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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
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Europa Medicophysica 2003 March;39(1):37-43

language: English

Trigger points. Update of the clinical aspects

Testa M. 1, 2, Barbero M. 1, Gherlone F. 1, 3

1 Department of Dentistry IRCCS San Raffaele Hospital of Milan, Milan, Italy
2 Formazione Avanzata in Terapia Manuale Faculty of Medicine University of Genova, Genoa, Italy
3 Faculty of Medicine University Vita e Salute of Milan, Milan, Italy


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Myofascial Trigger ­points ­often con­sti­tute an ­extre-­mely impor­tant ele­ment with­in ­the clin­i­cal syn­dromes of pain­ful con­di­tion. Nevertheless in lit­er­a­ture ­the ­term myo­fas­cial trig­ger ­point (TrP) ­and ­its relat­ed clin­i­cal fea­tures ­are ­often ­used in a gen­er­al ­non-spe­cif­ic ­way. The effec­tive treat­ment of TrPs deter­mines a sig­nif­i­cant reduc­tion of ­the ­pain as point­ed ­out by sev­er­al ­authors. Our ­review ­tries to estab­lish ­some evi­dence-­based rec­om­men­da­tions ­for ­the assess­ment of ­the clin­i­cal ­signs spe­cif­i­cal­ly relat­ed to TrP. Several ­authors ­point ­out ­the effi­ca­cy of dif­fer­ent ther­a­peu­tic approach­es in reduc­ing ­pain ­and improv­ing func­tion­al lim­i­ta­tions. To be effec­tive, ­such prac­tic­es ­require a ­high lev­el of spe­cif­ic train­ing ­for iden­ti­fy­ing TrPs. Our ­review ­was con­duct­ed on Medline, Embase ­and Pedro data­base with­out ­time restric­tion ­using ­the fol­low­ing key­words: myo­fas­cial trig­ger ­point, trig­ger ­point, phys­i­cal exam­ina­tion, inter­rat­er reli­abil­ity. Despite of ­high num­ber of ­papers ­retrieved, ­only a ­few arti­cles ­were ­focused on ­the assess­ment top­ic. Nevertheless ­some ­signs ­could be con­sid­ered as use­ful ­basic ­tool with­in ­the diag­nos­tic pro­cess of ­the man­age­ment of myo­fas­cial ­pain syn­dromes (­MPS) asso­ciat­ed ­with TrPs.

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