Síndrome de dolor miofascial cervical. Revisión narrativa del tratamiento fisioterápico

Autores/as

  • M. Á. Capó-Juan Universidad de las Islas Baleares

DOI:

https://doi.org/10.23938/ASSN.0058

Palabras clave:

Cervicalgia. Punto gatillo miofascial. Síndrome de dolor miofascial. Fisioterapia. Diagnóstico.

Resumen

 El dolor es un fenómeno complejo y multifactorial que depende de la interacción de factores biopsicosociales. Entre el 15-25% de los adultos sufren dolor crónico en algún momento de su vida. A nivel cervical el dolor crónico es considerado  un problema de salud pública y afectó a un 9,6% de hombres y a un 21,9% de mujeres según la última Encuesta Nacional de Salud 2011-12. Un porcentaje muy elevado de consultas por dolor muscular en atención primaria resulta ser por síndrome de dolor miofascial. Su existencia implica la presencia de puntos gatillo miofasciales que pueden encontrarse latentes o activos en toda la población. El objetivo de esta revisión es exponer los métodos terapéuticos más utilizados aplicados por el fisioterapeuta en el tratamiento de este síndrome a nivel cervical. Algunas de las técnicas más utilizadas que pueden resultar útiles a corto o medio plazo son: la compresión isquémica y/o liberación por barrera, y la punción seca. Asimismo, para tratar este síndrome también son utilizadas distintas combinaciones de modalidades terapéuticas teniendo en cuenta otros aspectos como el educativo.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

1. SWIEBODA P, FILIP R, PRYSTUPA A, DROZD M. Assessment of pain: types, mechanism and treatment. Ann Agric Environ Med 2013; 1: 2-7.

2. BRENNAN F, CARR DB, COUSINS M. Pain Management: A Fundamental Human Right. Anesth Analg 2007; 105: 205-521.

https://doi.org/10.1213/01.ane.0000268145.52345.55

3. International Association for the Study of Pain. IASP Taxonomy. [Consultado 18-11-2014]: Disponible en http://www.iasp-pain.org

4. IBARRA E. Una nueva definición de "dolor": un imperativo de nuestros días. Rev Soc Esp Dolor 2006; 13: 65-72.

5. PUEBLA-DÍAZ F. Tipos de dolor y escala terapéutica de la O.M.S.: Dolor iatrogénico. Oncología 2005; 28: 33-37.

https://doi.org/10.4321/S0378-48352005000300006

6. GONZÁLEZ-ESCALADA JR, CAMBA A, MURIEL C, RODRÍGUEZ M, CONTRERAS D, DE BARUTELL C. Validación del índice de Lattinen para la evaluación del paciente con dolor crónico. Rev Soc Esp Dolor 2012; 19: 181-188.

7. PALANCA SÁNCHEZ I, PUIG RIERA DE CONÍAS MM, ELOZA SOMOZA J, BERNAL SOBRINO JL. Grupo de Expertos. Unidad de tratamiento del dolor: entandares y recomendaciones. Madrid: Ministerio de Sanidad, Política Social e Igualdad; 2011.

8. HARSTALL C, OSPINA M. How prevalent is chronic pain? Pain Clin Updates 2003; 11: 1-4.

9. GIORDANO J, SCHATMAN ME. A crisis in chronic pain care: An ethical analysis. Part three: toward an integrative, multi-disciplinary pain medicine built around the needs of the patient. Pain Physician 2008; 11: 775-784.

https://doi.org/10.36076/ppj.2008/11/775

10. BREIVIK H, COLLETT B, VENTAFRIDDA V, COHEN R, GALLACHER D. Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. Eur J Pain 2006; 10: 287-333.

https://doi.org/10.1016/j.ejpain.2005.06.009

11. SALTER GC, ROMAN M, BLAND MJ, MAC PHERSON. Accupunture for chronic neck pain: A pilot for randomized controlled trial. BMC Musculoskelet Disord 2006; 7: 99.

https://doi.org/10.1186/1471-2474-7-99

12. FEJER R, OHM KYVIK K, HARTVIGSEN J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine 2006; 15: 834-848.

https://doi.org/10.1007/s00586-004-0864-4

13. KÄÄRIÄ S, LAAKSONEN M, RAHKONEN O, LAHELMA E, LEINO-ARJAS P. Risk factors of chronic neck pain: a prospective study among middle-aged employees. Eur J Pain 2012; 16: 911-920.

