Here is some of the information I recently shared in my July newsletter. Each newsletter has a specific focus. This month is focused on neck pain and injuries. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
TABLE OF CONTENTS
STUDIES and ARTICLES
I receive a weekly update on anything published anywhere on the internet that includes information about neck pain, injuries, and treatments. I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: email@example.com
1. A study titled Pillow preferences of people with neck pain and known spinal degeneration: a pilot randomized controlled trial, published in European Journal of Physical and Rehabilitation Medicine in Sep 2019, enrolled 117 people. Each tested latex pillows polyester pillows and their usual pillow for 28 days. The polyester pillow significantly increased side flexion on waking. The latex pillow did not perform well on any outcome measure.
2. An article titled Prevalence of neck pain among dentists, published in Drug Invention Today in Aug 2019 indicates that 56% of dentists surveyed suffered from neck pain for 10-15 years. The study concluded that the majority of dental practitioners acquired the development of cervical spondylosis.
3. A study titled Effect of isometric exercises on pain and disability in patients with chronic neck pain, published in the European Journal of Physical Education and Sport Science in 2019, concluded: our study showed that physical therapy and neck isometric exercises and cervical joint opening exercises together with stretching exercises of back extensors were effective in chronic neck pain.
4. A study titled Effects of Thoracic Mobility Exercise on Cervicothoracic Function, Posture, and Pain in Individuals with Mechanical Neck Pain, published in Physical Therapy Korea in Sept 2019 focused on “individuals with mechanical neck pain showing biomechanical and neurophysiological changes, including cervical spine muscle weakness. As a result of deep muscle weakness, it causes stability disability and reduced upper thoracic spine mobility, which finally leads to functional movement restriction such as limited range of motion and dysfunction." Conclusion: Thoracic mobility exercises during 6 weeks might be an effective intervention to improve the functional level, posture feature, and QVAS pain rating for managing individuals with mechanical neck pain.
5. A study titled Short-term effects of kinesiology taping in the treatment of latent and active upper trapezius trigger points: two prospective, randomized, sham-controlled trials, published in Scientific Report in Oct 2019, concluded: results of this study do not support the use of the space correction KT technique to treat patients with latent or active myofascial trigger points in the upper trapezius muscle.
6. A study titled Effect of Kinesiology taping and posture stabilizing exercise on pain, cranio-vertebral angle, proprioception in adults with forward head posture, published in the Journal of International Academy of Physical Therapy Research in 2019, concluded: the application of posture setting exercise could decrease pain, proprioceptive error and increase craniovertebral angle on forward head posture.
7. A study, titled Neck muscle activation and head kinematics when using a smartphone while walking, published in Sage Journals in Nov 2019 evaluated the neck muscular load of smartphone use while walking. The results indicate two-handed texting while walking poses a larger muscular load to the neck extensor muscles compared to when conducting one-handed browsing while walking due to the larger head tilt angle.
8. A study titled Adding Temperomandibular joint treatments to routine physiotherapy for patients with non-specific chronic neck pain: a randomized clinical study, published in the Journal of Bodywork and Movement Therapies in April 2020 concluded: adding treatments of TMJ to routine neck physiotherapy can magnify the effect of the intervention, a significant change still in evidence at follow up.
9. A study titled The relationship between forward head posture and neck pain: a systematic review and meta-analysis, published at SpringerLink in Nov 2019 concluded: adults with neck pain show increased forward head posture when compared to asymptomatic adults and that forward head posture is significantly correlated with neck pain measures in adults and older adults. No association was found between forward head posture and most of neck pain measures in adolescents.
10. A study titled Effect of Dry Needling Injection and Kinesiotaping on Pain and Quality of Life in Patients with Mechanical Neck Pain, published in Pain Physician in Oct 2019, concluded: both methods were found to be effective on pain, mood, and quality of life and Kinesiotaping was found to be superior to dry needling in Mechanical neck pain in terms of increasing ROM and decreasing disability.
Here is some of the information I recently shared in my May newsletter. Each newsletter has a specific focus. This month is focused on the shoulders and rotator cuffs. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
NOTE: This will be the final newsletter about Shoulders and Rotator cuffs. I want to thank each of you for your interest in receiving the newsletters. I know many of you are also receiving some of my other newsletters and those newsletter will continue. If you are not receiving the other newsletters and would be interested, please let me know to add you to the list: chronic pain & Fibromyalgia, upper cross and neck, foot & ankle problems, PTSD & trauma, fascia & trigger points, lymph & lymph drainage, cupping, aromatherapy.
