Cargando…
Prevalence of Myofascial Trigger Points in Patients with Mild to Moderate Painful Knee Osteoarthritis: A Secondary Analysis
Objective: To determine the prevalence of myofascial trigger points (MTrPs) and the correlation between the number of MTrPs and pain and function in patients presenting knee pain osteoarthritis (OA). Methods: This was a secondary analysis of data from a cross-sectional study. The prevalence of MTrPs...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7464556/ https://www.ncbi.nlm.nih.gov/pubmed/32784592 http://dx.doi.org/10.3390/jcm9082561 |
_version_ | 1783577392772546560 |
---|---|
author | Sánchez Romero, Eleuterio A. Fernández Carnero, Josué Villafañe, Jorge Hugo Calvo-Lobo, César Ochoa Sáez, Victoria Burgos Caballero, Verónica Laguarta Val, Sofia Pedersini, Paolo Pecos Martín, Daniel |
author_facet | Sánchez Romero, Eleuterio A. Fernández Carnero, Josué Villafañe, Jorge Hugo Calvo-Lobo, César Ochoa Sáez, Victoria Burgos Caballero, Verónica Laguarta Val, Sofia Pedersini, Paolo Pecos Martín, Daniel |
author_sort | Sánchez Romero, Eleuterio A. |
collection | PubMed |
description | Objective: To determine the prevalence of myofascial trigger points (MTrPs) and the correlation between the number of MTrPs and pain and function in patients presenting knee pain osteoarthritis (OA). Methods: This was a secondary analysis of data from a cross-sectional study. The prevalence of MTrPs located in tensor fasciae latae, hip adductors, hamstrings, quadriceps, gastrocnemius, and popliteus muscles was studied in 114 patients (71 men and 43 women) with knee OA. Pain and functionality were assessed with a numerical pain rating scale (NPRS), the Western Ontario, McMaster Universities Osteoarthritis Index (WOMAC) score, the Barthel Index, and the timed up and go test. Results: The prevalence of latent MTrPs was detected via palpation and was estimated to be 50%, 35%, 25%, 29%, 33%, and 12% for tensor fasciae latae, hip adductors, hamstrings, quadriceps, gastrocnemius, and popliteus muscles, respectively. The prevalence of active MTrPs was estimated to be 11%, 17%, 30%, 18%, 25%, and 17% for tensor fasciae latae, hip adductors, hamstrings, quadriceps, gastrocnemius, and popliteus muscles, respectively. Pain was measured with the NPRS scale and was poorly correlated with the prevalence of latent MTrPs (r = 0.2; p = 0.03) and active MTrPs (r = 0.23; p = 0.01) in the hamstrings. Disability was moderately correlated with the number of latent MTrPs in the tensor fasciae latae muscle (Barthel, r = 0.26; p = 0.01 and WOMAC, r = 0.19; p = 0.04). Conclusions: This secondary analysis found that the prevalence of the MTrPs varied from 11% to 50% in different muscles of patients with mild to moderate painful knee osteoarthritis. Pain was correlated poorly with the prevalence of latent and active MTrPs in the hamstring muscles, and disability correlated moderately with the number of latent MTrPs in tensor fasciae latae. |
format | Online Article Text |
id | pubmed-7464556 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-74645562020-09-04 Prevalence of Myofascial Trigger Points in Patients with Mild to Moderate Painful Knee Osteoarthritis: A Secondary Analysis Sánchez Romero, Eleuterio A. Fernández Carnero, Josué Villafañe, Jorge Hugo Calvo-Lobo, César Ochoa Sáez, Victoria Burgos Caballero, Verónica Laguarta Val, Sofia Pedersini, Paolo Pecos Martín, Daniel J Clin Med Article Objective: To determine the prevalence of myofascial trigger points (MTrPs) and the correlation between the number of MTrPs and pain and function in patients presenting knee pain osteoarthritis (OA). Methods: This was a secondary analysis of data from a cross-sectional study. The prevalence of MTrPs located in tensor fasciae latae, hip adductors, hamstrings, quadriceps, gastrocnemius, and popliteus muscles was studied in 114 patients (71 men and 43 women) with knee OA. Pain and functionality were assessed with a