Qualitative ultrasonography scale of the intensity of local twitch response during dry needling and its association with modified joint range of motion: a cross-sectional study

Autor: Antonio Cuesta-Vargas, Pablo Becerra, Rodrigo Latorre-García, Carlos Cruz-Montecinos, Mauricio Cerda, Rodrigo Núñez-Cortés, Claudio Tapia, Sandro R. Freitas
Přispěvatelé: [Cruz-Montecinos,C, Tapia,C, Núñez-Cortés,R, Latorre-García,R] Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile. [Cruz-Montecinos,C, Becerra,P] Laboratory of Biomechanics and Kinesiology, San José Hospital, Santiago, Chile. [Cerda,M] Integrative Biology Program, Institute of Biomedical Sciences, Faculty of Medicine, Universidad de Chile, Santiago, Chile. [Cerda,M] Center for Medical Informatics and Telemedicine, Faculty of Medicine, Universidad de Chile, Santiago, Chile. [Cerda,M] Biomedical Neuroscience Institute, Santiago, Chile. [Freitas,SR] Neuromuscular Research Lab, CIPER, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal. [Cuesta-Vargas,A] Departamento de Fisioterapia, Andalucía Tech, Catedra de Fisioterapia y Discapacidad, Instituto de Investigación Biomedica de Málaga (IBIMA), Clinimetria (F-14), Universidad de Málaga, Málaga, Spain. [Cuesta-Vargas,A] School of Clinical Science, Faculty of Health at Queensland University Technology, QLD, Brisbane, Australia., MC is funded by the National Agency for Research and Development (ANID) projects ICN09_015 FONDECYT 1211988, and PIA ACT192015.
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Range of Motion
medicine.medical_specialty
Scale (ratio)
Cross-sectional study
Estudios transversales
viruses
Dry needling
Puntos gatillo
Diseases of the musculoskeletal system
Asymptomatic
Amplitud del movimiento articular
Ultrasonografía
Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings]
Physical medicine and rehabilitation
Rheumatology
Analytical
Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Imaging::Ultrasonography [Medical Subject Headings]
Ultrasound
Medicine
Humans
Orthopedics and Sports Medicine
Punción seca
Range of Motion
Articular
Association (psychology)
Range of motion
Myofascial Pain Syndromes
Ultrasonography
Myofascial trigger point
Trigger points
business.industry
Research
Analytical
Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Range of Motion
Articular [Medical Subject Headings]
Local twitch response
Trigger Points
medicine.disease
Anatomy::Body Regions::Trigger Points [Medical Subject Headings]
Intensity (physics)
Diseases::Musculoskeletal Diseases::Muscular Diseases::Myofascial Pain Syndromes [Medical Subject Headings]
Analytical
Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional Studies [Medical Subject Headings]
Cross-Sectional Studies
RC925-935
Local Twitch Response
Dry Needling
medicine.symptom
business
Zdroj: BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-9 (2021)
BMC Musculoskeletal Disorders
ISSN: 1471-2474
Popis: BackgroundThe relevance of local twitch response (LTR) during dry needling technique (DNT) is controversial, and it is questioned whether LTR is necessary for successful outcomes. Furthermore, because the LTR during the deep DNT may be evoked with different intensities, it is unknown whether the magnitude of LTR intensity is associated with optimal clinical results, especially concerning to the effects of joint maximal range of motion (ROM). This study aimed to (i) determine whether visual inspections can quantify the LTR intensity during the DNT through a qualitative ultrasonography scale of LTR intensity (US-LTR scale), and (ii) assess the differences of US-LTR scale associated with changes in the maximal joint ROM.MethodsUsing a cross-sectional design, seven asymptomatic individuals were treated with DNT in the latent myofascial trigger point in both medial gastrocnemius muscles. During DNT, three consecutive LTRs were collected. The US-LTR scale was used to classify the LTRs into strong, medium, and weak intensities. The categories of US-LTR were differentiated by the velocity of LTRs using the optical flow algorithm. ROM changes in ankle dorsiflexion and knee extension were assessed before and immediately after DNT.ResultsThe US-LTR scale showed the third LTR was significantly smaller than the first one (p p p ConclusionsThe present findings suggest that the LTR intensity can be assessed using a qualitative US-LTR scale, and the effects of DNT on joint maximal ROM is maximized with higher LTR intensity. This study reports a novel qualitative method for LTR analysis with potential applications in research and clinical settings. However, further research is needed to achieve a broader application.
Databáze: OpenAIRE
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