STUDIES and ARTICLES
I receive a weekly update on anything published anywhere on the internet that includes information about shoulder and rotator cuff injuries and treatments. I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: firstname.lastname@example.org
1. Whitney Lowe, on his website for Academy of Clinical Massage, posted a great article titled Hooked on Shoulder Pain which provides an excellent discussion of the subacromial space and impingement.
2. A study, titled Distorted distance perception to reachable points in people with chronic shoulder pain, published in Musculoskeletal Science and Practice in July 2019, suggested: this study aimed to investigate whether people with chronic shoulder pain show perceptual distortions of space and body that may promote protective behavior and concluded: results suggest that distorted perception is not a typical consequence of chronic shoulder pain, however, that it may occur in cases where pain is strongly linked to movement.
3. A study, titled Vibration as an adjunct to exercise: its impact on shoulder muscle activation, published in European Journal of Applied Physiology in May 2019, concluded: the use of vibration as an adjunct to exercise provokes a near-global increase in shoulder muscle activation level. Furthermore, exposure to vibration alters muscular recruitment improving readiness for movement.
4. A study, titled Degenerative rotator cuff tears are associated with a low Omega-3 Index, published in Prostaglandins, Leukotrienes and Essential Fatty Acids in Sept 2019, concluded: Patients with full-thickness degenerative rotator cuff tears had a significantly lower Omega-3 Index than controls without rotator cuff tendinopathy. Whether a lower Omega-3 Index represents an independent risk factor for degenerative rotator cuff tears should be further investigated, e.g. in a longitudinal study.
5. A study, titled Association between physiological and subjective aspects of pain and disability in post-stroke patients with shoulder pain: a cross-sectional study, published in Journal of Clinical Medicine, in July 2019, concluded: Post-stroke patients showed a relationship between widespread pressure pain hypersensitivity with lower pressure pain threshold levels and pain disability perception, suggesting a central sensitization mediated by bilateral and symmetric pain patterns.
6. A study, titled A randomized controlled trial of long-chain omega-3 polyunsaturated fatty acids in the management of rotator cuff related shoulder pain published in the BMJ Open Sport & Exercise Medicine concludes: Omega-3 polyunsaturated fatty acids supplementation may have a modest effect on disability and pain outcomes in rotator cuff related shoulder pain.
7. A study titled Effects of Wiper Exercise and External Rotation Exercise in Side-Lying on the muscle activity and thickness of the infraspinatus, published in the International Journal of Pharmaceutical Research in March 2019, concludes: This study recommends the wiper exercise is a good indication for the selective and functional strengthening of the infraspinatus muscle while minimizing the posterior deltoid for shoulder dysfunction.
8. A study, titled Effects of Sling exercise with vibration on range of motion, muscle strength, pain, disability in patients with shoulder injuries, published in Physical Therapy Korea in Sept 2019, concludes: The sling exercise with local vibration of 50Hz affected the external rotation of the shoulder range of motion and improved shoulder flexor strength in the patients with shoulder injuries. Therefore, we propose the use of the sling exercise intervention with vibration in the exercise rehabilitation of patients with shoulder joint injuries.
9. A study titled Effect of fatigue and the absence of visual feedback on shoulder motor control in a healthy population during a reaching task, published in Gait & Posture in October 2019, concludes: Muscle fatigue and lack of visual feedback can compromise shoulder kinematics; lack of visual feedback decreased reaching accuracy; lack of visual feedback increased time taken to complete the task; the addition of fatigue did not increase the effect of the lack of visual feedback.
1. TIDBITS and UPDATES Muscle Energy Technique for Subscapularis Shared by Healthy Street on January 10
ASSESSMENT OF SUBSCAPULARIS
The therapist takes the patient's arm to 90 degrees of abduction and 90 degrees of elbow flexion – an assessment in this position is known as the 90/90 test. From this position, the therapist supports the patient's elbow with their right hand and the patient's forearm with their left hand. The therapist then takes the patient's arm into external rotation until a bind is felt. For normal range of motion of the subscapularis, the external rotation should achieve 90 degrees, i.e. the patient's forearm should be parallel to the couch. If there is shortness of the subscapularis, the range of motion will be less than 90 degrees.
MET TREATMENT OF SUBSCAPULARIS
The therapist takes the patient's shoulder into external rotation until a bind is felt. From the position of bind, the patient is asked to contract the subscapularis by internally rotating their shoulder. After 10 seconds and on the relaxation phase, the therapist applies traction to the shoulder joint (to prevent an impingement) and slowly encourages the shoulder into further external rotation.
