Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jul 2001
ReviewNeedling therapies in the management of myofascial trigger point pain: a systematic review.
To establish whether there is evidence for or against the efficacy of needling as a treatment approach for myofascial trigger point pain. ⋯ Direct needling of myofascial trigger points appears to be an effective treatment, but the hypothesis that needling therapies have efficacy beyond placebo is neither supported nor refuted by the evidence from clinical trials. Any effect of these therapies is likely because of the needle or placebo rather than the injection of either saline or active drug. Controlled trials are needed to investigate whether needling has an effect beyond placebo on myofascial trigger point pain.
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Arch Phys Med Rehabil · Jul 2001
Measuring leg-length discrepancy by the "iliac crest palpation and book correction" method: reliability and validity.
To determine the reliability and validity of a clinical measurement of leg-length discrepancy (LLD), by using the iliac crest palpation and book correction (ICPBC) method. ⋯ The ICPBC technique for measuring LLD is highly reliable and moderately valid. When there is no history of pelvic deformity and the iliac crests can be readily palpated, we recommend using iliac crest palpation to detect LLD, and the book correction to quantify it.
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Arch Phys Med Rehabil · Jul 2001
Infrared skin temperature measurement cannot be used to detect myofascial tender spots.
To determine the relationship between skin temperature and pressure tolerance in patients with myofascial pain. ⋯ Skin temperature, measured with a hand-held infrared thermometer, cannot be used to diagnose and follow treatment progress of myofascial tender spots, because skin temperature over tender spots does not correlate with pressure sensitivity.