Myofascial Trigger Points and Central Sensitization Signs, but No Anxiety, Are Shown in Women with Dysmenorrhea: A Case-Control Study

Background primary dysmenorrhea (PD) is considered to be a cyclic chronic pelvic pain, with its onset in menstrual periods, often accompanied by the presence of myofascial trigger points (MTP). Most MTPs in subjects with chronic pelvic pain are in the inferior part of the abdomen, in the rectus abdo...

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Autores: Hoyos-Calderón, Yennyt-Tatiana, Martínez-Merinero, Patricia, Nunez-Nagy, Susana, Pecos Martín, Daniel, Calvo Lobo, César, Romero-Morales, Carlos, Abuín-Porras, Vanesa, Serrano-Imedio, Ana
Formato: artículo
Fecha de publicación:2022
País:España
Recursos:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/73422
Acesso em linha:https://hdl.handle.net/20.500.14352/73422
Access Level:acceso abierto
Palavra-chave:615.8
Pelvic floor
Dysmenorrhea
Pain
Fisioterapia (Enfermería, Fisioterapia y Podología)
3213.11 Fisioterapia
id ES_124f9ae7bb1dfff871dc2ae36ce9dd88
oai_identifier_str oai:docta.ucm.es:20.500.14352/73422
network_acronym_str ES
network_name_str España
repository_id_str
spelling Myofascial Trigger Points and Central Sensitization Signs, but No Anxiety, Are Shown in Women with Dysmenorrhea: A Case-Control StudyHoyos-Calderón, Yennyt-TatianaMartínez-Merinero, PatriciaNunez-Nagy, SusanaPecos Martín, DanielCalvo Lobo, CésarRomero-Morales, CarlosAbuín-Porras, VanesaSerrano-Imedio, Ana615.8Pelvic floorDysmenorrheaPainFisioterapia (Enfermería, Fisioterapia y Podología)3213.11 FisioterapiaBackground primary dysmenorrhea (PD) is considered to be a cyclic chronic pelvic pain, with its onset in menstrual periods, often accompanied by the presence of myofascial trigger points (MTP). Most MTPs in subjects with chronic pelvic pain are in the inferior part of the abdomen, in the rectus abdominis (RA) area. Central sensitization is closely related to chronic pain processes. Previous studies in women with chronic pelvic pain reported central sensitization signs in their subjects, such as lower pain pressure threshold (PPT). Several authors agree that PPT in the tibialis anterior (TA) muscle, seems to be a reliable reference for signs of central sensitization. Amongst the factors that seem to accompany central sensitization, the presence of anxiety needs to be considered. The aim of the present study was to analyze the existence of hyperalgesic MTPs in RA, central sensitization signs and anxiety in women with PD, in comparison with a control group (CG). Methods: This study was designed following an observational, cross-sectional, case-control model. A total sample of 80 subjects was recruited trough social webs and advertising (PD n = 39) (CG n = 41). PPT in RA and AT was assessed bilaterally through algometry, and anxiety was evaluated through the State–Trait Anxiety Inventory. Results: Statistically significant differences (p < 0.001) were shown for NRS average and maximum increase, as well as lower bilaterally RA and TA PPT in favor of PD group compared to CG. State or trait STAI did not show any statistically significant differences (p > 0.05) between groups. Conclusions: In this study, women with PD reported symptoms of myofascial pain syndrome and central sensitization, when compared with healthy controls, without any sign of anxiety acting as a confounder for pain sensitivity.MDPIUniversidad Complutense de Madrid20222022-10-2320222022-10-23journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/73422reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 3.0 Españahttps://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/734222026-06-02T12:44:21Z
dc.title.none.fl_str_mv Myofascial Trigger Points and Central Sensitization Signs, but No Anxiety, Are Shown in Women with Dysmenorrhea: A Case-Control Study
title Myofascial Trigger Points and Central Sensitization Signs, but No Anxiety, Are Shown in Women with Dysmenorrhea: A Case-Control Study