numerical pain rating scale (NPRS), the Western Ontario, McMaster Universities Osteoarthritis Index (WOMAC) score, the Barthel Index, and the timed up and go test. Results: The prevalence of latent MTrPs was detected via palpation and was estimated to be 50%, 35%, 25%, 29%, 33%, and 12% for tensor fasciae latae, hip adductors, hamstrings, quadriceps, gastrocnemius, and popliteus muscles, respectively. The prevalence of active MTrPs was estimated to be 11%, 17%, 30%, 18%, 25%, and 17% for tensor fasciae latae, hip adductors, hamstrings, quadriceps, gastrocnemius, and popliteus muscles, respectively. Pain was measured with the NPRS scale and was poorly correlated with the prevalence of latent MTrPs (r = 0.2; p = 0.03) and active MTrPs (r = 0.23; p = 0.01) in the hamstrings. Disability was moderately correlated with the number of latent MTrPs in the tensor fasciae latae muscle (Barthel, r = 0.26; p = 0.01 and WOMAC, r = 0.19; p = 0.04). Conclusions: This secondary analysis found that the prevalence of the MTrPs varied from 11% to 50% in different muscles of patients with mild to moderate painful knee osteoarthritis. Pain was correlated poorly with the prevalence of latent and active MTrPs in the hamstring muscles, and disability correlated moderately with the number of latent MTrPs in tensor fasciae latae. MDPI 2020-08-07 /pmc/articles/PMC7464556/ /pubmed/32784592 http://dx.doi.org/10.3390/jcm9082561 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Sánchez Romero, Eleuterio A. Fernández Carnero, Josué Villafañe, Jorge Hugo Calvo-Lobo, César Ochoa Sáez, Victoria Burgos Caballero, Verónica Laguarta Val, Sofia Pedersini, Paolo Pecos Martín, Daniel Prevalence of Myofascial Trigger Points in Patients with Mild to Moderate Painful Knee Osteoarthritis: A Secondary Analysis |
title | Prevalence of Myofascial Trigger Points in Patients with Mild to Moderate Painful Knee Osteoarthritis: A Secondary Analysis |
title_full | Prevalence of Myofascial Trigger Points in Patients with Mild to Moderate Painful Knee Osteoarthritis: A Secondary Analysis |
title_fullStr | Prevalence of Myofascial Trigger Points in Patients with Mild to Moderate Painful Knee Osteoarthritis: A Secondary Analysis |
title_full_unstemmed | Prevalence of Myofascial Trigger Points in Patients with Mild to Moderate Painful Knee Osteoarthritis: A Secondary Analysis |
title_short | Prevalence of Myofascial Trigger Points in Patients with Mild to Moderate Painful Knee Osteoarthritis: A Secondary Analysis |
title_sort | prevalence of myofascial trigger points in patients with mild to moderate painful knee osteoarthritis: a secondary analysis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7464556/ https://www.ncbi.nlm.nih.gov/pubmed/32784592 http://dx.doi.org/10.3390/jcm9082561 |
work_keys_str_mv | AT sanchezromeroeleuterioa prevalenceofmyofascialtriggerpointsinpatientswithmildtomoderatepainfulkneeosteoarthritisasecondaryanalysis AT fernandezcarnerojosue prevalenceofmyofascialtriggerpointsinpatientswithmildtomoderatepainfulkneeosteoarthritisasecondaryanalysis AT villafanejorgehugo prevalenceofmyofascialtriggerpointsinpatientswithmildtomoderatepainfulkneeosteoarthritisasecondaryanalysis AT calvolobocesar prevalenceofmyofascialtriggerpointsinpatientswithmildtomoderatepainfulkneeosteoarthritisasecondaryanalysis AT ochoasaezvictoria prevalenceofmyofascialtriggerpointsinpatientswithmildtomoderatepainfulkneeosteoarthritisasecondaryanalysis AT burgoscaballeroveronica prevalenceofmyofascialtriggerpointsinpatientswithmildtomoderatepainfulkneeosteoarthritisasecondaryanalysis AT laguartavalsofia prevalenceofmyofascialtriggerpointsinpatientswithmildtomoderatepainfulkneeosteoarthritisasecondaryanalysis AT pedersinipaolo prevalenceofmyofascialtriggerpointsinpatientswithmildtomoderatepainfulkneeosteoarthritisasecondaryanalysis AT pecosmartindaniel prevalenceofmyofascialtriggerpointsinpatientswithmildtomoderatepainfulkneeosteoarthritisasecondaryanalysis |