https://doi.org/10.1002/j.1532-2149.2011.00065.x

14. HARTVIGSEN J, FOSTER NE, CROFT PR. We need to rethink front line care for back pain. BMJ 2011; 342: 3260.

https://doi.org/10.1136/bmj.d3260

15. STENBERG G, LUNDQUIST A, FJELLMAN-WIKLUND A, AHLGREN C. Patterns of reported problems in women and men with back and neck pain: similarities and differences. J Rehabil Med 2014; 25: 668-675.

https://doi.org/10.2340/16501977-1830

16. GRAHAM N, GROSS AR, CARLESSO LC, LINA SANTAGUIDA P, MACDERMID JC, WALTON D et al. An ICON Overview on Physical Modalities for Neck Pain and Associated Disorders. Open Orthop J 2013; 7: 440-460.

https://doi.org/10.2174/1874325001307010440

17. CALCINA-BERNA A, MORENO MILLÁN N, GONZÁLEZ-BARBOTEO J, SOLSONA DÍAZ L. PORTA SALES J. Frequency of pain as a reason for visiting a primary care clinic and its influence on sleep. Aten Primaria 2011; 43: 568-575.

https://doi.org/10.1016/j.aprim.2010.09.006

18. SIMONS DG, TRAVELL JG, SIMONS LS. Dolor y disfunción miofascial: El manual de los puntos gatillo. Mitad superior del cuerpo, 2ª ed. Editorial Médica Panamericana; Madrid. 2002.

19. SIMONS DG. Revisión de los enigmáticos puntos gatillo miofasciales como causa habitual de dolor y disfunción musculoesqueléticos enigmáticos. Fisioterapia 2005; 27: 103-120.

https://doi.org/10.1016/S0211-5638(05)73423-4

20. MAYORAL O, ROMAY H. Fisioterapia conservadora del síndrome de dolor miofascial. Rev Iberoam Fisioter Kinesiol 2005; 8: 11-16.

https://doi.org/10.1016/S1138-6045(05)72777-5

21. TORRES CUECO R. Dolor miofascial crónico: patofisiología y aproximación terapéutica. Fisioterapia 2005; 27: 87-95.

https://doi.org/10.1016/S0211-5638(05)73421-0

22. YU H, CÔTÉ P, SOUTHERST D, WONG JJ, VARATHARAJAN S, SHEARER HM et al. Does structured patient education improve the recovery and clinical outcomes of patients with neck pain? A systematic review from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Spine J. 2014. Disponible en: http://dx.doi.org/10.1016/j.spinee.2014.03.039. (Consultado el 18 de enero de 2015).

https://doi.org/10.1016/j.spinee.2014.03.039

23. PÉREZ BENÍTEZ MLI, MONTES CASTILLO ML, FLORES GARCÍA R et al. Síndrome de dolor miofascial asociado a síndrome de salida torácica, un síntoma más en la cervicalgia. Rev Mex Med Fis Rehab 2009; 21: 90-94.

24. JAEGER B. Myofascial trigger point pain. Alpha Omegan 2013; 106: 14-22.

25. FORST R, INGENHORST A. [Myofascial pain syndrome]. Internist (Berl) 2005; 46: 1207-1127.

https://doi.org/10.1007/s00108-005-1525-3

26. LAVELLE ED, LAVELLE W, SMITH HS. Myofascial trigger points. Anesthesiol Clin 2007; 25: 841-851.

https://doi.org/10.1016/j.anclin.2007.07.003

27. VERNON H, SCHNEIDER M. Chiropractic management of myofascial trigger points and myofascial pain syndrome: a systematic review of the literature. J Manipulative Physiol Ther 2009; 32: 14-24.

https://doi.org/10.1016/j.jmpt.2008.06.012

28. MAJLESI J, UNALAN H. Effect of treatment on trigger points. Curr Pain Headache Rep 2010; 14: 353-360.

https://doi.org/10.1007/s11916-010-0132-8

29. VÁZQUEZ-DELGADO E, CASCOS-ROMERO J, GAY-ESCODA C. Myofascial pain associated to trigger points: a literature review. Part 2: differential diagnosis and treatment. Med Oral Patol Oral Cir Bucal 2010; 15: 639-643.

https://doi.org/10.4317/medoral.15.e639

30. DESAI MJ, BEAN MC, HECKMAN TW, JAYASEELAN D, MOATS N, NAVA A. Treatment of myofascial pain. Pain Manag 2013; 3: 67-79.

https://doi.org/10.2217/pmt.12.78

31. VILLASEÑOR-MORENO JC, ESCOBAR-REYES VH, DE LA LANZA-ANDRADE LP, GUIZAR-RAMÍREZ BI. Síndrome de dolor miofascial. Epidemiologia, fisiopatología, diagnóstico y tratamiento. Rev Esp Med Quir 2013; 18: 148-157.