If the patient has discomfort activating the subscapularis, the antagonistic muscle of the infraspinatus can be activated instead. From the position of bind, the patient is asked to resist external rotation: this will contract the infraspinatus and allow the subscapularis to relax through RI. On the relaxation phase, a lengthening procedure of the subscapularis can then be performed.
🔑 The subscapularis is one of the rotator cuff muscles and is the main medial rotator of the glenohumeral joint. A subscapularis strain can result in referred pain to the area of the deltoid tuberosity.
Reference: MET John Gibbons
Here is some of the information I recently shared in my June newsletter. Each newsletter has a specific focus. This month is focused on PTSD and trauma information. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
STUDIES and ARTICLES
I receive a weekly update on anything published anywhere on the internet that includes information about PTSD and trauma. I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: email@example.com
1. A powerful study titled Body-Oriented Therapy in Recovery from Child Sexual Abuse: An Efficacy Study, published in Altern Ther Health Med In July 2007 focused on the perceived influence on abuse recovery of body-oriented therapy. 24 adult females participated in a randomized study. Treatment consisted of 8 2 hour long massage sessions or 8 2 hour-long therapy sessions. The results suggest significant improvement on all outcome measures.
2. An article, originally published in International Psychology Bulletin by Grant Rich, titled Massage Therapy for PTSD, Trauma, and Anxiety, gives numerous references to studies and metastudies on the effectiveness of massage for trauma, anxiety, and PTSD with a valuable reference list for the studies.
3. A study titled Cortisone Decreases and Serotonin and Dopamine Increase Following Massage Therapy, published in 2005 in International Journal of Neuroscience, concludes: Significant decreases were noted in cortisol levels (averaging decreases 31%); the activating neurotransmitters (serotonin and dopamine) noted an average increase of 28% for serotonin and 31% for dopamine. This suggests the stress-affecting effect of massage therapy on a variety of medical conditions and stressful experiences (including PTSD) is beneficial.
4. A study titled Alleviating post-traumatic stress in children following Hurricane Andrew, published in Journal of Applied Developmental Psychology in 1996, included 60 grade-school children who showed signs of severe post-traumatic stress. The children received massage on 8 days 1 month after the hurricane. The children reported being happier, less anxious, and had lower cortisol levels after therapy.
5. A study in 2014 titled PTSD Symptom Reports of Patients Evaluated for the New Mexico Medical Cannabis Program, published in Journal of Psychoactive Drugs, concluded: Cannabis is associated with reductions in PTSD symptoms in some patients.
Here is some of the information I recently shared in my October newsletter. Each newsletter has a specific focus. This month is focused on the fascia, myofascia and trigger point information. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
STUDIES and ARTICLES
I receive a weekly update on anything published anywhere on the internet that includes information about fascia, myofascia and trigger points. I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: firstname.lastname@example.org
1. A blog article, titled Fascia Acts as a Second Nervous System, by Dr. Russell Schierling, offers several important concepts:
2. A study, Effects of Local Ischemic Compression on Upper Limb Latent Myofascial Trigger Points: A Study of Subjective Pain and Linear Motor Performance concluded: the results suggest the Ischemic Compression effectiveness on pain and Motor Performance impairment in subjects with Latent TrPs. However, the Motor Performance of these patients is only partially improved after the Ischemic compression application.
3. An article, titled Myofascial Pain Syndrome: Looked through the Lens of 11 Cases Managed by Myofascial Trigger Point Massage Therapy, Riyadh, Saudi Arabia, published in International Journal of Medical and Pharmaceutical Case Reports, concludes: Myofascial pain syndrome linked with latent or active myofascial trigger points developed due to repeated strains and injuries needs to be diagnosed by history and palpation method, system evaluation and laboratory investigations. Though several interventions are used in myofascial pain syndrome, myofascial trigger point massage therapy alone is found to be reasonably effective with excellent results.
4. A study, titled The Effect of Self-Myofascial release using tennis ball on pain in individuals with piriformis trigger points, published in International Journal of Basic and Applied Research, concludes: Subjects were asked to take small circular movements by sitting on a tennis ball under the buttocks for 60 seconds. The study concluded that Self-Myofascial Release using tennis ball helps in reducing pain and increasing the pain pressure threshold providing a simple yet effective alternative for piriformis trigger point pain.
5. An abstract submitted for publication, titled AB0910 Effective restoring Motion and Effective Treatment of Myofascial and Neuropathic Low Back Pain by Targeted Dry Needling Using Ultrasound Guidance in Annals of the Rheumatic Diseases, concludes: Dry needling under ultrasound guidance effectively reduce myofascial pain ameliorate symptoms of neuropathy and local muscle hypo motility in low back pain.
