The Relationship Between Latent Myofascial Trigger Point and Range of Motion of Knee Flexor and Extensor Muscles
DOI:
https://doi.org/10.17309/tmfv.2023.2.06Keywords:
Latent Myofascial Trigger point, Myofascial Pain Syndrome, Range of Motion, Flexibility, Pain Pressure ThresholdAbstract
The study purpose was to assess the relationship between Latent Myofascial Trigger Point and range of motion in the lower limb of athletes. A lower Pain pressure threshold (< 25 lbs/cm2) in muscles indicates the presence of a latent myofascial trigger point.
Materials and methods. Initially, the study involved 46 male Athletes (aged 20-23 years) as participants. The pain pressure threshold was measured by the pressure algometer (FPX 25 Wagner Instruments, Greenwich, CT, USA) to detect latent myofascial trigger points on the hamstring and quadriceps muscles. Out of 46 participants, 23 tested positive with a latent myofascial trigger point, and rest of them tested negative with a latent myofascial trigger point. All the participants measured knee flexor and extensor range of motion with the Kinovea software (version 0.9.5). In descriptive statistics, mean and standard deviation were used, and Pearson correlation was used to determine the relationship between the variables. The level of significance was set at 0.05.
Results. A significant correlation was found between Latent Myofascial Trigger Points and lower limb range of motion (p < 0.05), and it was also observed that the magnitude of correlation coefficient was very large (0.7–0.9).
Conclusions. Latent Myofascial Trigger Points impair sports performance by decreasing the range of motion of knee flexors and extensors. In light of this, Latent Myofascial Trigger Point should be considered a serious musculoskeletal disorder, and appropriate preventative measures should be taken by health professionals.
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Das, R., & Jhajharia, B. (2022b). Correlation between latent myofascial trigger point and peak torque production of lower limb muscles on sports person. JPES 22(9), 2224-2230. https://doi.org/10.7752/jpes.2022.09283 DOI: https://doi.org/10.7752/jpes.2022.09283
Öztürk, Ö., FeyziOğlu, Ö., Güven, F., & ÇeviK Saldiran, T. (2022). Myotonometric Evaluation of Latent Myofascial Trigger Points and Taut Band in Elite Athletes. Journal of Basic and Clinical Health Sciences. https://doi.org/10.30621/jbachs.959275 DOI: https://doi.org/10.30621/jbachs.959275
Charles, D., Hudgins, T., MacNaughton, J., Newman, E., Tan, J., & Wigger, M. (2019). A systematic review of manual therapy techniques, dry cupping and dry needling in the reduction of myofascial pain and myofascial trigger points. Journal of Bodywork and Movement Therapies, 23(3), 539-546. https://doi.org/10.1016/j.jbmt.2019.04.001 DOI: https://doi.org/10.1016/j.jbmt.2019.04.001
Das, R., & Jhajharia, B. (2022a). Fascia and Myofascial Pain Syndrome -An Overview. Asian Pac. J. Health Sci., 9(4s), 228-232. https://doi.org/10.21276/apjhs.2022.9.4S.44 DOI: https://doi.org/10.21276/apjhs.2022.9.4S.44
Cygańska, A. K., Tomaszewski, P., & Cabak, A. (2022). Pain threshold in selected trigger points of superficial muscles of the back in young adults. PeerJ, 10, e12780. https://doi.org/10.7717/peerj.12780 DOI: https://doi.org/10.7717/peerj.12780
Walsh, R., Kinsella, S., & McEvoy, J. (2019). The effects of dry needling and radial extracorporeal shockwave therapy on latent trigger point sensitivity in the quadriceps: A randomised control pilot study. Journal of Bodywork and Movement Therapies, 23(1), 82-88. https://doi.org/10.1016/j.jbmt.2018.02.010 DOI: https://doi.org/10.1016/j.jbmt.2018.02.010
Lee, J.-W., Lee, J.-H., & Kim, S.-Y. (2020). Use of Acupuncture for the Treatment of Sports-Related Injuries in Athletes: A Systematic Review of Case Reports. International Journal of Environmental Research and Public Health, 17(21), 8226. https://doi.org/10.3390/ijerph17218226 DOI: https://doi.org/10.3390/ijerph17218226
Xia, P., Wang, X., Lin, Q., Cheng, K., & Li, X. (2017). Effectiveness of ultrasound therapy for myofascial pain syndrome: A systematic review and meta-analysis. Journal of Pain Research, 10, 545-555. https://doi.org/10.2147/JPR.S131482 DOI: https://doi.org/10.2147/JPR.S131482