32. GROSS AR, KAY T, HONDRAS M, GOLDSMITH C, HAINES C, PELOSOS P et al. Manual therapy for mechanical neck disorders: a systematic review. Man Ther 2002; 7: 113-114.

https://doi.org/10.1054/math.2002.0465

33. DESAI MJ, SAINI V, SAINI S. Myofascial pain syndrome: A treatment review. Pain Ther 2013; 2: 21-36.

https://doi.org/10.1007/s40122-013-0006-y

34. HAINS G, DESCARREUX M, HAINS F.Crhonic shoulder pain of miofascial origin:a randomized clinical trial using ischemic compression therapy. J Manipulative Physiol Ther 2010; 33: 62-369.

https://doi.org/10.1016/j.jmpt.2010.05.003

35. KIM SA, OH KY, CHOI WH, KIM IK. Ischemic compression after trigger point injection affect the treatment of myofascial trigger points. See comment in PubMed CommonAnn Rehabil Med 2013; 37: 541-546.

https://doi.org/10.5535/arm.2013.37.4.541

36. HOU CR, TSAI LC, CHENG KF, CHUNG KC, HONG CZ. Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Arch Phys Med Rehabil 2002; 83: 1406-1414.

https://doi.org/10.1053/apmr.2002.34834

37. AGUILERA FJ, MARTÍN DP, MASANET RA, BOTELLA AC, SOLER LB, MORELL FB. Immediate effect of ultrasound and ischemic compression techniques for the treatment of trapezius latent myofascial trigger points in healthy subjects: a randomized controlled study. J Manipulative Physiol Ther 2009; 32: 515-520.

https://doi.org/10.1016/j.jmpt.2009.08.001

38. FERNÁNDEZ-DE-LAS-PEÑAS C. Interaction between Trigger Points and Joint Hypomobility: A Clinical Perspective. J Man Manip Ther 2009; 17: 74-77.

https://doi.org/10.1179/106698109790824721

39. MONTAÑEZ-AGUILERA FJ, VALTUEÑA-GIMENO N, PECOS-MARTÍN D, ARNAU-MASANET R, BARRIOS-PITARQUE C, BOSCH-MORELL F. Changes in a patient with neck pain after application of ischemic compression as a trigger point therapy. J Back Musculoskelet Rehabil 2010; 23: 101-104.

https://doi.org/10.3233/BMR-2010-0255

40. NAGRALE AV, GLYNN P, JOSHI A, RAMTEKE G. The efficacy of an integrated neuromuscular inhibition technique on upper trapezius trigger points in subjects with non-specific neck pain: a randomized controlled trial. J Man Manip Ther 2010; 18: 37-43.

https://doi.org/10.1179/106698110X12595770849605

41. KANNAN P. Management of myofascial pain of upper trapezius: a three group comparison study. Glob J Health Sci 2012; 15; 4: 46-52.

https://doi.org/10.5539/gjhs.v4n5p46

42. CAGNIE B, DEWITTE V, COPPIETERS I, VAN OOSTERWIJCK J, COOLS A, DANNEELS L. Effect of ischemic compression on trigger points in the neck and shoulder muscles in office workers: a cohort study. J Manipulative Physiol Ther 2013; 36: 482-489.

https://doi.org/10.1016/j.jmpt.2013.07.001

43. TECCO S, MARZO G, CRINCOLI V, DI BISCEGLIE B, TETÈ S, FESTA F. The prognosis of myofascial pain syndrome (MPS) during a fixed orthodontic treatment. Cranio 2012; 30: 52-71.

https://doi.org/10.1179/crn.2012.007

44. GRAFF-RADFORD SB, BASSIUR JP. Temporomandibular disorders and headaches. Neurol Clin 2014; 32: 525-537.

https://doi.org/10.1016/j.ncl.2013.11.009

45. MARTÍN-PINTADO ZUGASTI A, RODRÍGUEZ-FERNÁNDEZ AL, GARCÍA-MURO F, LÓPEZ-LÓPEZ A, MAYORAL O, MESA-JIMÉNEZ J et al. Effects of spray and stretch on postneedling soreness and sensitivity after dry needling of a latent myofascial trigger point. Arch Phys Med Rehabil 2014; 95: 1925-1932.

