Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Fibromyalgia, myofascial pain, tender points and trigger points: splitting or lumping? | Bennett and Goldenberg Arthritis Research Therapy 2011 13 117 http content 13 3 117 EDITORIAL Fibromyalgia myofascial pain tender points and trigger points splitting or lumping Robert M Bennett 1 and Don L Goldenberg2 See related research by Ge etal. http content 13 2 R48 Abstract Myofascial trigger points MTPs have long been a contentious issue in relation to fibromyalgia and poorly defined pain complaints in general. Can MTPs be reproducibly identified Do MTPs have valid objective findings such as spontaneous electromyographic activity muscle microdialysis evidence for an inflammatory milieu or visualization with newer ultrasound techniques Is fibromyalgia a syndrome of multiple MTPs or is focal muscle tenderness a manifestation of central sensitization These issues are discussed with relevance to a recent paper reporting that manual palpation of active MTPs elicits the spontaneous pain experienced by fibromyalgia patients. Point Dr Bennett The paper by Ge and colleagues from the Center for Sensory-Motor Interaction at Aalborg University Denmark provides evidence that peripheral nociceptive input from muscle may be relevant to the contemporary understanding of fibromyalgia FM 1 . This study involved asking each subject both FM patients and controls to draw all areas of current spontaneous pain on an anatomical map and rate the overall intensity of pain. The area of pain was quantified by digitization software. The location of all active myofascial trigger points MTPs was then determined in the FM subjects using clinical palpation 2 . Altogether 308 active MTPs were found in the 30 FM subjects and 305 of these were confirmed by the demonstration of spontaneous electrical activity on needle electromyography EMG . The locations of these 308 active MTPs were then Correspondence bennetrob1@ fibromyalgia Research Unit Oregon Health Science University 3455 SW Veterans Road Portland OR 97239 USA Full list of author
