ALGORITHM FOR FUNCTIONAL ASSESSMENT IN PATIENTS WITH MYOFASCIAL PAIN SYNDROME

Authors

  • Stamenka Mitova South-West University "Neofit Rilski", Department of Kinesitherapy, Faculty of Public Health, Healthcare and Sports, Blagoevgrad, Bulgaria

Keywords:

myofascial pain syndrome, fascia, kinesitherapy, test

Abstract

Myofascial pain syndrome (MFPS) is a common clinical problem, arising from the muscles and produces sensory, motor and autonomic symptoms which are caused by myofascial trigger points that are focal areas of tenderness caused by hypercontracted muscle tissue. Chronic condition affects the fascia covering the muscles, characterized by the local and reflected pain may occur at any age, as well as in rheumatic and in many other diseases as a manifestation of inflammatory and / or degenerative-dystrophic process. A significant role in the development of MFPS play inherent characteristics of the musculoskeletal system: developmental abnormalities, Sacralisation and lumbarizatsiya spine spondiloliza, svrahmobilnost of joint deformities and others. Myofascial pain is a topical interdisciplinary problem and currently occupies a leading position among major pain syndromes in general medical practice. MFPS is one of the most common causes of back pain, neck and limbs. Treating MFPS usually involves a combination of medication and physiotherapy - special exercises, techniques for myofascial release using special balls and rollers, manual therapy and massage. Functional evaluation and monitoring of the dynamics of recovery is needed to make analytical selection of functional and performance tests corresponding to the dysfunction of the musculoskeletal system. Purpose: The purpose of this study is to develop and justify a test battery for functional assessment in patients with myofacial pain syndrome, based on comprehensive research. Research methodology: To achieve the goal of the research, the following methods are applied: Analysis of literature sources in theoretical aspect, related to the problem of MFPS; Expert evaluation. Results: Establishing the status of various aspects of the repair process in MFPS, after analysis of the literature and expert evaluation of the test battery for functional assessment include: History, Somatoscopy (examination), Palpation, Centimetry - a method for measuring the length and circumference of the limbs in centimeters. Functional examination (stiffness, muscular hypotrophy, etc.), skin examination, connective tissue examination, periosteal examination. Functional tests: - To assess the dynamic pain, or pain when moving - Test by the method of Merle O. Dobine; Visual-analog scale (VAS) for pain. Functional tests for examining the range of movement; Methods for assessing muscle strength and endurance. Assessment of the patient's psycho-functional condition through the SAN test before and after treatment. Conclusion: For functional assessment and monitoring of the dynamics of recovery in individuals with MFPS, an analytical selection was made and an algorithm for functional assessment of the musculoskeletal system was prepared.

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Published

2021-08-16

How to Cite

Mitova, S. (2021). ALGORITHM FOR FUNCTIONAL ASSESSMENT IN PATIENTS WITH MYOFASCIAL PAIN SYNDROME. KNOWLEDGE - International Journal , 47(4), 681–686. Retrieved from https://ikm.mk/ojs/index.php/kij/article/view/4839