https://doi.org/10.1016/j.apmr.2014.05.021

46. HONG CZ, CHEN YC, PON CH, YU J. Inmediate effects of various physical medicine modalities on pain threshold of an active myofascial trigger point. J Musculoske Pain 1993; 1: 37-53.

https://doi.org/10.1300/J094v01n02_04

47. SIMONS DG. Understanding effective treatments of myofascial trigger points. Journal of Bodywork and movement Therapies 2002; 6: 81-88.

https://doi.org/10.1054/jbmt.2002.0271

48. MORASKA A, CHANDLER C. Changes in psychological parameters in patients with tension-type headache following massage therapy: a pilot study. J Man Manip Ther 2009; 17: 86-94.

https://doi.org/10.1179/106698109790824695

49. LLUCH E, ARGUISUELAS MD, COLOMA PS, PALMA F, REY A, FALLA D. Effects of deep cervical flexor training on pressure pain thresholds over myofascial trigger points in patients with chronic neck pain. J Manipulative Physiol Ther 2013; 36: 604-611.

https://doi.org/10.1016/j.jmpt.2013.08.004

50. MORASKA AF, STENERSON L, BUTRYN N, KRUTSCH JP, SCHMIEGE SJ, MANN JD. Myofascial trigger point-focused head and neck massage for recurrent tension-type headache: A randomized, placebo-controlled clinical trial. Clin J Pain 2015; 31: 159-168.

https://doi.org/10.1097/AJP.0000000000000091

51. DOMMERHOLT J, GRIEVE R, LAYTON M, HOOKS T. An evidence-informed review of the current myofascial pain literature. Bodyw Mov Ther 2015; 19: 126-137.

https://doi.org/10.1016/j.jbmt.2014.11.006

52. CHENG YH, HUANG GC. Efficacy of massage therapy on pain and dysfunction in patients with neck pain: a systematic review and meta-analysis evid based complement alternat Med. 2014. [Consultado 18-01-2015]: Disponible en http://dx.doi.org/10.1155/2014/204360

https://doi.org/10.1155/2014/204360

53. FARINA S, CASAROTTO M, TINAZZI M, FIASCHI A, GOLDONI M, SMANIA N. A randomized controlled study on the effect of two different treatments (FREMS and TENS) in myofascial pain syndrome. Europa Medicophysica 2004; 40: 293-301.

54. SMANIA N, CORATO E, FIASCHI A, PIETROPOLI P, AGLIOTI SM, TINAZZI M. Repetitive magnetic stimulation: a novel therapeutic approach for myofascial pain syndrome. J Neurol 2005; 252: 307-314.

https://doi.org/10.1007/s00415-005-0642-1

55. SCHABRUN SM, CANNAN A, MULLENS R, DUNPHY M, PEARSON T, LAU C, CHIPCHASE LS. The effect of interactive neurostimulation therapy on myofascial trigger points associated with mechanical neck pain: a preliminary randomized, sham-controlled trial. J Altern Complement Med 2012; 18: 946-952.

https://doi.org/10.1089/acm.2011.0142

56. JEON JH, JUNG YJ, LEE JY, CHOI JS, MUN JH, PARK WY, SEO CH, JANG KU. The effect of extracorporeal shock wave therapy on myofascial pain syndrome. Ann Rehabil Med 2012; 36: 665-674.

https://doi.org/10.5535/arm.2012.36.5.665

57. ALTAN L, BINGÖL U, AYKAÇ M, YURTKURAN M. Investigation of the effect of GaAs laser therapy on cervical myofascial pain syndrome. Rheumatol Int 2005; 25: 23-27.

https://doi.org/10.1007/s00296-003-0396-y

58. DUNDAR U, EVCIK D, SAMLI F, PUSAK H, KAVUNCU V. The effect of gallium arsenide aluminum laser therapy in the management of cervical myofascial pain syndrome: a double blind, placebo-controlled study. Clin Rheumatol 2007; 26: 930-934.

https://doi.org/10.1007/s10067-006-0438-4

59. SARRAFZADEH J, AHMADI A, YASSIN M. The effects of pressure release, phonophoresis of hydrocortisone, and ultrasound on upper trapezius latent myofascial trigger point. See comment in PubMed Commons belowArch Phys Med Rehabil 2012; 93: 72-77.