6. A study, titled Effects of Self-myofascial release using foam roller on range of motion and morphological changes in muscle: A crossover study, published in J Strength Cond Res. in May 2019, concludes: Self-myofascial release using foam roller is effective in improving range of motion in at least some conditions. However, its mechanism is still unclear.We hypothesized that the Foam Rolling intervention may increase ROM because of changes in fascicle length and aponeurosis displacement. Although ROM of both dorsiflexion and plantar flexion increased significantly after the Foam Rolling intervention (p<0,01), no significant differences were found in fascicle length and aponeurosis displacement before and after the foam rolling intervention.
7. A case study, titled The effectiveness of positional release therapy in myofascial trigger points associated with recurrent lateral ankle sprain—a case study, published in World Journal of Pharmaceutical Research in Apr 2019, concludes: There was a significant decrease in the pain symptoms observed after the treatment, with the significant increase in Active ROM. It is concluded that Positional Release Therapy may be an effective treatment for pain and increase in Active ROM and pain decreased caused by trigger point due to recurrent lateral ankle sprain. (Peroneous muscles)
8. An study titled, A study to compare the effect of muscle energy technique and positional release technique on pain and cervical ROM in patients with chronic upper trapezitis, published in International’Journal of Scientific Research, concludes: Muscle energy technique is an effective option in the treatment of chronic upper trapezitis.
9. A study titled A comparative study to find out the immediate effect of occipital muscle inhibition and static hamstring stretching on hamstring tightness in young adults—an experimental study, published in International Journal of Scientific Research in May 2019, concludes: Both the techniques showed marked improvement in the outcome measure, but the occipital muscle inhibition is more effective for the hamstring tightness and it is easy to perform for the participants and it was observed that the effect was persistent for longer time.
• A video titled Vancouver Fascia Congress Shoulder study: Myofascial Trigger point Release by Christopher Gordon, shows the results of a study of myofascial trigger point release on the elasticity and sensitization of the tissue.
Anatomy, Head and Neck, Deep Cervical Neck Fascia by Paul Sutcliffe and Savita Lasrado. Update Jun 2019 and found at StatPearls.
Anatomy, Abdomen and Pelvis, Femoral Triangle by Hayden Basinger and Jeffery P. Hogg. Update April 2091 and found at StatPearls
Here is some of the information I recently shared in my Julynewsletter. Each newsletter has a specific focus. This month is focused on chronic pain information. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
STUDIES and ARTICLES
I receive a weekly update on anything published anywhere on the internet that includes information about chronic pain and fibromyalgia. I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: email@example.com
1. An article, titled A comparison of the clinical manifestation and pathophysiology of myofascial pain syndrome and fibromyalgia: implications for differential diagnosis and management published in J Can Chiropr Assoc in 2018, provides a wonderful overview and comparison between the two disorders.
2. An article, titled Effects of auricular acupressure on pain and disability in adults with chronic neck pain, published in Applied Nursing Research in Feb 2019 concludes: auricular acupressure can be used for alleviating chronic neck pain and more than 4 weeks of treatment is necessary for alleviating neck disability.
3. An article, titled A qualitative study of the experiences and perceptions of adults with chronic musculoskeletal conditions following a 12-week Pilates exercise program, published in Musculoskeletal Care in Nov 2018, concludes: The Pilates-based exercise program enabled the participants to function better and manage their condition more effectively and independently.
4. A study, titled A study to assess the effectiveness of core muscle stabilization regimen in patients with mechanical low backache, published in International’s Journal of Adapted Physical Education & Yoga in Sept 2018 concludes: Core muscle stabilization regimen is more effective along with back care and ergonomic advice than the spinal extension maneuver alone to reduce pain and to improve functional ability of the lumbar spine in subjects with mechanical low back ache.
5. A study, titled Effect of aerobic exercise in the treatment of myofascial pain: a systematic review, published in Journal of Exercise Rehabilitation in 2018 concludes: Pain pressure thresholds significantly increased in muscle areas of the cervical spine in the water exercise group
6. A study, titled Functional and neurochemical disruptions of brain hub topology in chronic pain, published in Pain in Apr 2019 states: A critical component of brain network architecture is a robust hub structure, wherein hub regions facilitate efficient information integration by occupying highly connected and functionally central roles in the network. Across a wide range of neurological disorders, hub brain regions seem to be disrupted, and the character of this disruption can yield insights into the pathophysiology of these disorders. We applied a brain network–based approach to examine hub topology in fibromyalgia, a chronic pain condition with prominent central nervous system involvement….these findings reveal altered hub topology in fibromyalgia and demonstrate, for the first time to our knowledge, a neurochemical basis for altered hub strength and its relationship to the perception of pain.
