Is There an Association Between Lumbosacral Radiculopathy and Painful Gluteal Trigger Points?
| Autor: | Seyed Mehdi Ketabchi, Gholam Reza Raissi, Seyed Mostafa Jazayeri Shooshtari, Yoram Shir, Ali Jalali, Farhad Adelmanesh |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Trigger point therapy Cross-sectional study Physical Therapy Sports Therapy and Rehabilitation Primary outcome medicine Gluteal region Humans In patient Radiculopathy Myofascial Pain Syndromes medicine.diagnostic_test business.industry Rehabilitation Lumbosacral Region Trigger Points Magnetic resonance imaging Middle Aged medicine.disease Surgery body regions Cross-Sectional Studies Radicular pain Anesthesia Female Lumbosacral radiculopathy business Low Back Pain |
| Zdroj: | American Journal of Physical Medicine & Rehabilitation. 94:784-791 |
| ISSN: | 0894-9115 |
| Popis: | OBJECTIVE The objective of this study was to compare the prevalence of gluteal trigger point in patients with lumbosacral radiculopathy with that in healthy volunteers. DESIGN In a cross-sectional, multistage sampling method, patients with clinical, electromyographic, and magnetic resonance imaging findings consistent with lumbosacral radiculopathy were examined for the presence of gluteal trigger point. Age- and sex-matched clusters of healthy volunteers were selected as the control group. The primary outcome of the study was the presence or absence of gluteal trigger point in the gluteal region of the patients and the control group. RESULTS Of 441 screened patients, 271 met all the inclusion criteria for lumbosacral radiculopathy and were included in the study. Gluteal trigger point was identified in 207 (76.4%) of the 271 patients with radiculopathy, compared with 3 (1.9%) of 152 healthy volunteers (P < 0.001). The location of gluteal trigger point matched the side of painful radiculopathy in 74.6% of patients with a unilateral radicular pain. There was a significant correlation between the side of the gluteal trigger point and the side of patients' radicular pain (P < 0.001). CONCLUSIONS Although rare in the healthy volunteers, most of the patients with lumbosacral radiculopathy had gluteal trigger point, located at the painful side. Further studies are required to test the hypothesis that specific gluteal trigger point therapy could be beneficial in these patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|