https://doi.org/10.1016/j.apmr.2011.08.001

60. AY S, DOĞAN SK, EVCIK D, BAŞER OC. Comparison the efficacy of phonophoresis and ultrasound therapy in myofascial pain syndrome. Rheumatol Int 2011; 31: 1203-1208.

https://doi.org/10.1007/s00296-010-1419-0

61. KOCA I, TUTOGLU A, BOYACI A, UCAR M, YAGIZ E, ISIK M, BAHSI A. A comparison of the effectiveness of low-, moderate- and high-dose ultrasound therapy applied in the treatment of myofascial pain syndrome. Mod Rheumatol 2014; 24: 662-666.

https://doi.org/10.3109/14397595.2013.860001

62. UNALAN H, MAJLESI J, AYDIN FY, PALAMAR D. Comparison of high-power pain threshold ultrasound therapy with local injection in the treatment of active myofascial trigger points of the upper trapezius muscle. Arch Phys Med Rehabil 2011; 92: 657-662.

https://doi.org/10.1016/j.apmr.2010.11.030

63. LEE SH, CHEN CC, LEE CS, LIN TC, CHAN RC. Effects of needle electrical intramuscular stimulation on shoulder and cervical myofascial pain syndrome and microcirculation. J Chin Med Assoc 2008; 71: 200-206.

https://doi.org/10.1016/S1726-4901(08)70104-7

64. TSAI CT, HSIEH LF, KUAN TS, KAO MJ, CHOU LW, HONG CZ. Remote effects of dry needling on the irritability of the myofascial trigger point in the upper trapezius muscle. Am J Phys Med Rehabil 2010; 89: 133-140.

https://doi.org/10.1097/PHM.0b013e3181a5b1bc

65. VULFSONS S, RATMANSKY M, KALICHMAN L. Trigger point needling: techniques and outcome. Curr Pain Headache Rep 2012; 16: 407-412.

https://doi.org/10.1007/s11916-012-0279-6

66. DUNNING J, BUTTS R, MOURAD F, YOUNG I, FLANNAGAN S, PERREAULT T.Dry needling: a literature review with implications for clinical practice guidelines. Phys Ther Rev 2014; 19: 252-265.

https://doi.org/10.1179/108331913X13844245102034

67. MÜLLER CE, ARANHA MF, GAVIÃO MB. Two-Dimensional Ultrasound and Ultrasound Elastography Imaging of Trigger Points in Women with Myofascial Pain Syndrome Treated by Acupuncture and Electroacupuncture: A Double-Blinded Randomized Controlled Pilot Study. Ultrason Imaging. 2014. [Consultado 18-01-2015]: Disponible en http://www.ncbi.nlm.nih.gov/pubmed/25116293

https://doi.org/10.1177/0161734614546571

68. VILLOTA-CHICAÍZA XM. Vendaje neuromuscular: Efectos neurofisiológicos y el papel de las fascias. Rev Cienc Salud 2014; 12: 253-269.

https://doi.org/10.12804/revsalud12.2.2014.08

69. GONZÁLEZ-IGLESIAS J, FERNÁNDEZ-DE-LAS-PENAS C, CLELAND J, HUIJBREGTS P, GUTIÉRREZ-VEGA MD. Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial. J Orthop Sports Physi Ther 2009; 39: 515-521.

https://doi.org/10.2519/jospt.2009.3072

70. GARCÍA LLOPIS L, CAMPOS ARANDA M. Intervención fisioterápica con vendaje neuromuscular en pacientes con cervicalgia mecánica. Un estudio piloto. Fisioterapia 2012; 34: 189-195.

https://doi.org/10.1016/j.ft.2012.03.003

71. ESPEJO L, APOLO MD. Revisión bibliográfica de la efectividad del kinesiotaping. Rehabilitación 2011; 45: 148-158.

https://doi.org/10.1016/j.rh.2011.02.002

Descargas

Publicado

17-03-2015

Cómo citar

1.
Capó-Juan M Á. Síndrome de dolor miofascial cervical. Revisión narrativa del tratamiento fisioterápico. An Sist Sanit Navar [Internet]. 17 de marzo de 2015 [citado 7 de diciembre de 2025];38(1):105-1. Disponible en: https://recyt.fecyt.es/index.php/ASSN/article/view/31895

Número

Sección

Revisiones

Artículos similares

<< < 70 71 72 73 74 75 76 77 78 79 > >> 

También puede Iniciar una búsqueda de similitud avanzada para este artículo.