7. A study, titled How do Satellite Glial Cells control chronic pain, published in Journal of Anesthesia and Perioperative Medicine, concludes: SGC’s are now recognized players in the pathogenesis of chronic pain through the secretion of neuroactive signaling molecules and controls of nociceptive neurons.
8. A study, titled Evidence for kinesiology taping in management of myofascial pain syndrome: a systematic review and meta-analysis, published in Clinical Rehabilitation in Feb 2019, concludes: kinesiology taping could be recommended to relieve pain intensity and range of motion for patients with myofascial pain syndrome at post-intervention.
9. A study, titled Exposure to cold unmasks potential biomarkers of Fibromyalgia Syndrome reflecting insufficient sympathetic responses to stress, published in The Clinical Journal of Pain in May 2019, concludes: the convergence of the effect of cold on 4 relatively simple measures of thermogenic, cardiovascular, and metabolic activity, each regulated by sympathetic activity, strongly indicate that individuals with FMS have impaired sympathetic responses to stress that are observable and highly significant.
10. A study, titled Fibromyalgia: Increased reactivity of the muscle membrane and a role of central regulation, published in Clinical Neurophysiology in Jan 2019 concludes: …muscle membrane propagation speed increases independently of the force load or amount of muscle activity produced. When adopting a limb position, the patients show an augmented muscle membrane reaction, suggesting deregulation from higher neural centers
Here is some of the information I recently shared in my May newsletter. Each newsletter has a specific focus. This month is focused on fascia information. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
STUDIES and ARTICLES
I receive a weekly update on anything published anywhere on the internet that includes information about fascia. I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: firstname.lastname@example.org
1. A blog article titled, Fascia as a Proprioceptive Organ and its relationship to Chronic Pain, by Dr. Russell Schierling, offers several important concepts:
2. An awesome post, found on Massage CE Directory on Facebook, regarding the Posterior pelvic fascia.
3. A study, Attenuation of postoperative adhesions using a modeled manual therapy, published at PLOS One, concludes: Maintained movements of damaged structures in the immediate postoperative period has potential to act as an effective preventive for attenuating cohesive postoperative adhesion development.
4. An article titled, Expression of the endocannabinoid receptors in human fascial tissue, published at Fascia & Fitness, discussed a study from the Stecco group at the University of Padova in Italy published in the European Journal of Histochemistry, and confirms the presence of cannabinoids receptors in fascia.
5. A blog article, Questions to Consider for Myofascial Therapy by Whitney Lowe, points out the results of a study from 2002 that has largely been ignored: There is negligible friction between the skin and this underlying fascial tissue. This should result in several techniques being questioned.
6. A blog post, Fascia Micro Trauma may Contribute to DOMS, posted on Fascia & Fitness, proposes: increased sensitivity of muscle fascia to the stimulus (acupuncture needle) suggesting the source of pain is fascia rather than the muscle fibers themselves.
7. A peer-reviewed article, The Awareness of the Fascial System, published on Cureus, is a great overview of how fascia functions, offering “new perspectives to understand what happens during palpatory contact. A fascial cell has not only memory but also the awareness of the mechanometabolic information it feels, and it has the anticipatory predisposition in preparing itself for alteration of its natural environment.
8. An article titled, Anatomy of the Superficial Fascia System of the Breast: A Comprehensive Theory of Breast Fascial Anatomy, published in Plastic and Reconstructive Surgery Nov 2018, concludes: the breast is shaped by a three-dimensional, fibrofatty fascial system. Two layers of this system surround the corpus mammae and fuse together around it, and anchor it to the chest wall in a structure we have called the circummammary ligament.
9. An article, Fascia is Able to Actively Contract and May Thereby Influence Musculoskeletal Dynamics: A Histochemical and Mechanographic Investigation, published in Front. Physical. Apr 2019, concludes: tension of myofascial tissue is actively regulated by myofibroblasts with the potential to impact active musculoskeletal dynamics
10. A study titled, Roller Massage: Comparison of three different surface type pattern foam rollers on passive knee range of motion and pain pereption, published in Journal of Bodywork and Movement Therapies May 2019, concludes: The GRID and multilevel surface rollers produced greater immediate post-intervention effects than the smooth roller. The therapeutic effects of the GRID and multilevel rollers may be due to the surface architecture. These rollers may provide a greater deformation of the tissues which creates a local mechanical and global neurophysiological effect.