Wilke, J., Vogt, L., & Banzer, W. (2018). Immediate effects of self-myofascial release on latent trigger point sensitivity: A randomized, placebo-controlled trial. Biology of Sport, 35(4), 349-354. https://doi.org/10.5114/biolsport.2018.78055 DOI: https://doi.org/10.5114/biolsport.2018.78055
Kisilewicz, A., Janusiak, M., Szafraniec, R., Smoter, M., Ciszek, B., Madeleine, P., Fernández-de-Las-Peñas, C., & Kawczyński, A. (2018). Changes in Muscle Stiffness of the Trapezius Muscle after Application of Ischemic Compression into Myofascial Trigger Points in Professional Basketball Players. Journal of Human Kinetics, 64(1), 35-45. https://doi.org/10.2478/hukin-2018-0043 DOI: https://doi.org/10.2478/hukin-2018-0043
Nuzzo, J. L. (2020). The Case for Retiring Flexibility as a Major Component of Physical Fitness. Sports Medicine, 50(5), 853-870. https://doi.org/10.1007/s40279-019-01248-w DOI: https://doi.org/10.1007/s40279-019-01248-w
Cejudo, A. (2021). Lower Extremity Flexibility Profile in Basketball Players: Gender Differences and Injury Risk Identification. International Journal of Environmental Research and Public Health, 18(22), 11956. https://doi.org/10.3390/ijerph182211956 DOI: https://doi.org/10.3390/ijerph182211956
Cejudo, A., Sainz de Baranda, P., Ayala, F., De Ste Croix, M., & Santonja-Medina, F. (2020). Assessment of the Range of Movement of the Lower Limb in Sport: Advantages of the ROM-SPORT I Battery. International Journal of Environmental Research and Public Health, 17(20), 7606. https://doi.org/10.3390/ijerph17207606 DOI: https://doi.org/10.3390/ijerph17207606
Diker, G., Struzik, A., Ön, S., & Zileli, R. (2022). The Relationship between the Hamstring-to-Quadriceps Ratio and Jumping and Sprinting Abilities of Young Male Soccer Players. International Journal of Environmental Research and Public Health, 19(12), 7471. https://doi.org/10.3390/ijerph19127471 DOI: https://doi.org/10.3390/ijerph19127471
Osailan, A., Jamaan, A., Talha, K., & Alhndi, M. (2021). Instrument assisted soft tissue mobilization (IASTM) versus stretching: A comparison in effectiveness on hip active range of motion, muscle torque and power in people with hamstring tightness. Journal of Bodywork and Movement Therapies, 27, 200-206. https://doi.org/10.1016/j.jbmt.2021.03.001 DOI: https://doi.org/10.1016/j.jbmt.2021.03.001
Girasol, C. E., Dibai-Filho, A. V., de Oliveira, A. K., & de Jesus Guirro, R. R. (2018). Correlation Between Skin Temperature Over Myofascial Trigger Points in the Upper Trapezius Muscle and Range of Motion, Electromyographic Activity, and Pain in Chronic Neck Pain Patients. Journal of Manipulative and Physiological Therapeutics, 41(4), 350-357. https://doi.org/10.1016/j.jmpt.2017.10.009 DOI: https://doi.org/10.1016/j.jmpt.2017.10.009
Benito-de-Pedro, M., Becerro-de-Bengoa-Vallejo, R., Elena Losa-Iglesias, M., Rodríguez-Sanz, D., López-López, D., Palomo-López, P., Mazoteras-Pardo, V., & Calvo-Lobo, and C. (2020). Effectiveness of Deep Dry Needling vs Ischemic Compression in the Latent Myofascial Trigger Points of the Shortened Triceps Surae from Triathletes on Ankle Dorsiflexion, Dynamic, and Static Plantar Pressure Distribution: A Clinical Trial. Pain Medicine, 21(2), e172–e181. https://doi.org/10.1093/pm/pnz222 DOI: https://doi.org/10.1093/pm/pnz222
Zuil-Escobar, J. C., Martínez-Cepa, C. B., Martín-Urrialde, J. A., & Gómez-Conesa, A. (2015). Prevalence of myofascial trigger points and diagnostic criteria of different muscles in function of the medial longitudinal arch. Archives of Physical Medicine and Rehabilitation, 96(6), 1123-1130. https://doi.org/10.1016/j.apmr.2015.02.017 DOI: https://doi.org/10.1016/j.apmr.2015.02.017
Fernández-González, P., Koutsou, A., Cuesta-Gómez, A., Carratalá-Tejada, M., Miangolarra-Page, J. C., & Molina-Rueda, F. (2020). Reliability of Kinovea® Software and Agreement with a Three-Dimensional Motion System for Gait Analysis in Healthy Subjects. Sensors, 20(11), 3154. https://doi.org/10.3390/s20113154 DOI: https://doi.org/10.3390/s20113154