spellingShingle Myofascial Trigger Points and Central Sensitization Signs, but No Anxiety, Are Shown in Women with Dysmenorrhea: A Case-Control Study
Hoyos-Calderón, Yennyt-Tatiana
615.8
Pelvic floor
Dysmenorrhea
Pain
Fisioterapia (Enfermería, Fisioterapia y Podología)
3213.11 Fisioterapia
title_short Myofascial Trigger Points and Central Sensitization Signs, but No Anxiety, Are Shown in Women with Dysmenorrhea: A Case-Control Study
title_full Myofascial Trigger Points and Central Sensitization Signs, but No Anxiety, Are Shown in Women with Dysmenorrhea: A Case-Control Study
title_fullStr Myofascial Trigger Points and Central Sensitization Signs, but No Anxiety, Are Shown in Women with Dysmenorrhea: A Case-Control Study
title_full_unstemmed Myofascial Trigger Points and Central Sensitization Signs, but No Anxiety, Are Shown in Women with Dysmenorrhea: A Case-Control Study
title_sort Myofascial Trigger Points and Central Sensitization Signs, but No Anxiety, Are Shown in Women with Dysmenorrhea: A Case-Control Study
dc.creator.none.fl_str_mv Hoyos-Calderón, Yennyt-Tatiana
Martínez-Merinero, Patricia
Nunez-Nagy, Susana
Pecos Martín, Daniel
Calvo Lobo, César
Romero-Morales, Carlos
Abuín-Porras, Vanesa
Serrano-Imedio, Ana
author Hoyos-Calderón, Yennyt-Tatiana
author_facet Hoyos-Calderón, Yennyt-Tatiana
Martínez-Merinero, Patricia
Nunez-Nagy, Susana
Pecos Martín, Daniel
Calvo Lobo, César
Romero-Morales, Carlos
Abuín-Porras, Vanesa
Serrano-Imedio, Ana
author_role author
author2 Martínez-Merinero, Patricia
Nunez-Nagy, Susana
Pecos Martín, Daniel
Calvo Lobo, César
Romero-Morales, Carlos
Abuín-Porras, Vanesa
Serrano-Imedio, Ana
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 615.8
Pelvic floor
Dysmenorrhea
Pain
Fisioterapia (Enfermería, Fisioterapia y Podología)
3213.11 Fisioterapia
topic 615.8
Pelvic floor
Dysmenorrhea
Pain
Fisioterapia (Enfermería, Fisioterapia y Podología)
3213.11 Fisioterapia
description Background primary dysmenorrhea (PD) is considered to be a cyclic chronic pelvic pain, with its onset in menstrual periods, often accompanied by the presence of myofascial trigger points (MTP). Most MTPs in subjects with chronic pelvic pain are in the inferior part of the abdomen, in the rectus abdominis (RA) area. Central sensitization is closely related to chronic pain processes. Previous studies in women with chronic pelvic pain reported central sensitization signs in their subjects, such as lower pain pressure threshold (PPT). Several authors agree that PPT in the tibialis anterior (TA) muscle, seems to be a reliable reference for signs of central sensitization. Amongst the factors that seem to accompany central sensitization, the presence of anxiety needs to be considered. The aim of the present study was to analyze the existence of hyperalgesic MTPs in RA, central sensitization signs and anxiety in women with PD, in comparison with a control group (CG). Methods: This study was designed following an observational, cross-sectional, case-control model. A total sample of 80 subjects was recruited trough social webs and advertising (PD n = 39) (CG n = 41). PPT in RA and AT was assessed bilaterally through algometry, and anxiety was evaluated through the State–Trait Anxiety Inventory. Results: Statistically significant differences (p < 0.001) were shown for NRS average and maximum increase, as well as lower bilaterally RA and TA PPT in favor of PD group compared to CG. State or trait STAI did not show any statistically significant differences (p > 0.05) between groups. Conclusions: In this study, women with PD reported symptoms of myofascial pain syndrome and central sensitization, when compared with healthy controls, without any sign of anxiety acting as a confounder for pain sensitivity.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-10-23
2022
2022-10-23
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/73422
url https://hdl.handle.net/20.500.14352/73422
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.198674

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