Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Prevalence of Myofascial Trigger Points in Brachioradialis, Biceps Brachii, Triceps Brachii, Supinator and Extensor Carpi Radialis Brevis in Lateral Epicondylitis


Affiliations
1 Dr. D.Y. Patil College of Physiotherapy, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, India
     

   Subscribe/Renew Journal


Introduction– Myofascial pain syndrome (MPS) is a myalgic condition in which muscle and musculotendinous pain are the primary symptoms. Some muscles are likely to develop Myofascial trigger points in cases of lateral epicondylitis and become possible cause of mainstay of symptoms. Hence the study was undertaken to find the prevalence of myofascial trigger points in such muscles.

Methodology & Results – 40 individuals aged between 20-50 years fulfilling the inclusion criteria were selected for the study with acute and chronic lateral epicondylitis. Brachioradialis, Biceps Brachii, Triceps Brachii, Supinator and Extensor carpi radialis brevis were checked for the presence of trigger point by palpation. Pressure algometer was used to check the pain threshold of each point. When the subject reports feeling pain the action of pressure is stopped and reading is recorded.

Results showed a higher prevalence in females than males. The most prevalent area for trigger point was the brachioradialis followed by biceps brachii, extensor carpi radialis, triceps brachii and the least prevalent was the supinator.

Conclusion - This study provides that the relation between myofascial trigger points in lateral epicondylitis is relatively high especially in Brachioradialis, It also shows that latent trigger points don’t lead to severe functional disability.


Keywords

Tennis Elbow, Taut Band, Patient Related Tennis Elbow Evaluation, Myalgia.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Simons DG: Myofascial pain syndrome due to trigger points, Chapter 45. Rehabilitation Medicine edited by Joseph Goodgold. C.V. Mosby Co., St. Louis, 1988 (pp. 686-723).

  • Mora-Relucio, Raquel et al. “Experienced versus Inexperienced Interexaminer Reliability on Location and Classification of Myofascial Trigger Point Palpation to Diagnose Lateral Epicondylalgia: An Observational Cross-Sectional Study.” Evidence-based complementary and alternative medicine: eCAM vol. 2016 (2016): 6059719. doi:10.1155/2016/6059719

  • Gerwin, R.D. Current Review of Pain (1999) 3: 153. https://doi.org/10.1007/s11916-999-0040-y

  • Yaniv Shmushkevich, Leonid Kalichman. Myofacial pain in lateral epicondylalgia. Journal of bodywork and movement therapies. 2013; 17(4):434-9.

  • David J Magee, Orthopedic physical assessment, sixth edition.

  • Ylinen J et al (2007) Man Ther 12: 192–197.

  • Lemming D, Börsbo B, Sjörs A, Lind EB, Arendt-Nielsen L, Graven-Nielsen T, Gerdle B .Cuff Pressure Pain Detection Is Associated with Both Sex and Physical Activity Level in Nonathletic Healthy Subjects. Pain Med. 2017 Aug 1;18(8):1573-1581.

  • Kao M-J, Han T-I, Kuan T-S, Hsieh Y-L, Su B-H, Hong C-Z. Myofascial trigger points in early life. Arch Phys Med Rehabil 2007;88:251-4.


Abstract Views: 780

PDF Views: 0




  • Prevalence of Myofascial Trigger Points in Brachioradialis, Biceps Brachii, Triceps Brachii, Supinator and Extensor Carpi Radialis Brevis in Lateral Epicondylitis

Abstract Views: 780  |  PDF Views: 0

Authors

Amita Aggarwal
Dr. D.Y. Patil College of Physiotherapy, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, India
Jenit Daniel
Dr. D.Y. Patil College of Physiotherapy, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, India
Tushar J. Palekar
Dr. D.Y. Patil College of Physiotherapy, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, India

Abstract


Introduction– Myofascial pain syndrome (MPS) is a myalgic condition in which muscle and musculotendinous pain are the primary symptoms. Some muscles are likely to develop Myofascial trigger points in cases of lateral epicondylitis and become possible cause of mainstay of symptoms. Hence the study was undertaken to find the prevalence of myofascial trigger points in such muscles.

Methodology & Results – 40 individuals aged between 20-50 years fulfilling the inclusion criteria were selected for the study with acute and chronic lateral epicondylitis. Brachioradialis, Biceps Brachii, Triceps Brachii, Supinator and Extensor carpi radialis brevis were checked for the presence of trigger point by palpation. Pressure algometer was used to check the pain threshold of each point. When the subject reports feeling pain the action of pressure is stopped and reading is recorded.

Results showed a higher prevalence in females than males. The most prevalent area for trigger point was the brachioradialis followed by biceps brachii, extensor carpi radialis, triceps brachii and the least prevalent was the supinator.

Conclusion - This study provides that the relation between myofascial trigger points in lateral epicondylitis is relatively high especially in Brachioradialis, It also shows that latent trigger points don’t lead to severe functional disability.


Keywords


Tennis Elbow, Taut Band, Patient Related Tennis Elbow Evaluation, Myalgia.

References