Puig-Diví, A., Escalona-Marfil, C., Padullés-Riu, J. M., Busquets, A., Padullés-Chando, X., & Marcos-Ruiz, D. (2019). Validity and reliability of the Kinovea program in obtaining angles and distances using coordinates in 4 perspectives. PLOS ONE, 14(6), e0216448. https://doi.org/10.1371/journal.pone.0216448 DOI: https://doi.org/10.1371/journal.pone.0216448
Ortega-Santiago, R., González-Aguado, Á. J., Fernández-de-las-Peñas, C., Cleland, J. A., de-la-Llave-Rincón, A. I., Kobylarz, M. D., & Plaza-Manzano, G. (2020). Pressure pain hypersensitivity and referred pain from muscle trigger points in elite male wheelchair basketball players. Brazilian Journal of Physical Therapy, 24(4), 333-341. https://doi.org/10.1016/j.bjpt.2019.05.008 DOI: https://doi.org/10.1016/j.bjpt.2019.05.008
Chesterton, L. S., Sim, J., Wright, C. C., & Foster, N. E. (2007). Interrater Reliability of Algometry in Measuring Pressure Pain Thresholds in Healthy Humans, Using Multiple Raters. The Clinical Journal of Pain, 23(9), 760-766. https://doi.org/10.1097/AJP.0b013e318154b6ae DOI: https://doi.org/10.1097/AJP.0b013e318154b6ae
e Silva, D. C. C. M., de Andrade Alexandre, D. J., & Silva, J. G. (2018). Immediate effect of myofascial release on range of motion, pain and biceps and rectus femoris muscle activity after total knee replacement. Journal of Bodywork and Movement Therapies, 22(4), 930-936. https://doi.org/10.1016/j.jbmt.2017.12.003 DOI: https://doi.org/10.1016/j.jbmt.2017.12.003
Martín-Fuentes, I., & van den Tillaar, R. (2022). Relationship between Step-by-Step Foot Kinematics and Sprint Performance. International Journal of Environmental Research and Public Health, 19(11), 6786. https://doi.org/10.3390/ijerph19116786 DOI: https://doi.org/10.3390/ijerph19116786
Benito-de-Pedro, Becerro-de-Bengoa-Vallejo, Losa-Iglesias, Rodríguez-Sanz, López-López, Cosín-Matamoros, Martínez-Jiménez, & Calvo-Lobo. (2019). Effectiveness between Dry Needling and Ischemic Compression in the Triceps Surae Latent Myofascial Trigger Points of Triathletes on Pressure Pain Threshold and Thermography: A Single Blinded Randomized Clinical Trial. Journal of Clinical Medicine, 8(10), 1632. https://doi.org/10.3390/jcm8101632 DOI: https://doi.org/10.3390/jcm8101632
Das, R., Jhajharia, B., Ciocan, V., Sharma, A., & Majumdar, I. (2022). Myofascial Trigger Points and its Influence on Athletic performance- A Review. NeuroQuantology, 20, 467-483. https://doi.org/10.48047/nq.2022.20.19.NQ99043
Agung, I., Murdana, N., Purba, H., & Fuady, A. (2018). Low-level laser therapy and dry needling for myofascial pain syndrome of the upper trapezius muscle: An interventional study. Journal of Physics: Conference Series, 1073, 062045. https://doi.org/10.1088/1742-6596/1073/6/062045 DOI: https://doi.org/10.1088/1742-6596/1073/6/062045
Park, K. D., Lee, W. Y., Park, M., Ahn, J. K., & Park, Y. (2018). High- versus low-energy extracorporeal shock-wave therapy for myofascial pain syndrome of upper trapezius: A prospective randomized single blinded pilot study. Medicine, 97(28), e11432. https://doi.org/10.1097/MD.0000000000011432 DOI: https://doi.org/10.1097/MD.0000000000011432
Toghtamesh, M., Bashardoust Tajali, S., & Jalaei, S. (2021). Comparing Between the Effects of Dry Needling and Shock Wave in the Treatment of Trapezius Myofascial Pain. Journal of Modern Rehabilitation. https://doi.org/10.18502/jmr.v14i4.7720 DOI: https://doi.org/10.18502/jmr.v14i4.7720
Pereira, A., Teixeira, C., Pereira, K., Ferreira, L., Marques, M., & Silva, A. G. (2021). Neural Mobilization Short-Term Dose Effect on the Lower-Limb Flexibility and Performance in Basketball Athletes: A Randomized, Parallel, and Single-Blinded Study. Journal of Sport Rehabilitation, 30(7), 1060-1066. https://doi.org/10.1123/jsr.2020-0389 DOI: https://doi.org/10.1123/jsr.2020-0389
Knapik, D. M., LaTulip, S., Salata, M. J., Voos, J. E., & Liu, R. W. (2019). Impact of Routine Gastrocnemius Stretching on Ankle Dorsiflexion Flexibility and Injury Rates in High School Basketball Athletes. Orthopaedic Journal of Sports Medicine, 7(4), 232596711983677. https://doi.org/10.1177/2325967119836774 DOI: https://doi.org/10.1177/2325967119836774
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Copyright (c) 2023 Rajdeep Das, Birendra Jhajharia, Vasile Catalin Ciocan, Indu Majumdar, Arnav Sharma

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