza
000131155 245__ $$aContributions of myofascial pain in diagnosis and treatment of shoulder pain. A randomized control trial
000131155 260__ $$c2009
000131155 5060_ $$aAccess copy available to the general public$$fUnrestricted
000131155 5203_ $$aBackground
Rotator cuff tendinopathy and subacromial impingement syndrome present complex patomechanical situations, frequent difficulties in clinical diagnosis and lack of effectiveness in treatment. Based on clinical experience, we have therefore considered the existence of another pathological entity as the possible origin of pain and dysfunction. The hypothesis of this study is to relate subacromial impingement syndrome (SIS) with myofascial pain syndrome (MPS), since myofascial trigger points (MTrPs) cause pain, functional limitation, lack of coordination and alterations in quality of movement, even prior to a tendinopathy. MTrPs can coexist with any degenerative subacromial condition. If they are not taken into consideration, they could perpetuate and aggravate the problem, hindering diagnosis and making the applied treatments ineffective.
The aims and methods of this study are related with providing evidence of the relationship that may exist between this condition and MPS in the diagnosis and treatment of rotator cuff tendonitis and/or SIS.
Method/design
A descriptive transversal study will be made to find the correlation between the diagnosis of SIS and rotator cuff tendonitis, positive provocation test responses, the existence of active MTrPs and the results obtained with ultrasonography (US) and Magnetic Renonance Imaging (MRI). A randomized double blinded clinical trial will be carried out in experimental conditions: A Protocolized treatment based on active and passive joint repositioning, stabilization exercises, stretching of the periarticular shoulder muscles and postural reeducation. B. The previously described protocolized treatment, with the addition of dry needling applied to active MTrPs with the purpose of isolating the efficacy of dry needling in treatment.
Discussion
This study aims to provide a new vision of shoulder pain, from the perspective of MPS. This syndrome can, by itself, account for shoulder pain and dysfunction, although it can coexist with real conditions involving the tendons.
000131155 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000131155 590__ $$a1.88$$b2009
000131155 591__ $$aORTHOPEDICS$$b17 / 56 = 0.304$$c2009$$dQ2$$eT1
000131155 591__ $$aRHEUMATOLOGY$$b17 / 24 = 0.708$$c2009$$dQ3$$eT3
000131155 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000131155 700__ $$aOlivan-Blazquez, Bárbara
000131155 700__ $$aArnal-Burro, Ana Mª
000131155 700__ $$aMayoral-Del Moral, Orlando
000131155 700__ $$aGaspar-Calvo, Elena
000131155 700__ $$aDe-La-Torre-Beldarrain, Mª Luisa$$uUniversidad de Zaragoza
000131155 700__ $$aLópez-Lapeña, Elena
000131155 700__ $$0(orcid)0000-0003-4334-4893$$aPérez-Benito, Marina$$uUniversidad de Zaragoza
000131155 700__ $$aAra-Loriente, Victoria
000131155 700__ $$aRomo-Calvo, Laura
000131155 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000131155 773__ $$g10 (2009), 92 [7 pp.]$$pBMC Musculoskelet. Disord.$$tBMC MUSCULOSKELETAL DISORDERS$$x1471-2474
000131155 8564_ $$s178756$$uhttps://zaguan.unizar.es/record/131155/files/texto_completo.pdf$$yVersión publicada
000131155 8564_ $$s2360795$$uhttps://zaguan.unizar.es/record/131155/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000131155 909CO $$ooai:zaguan.unizar.es:131155$$particulos$$pdriver
000131155 951__ $$a2024-02-06-14:45:10
000131155 980__ $$aARTICLE