Borg-Stein Joanne, Simons David G
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA 02481, USA.
Arch Phys Med Rehabil. 2002 Mar;83(3 Suppl 1):S40-7, S48-9. doi: 10.1053/apmr.2002.32155.
Myofascial pain is defined as pain that originates from myofascial trigger points in skeletal muscle. It is prevalent in regional musculoskeletal pain syndromes, either alone or in combination with other pain generators. The appropriate evaluation and management of myofascial pain is an important part of musculoskeletal rehabilitation of regional axial and limb pain syndromes. This article reviews the current hypotheses regarding the pathophysiology of myofascial trigger points and muscle pain. A critical evidence-based review of the pharmacologic, nonpharmacologic, alternative medicine, and exercise treatments of myofascial pain is provided, as well as future research directions. OVERALL LEARNING OBJECTIVE: To review critically the state of the art knowledge of myofascial pain, including pathophysiology and comprehensive management. Areas of future research are identified.
肌筋膜疼痛被定义为起源于骨骼肌中肌筋膜触发点的疼痛。它在局部肌肉骨骼疼痛综合征中很常见，可单独出现或与其他疼痛源合并存在。对肌筋膜疼痛进行恰当的评估和处理是局部轴向和肢体疼痛综合征肌肉骨骼康复的重要组成部分。本文综述了关于肌筋膜触发点和肌肉疼痛病理生理学的当前假说。提供了对肌筋膜疼痛的药物、非药物、替代医学和运动治疗的循证批判性综述，以及未来的研究方向。总体学习目标：批判性地综述肌筋膜疼痛的最新知识，包括病理生理学和综合管理。确定未来的研究领域。
