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KMID : 1020120100080010023
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Journal of the Korean Academy of Clinical Electrophysiology
2010 Volume.8 No. 1 p.23 ~ p.29
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Ultrasound Imaging and Electrophysiological Characteristic According to Activity Levels of Myafascial Trigger Point
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Kim Hyung-Jin
Kim Su-Hyeon
Park Young-Hyun
Oh Seok
Choi Ji-Ho
Kim Tae-Yeol
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Abstract
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Purpose : This study is to offer clinical primary data that examines the change of imaging structure and the quantitative evaluation of muscle activity on myofascial trigger points. This study examines neuromuscular physiological characteristic by comparing the differences in physical findings, pressure pain threshold, imaging, and electrophysiological characteristics in latent and active myofascial trigger points muscle and normal muscle through the following experimental procedures.
Methods : The participants for the study were thirty-three adults in their twenties. We divided three groups into normal, latent and active myofascial trigger points groups by physical findings. We analyzed the results of measured pressure pain, threshold for pain, ultrasound imaging perform for structure characteristic of muscle, surface EMG according to type of muscle contraction for function of muscle contraction.
Results : Significant differences were indicated in pressure pain threshold (p<0.05). Significant differences were discovered in the ultrasound imaging analysis. There were increases in muscle Echogenicity white area index (p<0.001). There were significant differences that decrease in %MVIC (p<0.05), increase in MDF (p<0.05).
Conclusion : From these results, active rnyotascial trigger points muscle showed quality deterioration on ultrasound imaging and decreased function of muscle contraction, increased motor unit action potential of II type fiber, and electrophysiologically. Imaging structure and neuromuscular physiological characteristic can be diagnostic and quantitative analytical techniques for myofascial pain syndrome and a primary factor that reflected in physical therapy intervention.
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KEYWORD
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Myafascial Trigger Point, Pressure pain threshold, Ultrasonography, Surface FMG
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