Reliability of Physical Examination for Diagnosis of Myofascial Trigger Points: A Systematic Review of the Literature

@article{Lucas2009ReliabilityOP,
  title={Reliability of Physical Examination for Diagnosis of Myofascial Trigger Points: A Systematic Review of the Literature},
  author={Nicholas Lucas and Petra Macaskill and Les M. Irwig and Robert W Moran and Nikolai Bogduk},
  journal={The Clinical Journal of Pain},
  year={2009},
  volume={25},
  pages={80-89}
}
Background Trigger points are promoted as an important cause of musculoskeletal pain. There is no accepted reference standard for the diagnosis of trigger points, and data on the reliability of physical examination for trigger points are conflicting. Objectives To systematically review the literature on the reliability of physical examination for the diagnosis of trigger points. Methods MEDLINE, EMBASE, and other sources were searched for articles reporting the reliability of physical… 

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References

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Variability of Criteria Used to Diagnose Myofascial Trigger Point Pain Syndrome—Evidence From a Review of the Literature

Until reliable diagnostic criteria have been established, there is a need for greater transparency in research papers on how a case of MTrP pain syndrome is defined, and claims for effective interventions in treating the condition should be viewed with caution.

Interrater Reliability of Palpation of Myofascial Trigger Points in Three Shoulder Muscles

Preliminary evidence that MTrP palpation is a reliable and, therefore, potentially useful diagnostic tool in the diagnosis of myofascial pain in patients with non-traumatic shoulder pain is provided.

Intertester reliability of judgments of the presence of trigger points in patients with low back pain.

The usefulness of examining for the presence of trigger points in patients with low back pain should be questioned and the low Kappa and Ppos values suggest different therapists are unable to reliably determine when a trigger point is present in a patient with LBP.

Test-retest reliability of myofascial trigger point detection in patients with rotator cuff tendonitis

The presence or absence of the taut band, spot tenderness, jump sign and pain recognition was highly reliable between sessions and Referred pain and local twitch response reliability varied depending on the muscle being studied.
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