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International Consensus on Diagnostic Criteria and Clinical Considerations of Myofascial Trigger Points: A Delphi Study

Fernández-de-las-Peñas, César ; Dommerholt, Jan

Pain medicine (Malden, Mass.), 2018-01, Vol.19 (1), p.142-150 [Periódico revisado por pares]

England: Oxford University Press

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  • Título:
    International Consensus on Diagnostic Criteria and Clinical Considerations of Myofascial Trigger Points: A Delphi Study
  • Autor: Fernández-de-las-Peñas, César ; Dommerholt, Jan
  • Assuntos: Burning ; Consensus ; Delphi method ; Delphi Technique ; Diagnosis ; Experts ; Humans ; Medical diagnosis ; Myofascial Pain Syndromes - diagnosis ; Myofascial Pain Syndromes - physiopathology ; Numbness ; Pain ; Trigger Points - physiopathology
  • É parte de: Pain medicine (Malden, Mass.), 2018-01, Vol.19 (1), p.142-150
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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  • Descrição: Abstract Objective There is no consensus on the essential diagnostic criteria for diagnosing a trigger point (TrP). In fact, a variety of diagnostic criteria are currently being used. Our aim was to conduct a Delphi panel to achieve an international consensus on the cluster of criteria needed for the TrP diagnosis to reach a consensus on the definition of active and latent TrPs and to clarify different clinical considerations about TrPs. Methods Following international guidelines, an international three-round Delphi survey was conducted. Questions were created based on a systematic literature search of the diagnostic criteria for TrPs. Results Sixty experts from 12 countries completed all rounds of the survey. A cluster of three diagnostic criteria was proposed as essential for the TrP diagnosis: a taut band, a hypersensitive spot, and referred pain. Eighty percent of the experts agreed that the referred pain elicited by a TrP can include different sensory sensations and not just pain, that is, pain spreading to a distant area, deep pain, dull ache, tingling, or burning pain. Eighty-four percent of the international experts consistently answered that the main clinical differences between active and latent TrPs are the reproduction of any of the symptoms experienced by a patient and the recognition of pain. No specific location of the pain referral area and TrP location should be expected. Conclusions This Delphi panel has produced an expert-based standardized definition of a TrP with a discussion of the clinical components, including the definition of referred pain and the difference between active and latent TrPs, thereby providing a foundation for future research in MPS.
  • Editor: England: Oxford University Press
  • Idioma: Inglês

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