PDF(Pubmed)
Abstract：
Musculoskeletal disorders, especially chronic muscle pain, have a significant impact on public health, affecting millions worldwide. This review examines recent advancements in the diagnosis and management of myofascial pain, with a focus on the refined application of trigger point theory. This theory now incorporates an intricate model that blends biomechanical and neurophysiological mechanisms, essential for understanding the initiation and persistence of pain, and necessitating targeted therapeutic interventions. Utilizing a methodical approach, this paper categorizes muscle pain into three types: Muscle Belly Pain, Origin-Insertion Pain, and Referred Pain, as delineated in the most recent edition of \"Myofascial Pain and Dysfunction-The Trigger Point Manual.\" Such classification enhances diagnostic precision and therapeutic effectiveness by establishing a specific treatment protocol for each type of pain. The paper discusses the implications of various treatments, such as dry needling and manual therapy, which are informed by empirically derived trigger point charts. These charts are instrumental in pinpointing the exact locations of pain sources and customizing treatment plans. Moreover, this review critically assesses the evolving nature of trigger point charts and champions a holistic approach to pain management. It underscores the necessity of integrating biomechanics, kinesiology, and compensatory mechanisms to provide a comprehensive understanding that allows practitioners to address not only symptomatic pain but also the root causes of musculoskeletal disorders, thereby enhancing long-term patient care outcomes in clinical environments.
摘要：
肌肉骨骼疾病，尤其是慢性肌肉疼痛,对公众健康有重大影响，影响全世界数百万人。这篇综述探讨了肌筋膜疼痛的诊断和治疗的最新进展，重点介绍了触发点理论的精细化应用。这个理论现在包含了一个复杂的模型，融合了生物力学和神经生理机制，对于理解疼痛的开始和持续至关重要，并需要有针对性的治疗干预措施。利用有条理的方法，本文将肌肉疼痛分为三种类型：肌肉肚皮痛，起源-插入疼痛，并引用疼痛，如最新版“肌筋膜疼痛和功能障碍-触发点手册”所述。这种分类通过为每种类型的疼痛建立特定的治疗方案来提高诊断精度和治疗效果。本文讨论了各种治疗方法的含义，如干针刺和手动治疗，由经验得出的触发点图表提供信息。这些图表有助于精确定位疼痛源的确切位置和定制治疗计划。此外，本综述严格评估了触发点图表的演变性质,并提出了疼痛管理的整体方法.它强调了整合生物力学的必要性，运动学,和代偿机制，以提供全面的理解，使从业者不仅能够解决症状性疼痛，而且还解决肌肉骨骼疾病的根本原因，从而提高临床环境中的长期患者护理结果。
