Trigger points. Morphofunctional features applicative importance

Abstract

Introduction: Myofascial pain syndrome (MPS) is a form of myalgia that is characterized by local regions of muscle hardness that are tender and that cause pain to be felt at a distance, referred pain. The central component of the syndrome is the trigger point (TP) that is composed of a tender, taut band. Stimulation of the band, either mechanically or with activity, can produce pain. M PSs can mimic or cause many common conditions such as chronic daily headache and pelvic pain because of the pain referral patterns of TPs. The MPS is not a fatal condition, but it can cause signify cant reduction in quality of life. Purpose and Objectives: The theoretical research of the concept of Trigger Point and determination applicative importance by analyzing epidemiological indicators of TP among the population from Chisinau. Materials and methods: This study group is consisting of 100 patients what has visited Family Medical Center N .l from Chisinau during the period 17.03.2014 - 25.03.2014. The selection criteria are: > The presence of muscle pain (at least three visits to the doctor during the last year). > The age and gender (50 men (25>40 years, 25<40 years), 50 women (25>40 years, 25 <40 years)). In this study have been used two models of questionnaires for observing and analysis o f the each participant characteristics. Result: Amongst 100 patients with musculoskeletal pains 70% of participants have been detected the PT presence. Minimum age of study participants was 20 years and maximum 69 years by an average 40 years (± 2 years). This fact gives a greater current problem because only this group represents mainly yield of the labor force. Thus from 70 participants diagnosed with MPS, 39 (55.7%) represents female patients. The muscles with maximum incidence of TP location are: m. trapezius - 69%, m.romboideus - 37%, m.brachioradialis — 24%, m.quadratus lumborum - 53%, m.vastus — 23%, m.gastrocnemii - 38%. The participants group in the study presents a TPs topography contrast by gender. MPS generates chronic pains by low intensity. Participants in this study indicated on visual analogue scale an intensity of their pains to a minimum of 3 points and maximum of 8 points average value in the study group is 4.7 points. Conclusion: Analysis of epidemiological evidence o f TPs among the population from Chisinau outlined a high incidence of these (70%). TP has a higher prevalence at women (55.7% ) and the increased incidence at average age (40 years: ± 2years). From topographical point of view, TP has a higher incidence in m. trapezius - 69%. SDM affect quality of life and economy of the country by increasing absent days from work and increased costs for health insurance.