Myofascial pain syndromes are rightly to enduring health problems. The authors emphasize that the etiology and pathogenesis of these conditions are reviewed with the "enviable" frequency. It is natural, it affects on the common principles of treatment and rehabilitation of this population. In this regard, the present review discuss current views on the pathogenesis, clinical manifestations and common principles of treatment of myofascial pain syndromes, mechanisms of action and features of the drug and non-drug methods used in the clinic vertebral neurology. The authors describe the principles of modern trends of manual therapy and reflexology. The review presents EMG and ultrasound methods for diagnosis of trigger points, the characteristics of local muscle hypertones: painful and not painful. Special attention is paid to such phenomena as dysfunctions of the temporomandibular joint and laryngeal-pharyngeal block, viscero-motor reflexes and posthistory syndrome.
myofascial pain syndrome, trigger points, temporomandibular joint, laryngeal-pharyngeal block, viscero-motor dysfunction, applied kinesiology, osteopathy, pharmacopuncture.
1. Agasarov L.G., Tikhaya O.A. Farmakopunktura v vosstanovitel´nom lechenii bol´nykh s dorsopa-tiyami. Refleksoterapiya. 2006. № 4. S. 43.
2. Agasarov L.G., Farmakopunktura (farmakopunkturnaya refleksoterapiya). Uchebnoe posobie dlya vrachey. M.: Arnebiya, 2013. 192 s.
3. Andreev L.A., Mikhaylov A.M., Mikhaylova V.A. Podbor individual´nogo fitosbora pri leche-nii khronicheskoy intoksikatsii s ispol´zovaniem metodov prikladnoy kineziologii. Prikladnaya ki-neziologiya. 2007. №8-. C. 11-12.
4. Beglyarova M., Orlova O. Vtorichnyy miofastsial´nyy bolevoy sindrom pri nevralgii troy-nichnogo nerva. Vrach. 2007. №36. C. 105-107.
5. Belyaeva E.A., Kupeev V.G., Khadartsev A.A. Novaya tekhnologiya bezopasnoy analgeticheskoy tera-pii pri oslozhnennom osteoporoze. Vestnik novykh meditsinskikh tekhnologiy. 2010. № 3. S. 122-124.
6. Boldin A.V. Farmakopunktura v vosstanovitel´noy korrektsii funktsional´nogo sostoyaniya pri vertebrogennykh neyrososudistykh sindromakh: dis. kand. med. nauk. Moskva, 2005. 126 s.
7. Bubnov R.V., Klitinskiy Yu.V. Ispol´zovanie «sukhogo» igloukalyvaniya triggernykh tochek pod ul´trazvukovym kontrolem v lechenii disfunktsii visochno-nizhnechelyustnogo sustava. Dental´nye tekhnologii. 2010. №1(44). C. 45-52.
8. Val´ter Devid S. Prikladnaya kineziologiya, 2-e izdanie. Sankt-Peterburg, 2011. 644 c.
9. Vasil´eva L.F. Manual´naya diagnostika i terapiya. Klinicheskaya biomekhanika i patobiomekhanika. SPb.: IKF Foliant, 1999. 400 s.
10. Vasil´eva L.F. Osnovy manual´nogo myshechnogo testirovaniya ch. 1 i ch.2. Moskva, 2010
11. Gitbinder O.G. Rol´ gribkovoy infektsii v fomirovanii khronicheskikh bolevykh myshechnykh sindromov i metody ee korrektsii metodami prikladnoy kineziologii. Prikladnaya kineziologiyayu 2007. №8-9. S. 56-57.
12. Godzenko A.A., Badokin V.V. Lokal´naya terapiya miofastsial´nogo bolevogo sindroma. RMZh. Revmatologiya. 2007. № 26. C. 1998-2003.
13. Dadasheva M.N., Agafonov B.V., Shevtsova N.N. Algoritm terapii miofastsial´nogo bolevogo sindroma. Trudnyy patsient. 2013. №11. S. 47-50.
14. Danilov A.B. Vozmozhnosti primeneniya tizanidina v klinicheskoy praktike. RMZh. 2009. № 20. S. 1370-1376.
15. Esin R.G., Fayzullin R.I., Rogozhin A.A., Devlikamova F.I. Klinicheskaya miologiya. Kazan´: Fen, 2003. 272 s
16. Ivanichev G.A. Manual´naya terapiya: rukovodstvo, atlas. Kazan´, 1997. 448 s.
17. Ivanichev G.A. Patogeneticheskie aspekty formirovaniya i proyavleniya klassicheskikh bolevykh myshechnykh sindromov. Manual´naya terapiya. 2009. №3 (35). S. 3-12.
18. Ivanov V.V., Markov N.M. Vliyanie zubochelyustnoy sistemy na postural´nyy status patsienta. Manual´naya terapiya. 2013. №3 (51). S. 83-89.
19. Karlov V.A. Nevrologiya: Rukovodstvo dlya vrachey. 3-e izd., pererab. i dop. M.: Meditsinskoe informatsionnoe agentstvo, 2011. 664 c.
20. Lavrenov V.M. Prikladnaya kineziologiya v otsenke vliyaniya kislotno-shchelochnogo sostoyaniya or-ganizma na patogenez i kliniku bolevogo sindroma. Prikladnaya kineziologiya. 2007. №8-9. C. 46-47.
21. Makina S.K., Agasarov L.G. Optimizatsiya kompleksnoy terapii bol´nykh s dorsopatiey. Tra-ditsionnaya meditsina. 2012. № 30 (30). S. 13-15.
22. Mar´yanovskiy A.A., Rabinovich S.A. Obshchaya terapiya. Katalog preparatov firmy «Biologishe Khayl´mittel´ Kheel´ GmbKh». M.: Arnebiya, 2010-1011. 352 s.
23. Mikhaylov A.M. Vistseral´naya manual´naya terapiya. Klinika, diagnostika, lechenie. Novokuz-netsk: NP, 1998. 110 s.
24. Mikhaylov A.M. Nespetsificheskie reflektorno-myshechnye sindromy vistseral´nogo geneza. Manual´naya terapiya. 2004. №13. S. 1017.
25. Mogendovich M.R. Reflektornoe vzaimodeystvie lokomotornoy i vistseral´noy sistem. Med-giz, 1957. 426 s.
26. Mogendovich M.R. Fiziologiya i patologiya motorno-vistseral´nykh refleksov. Perm´, 1961. 289 s.
27. Morozova O.G., Yaroshevskiy A.A. Miofastsial´naya disfunktsiya i narushenie biomekhaniki po-zvonochnika v geneze golovnoy boli i golovokruzheniya. Mezhdunarodnyy nevrologicheskiy zhurnal. 2012. 4 (50). C. 44-56.
28. Petrov K.B, Ivanchin D.M. Kolichestvennye i prostranstvenno-topograficheskie kharakteri-stiki dvigatel´nykh sinergiy verkhney konechnosti cheloveka v norme. Manual´naya terapiya. 2004. №13. S. 50-57.
29. Pilipovich A.A. Miofastsial´nyy bolevoy sindrom. Novaya apteka. 2011. № 9. C. 68-72.
30. Popelyanskiy Ya.Yu. Bolezni perifericheskoy nervnoy sistemy. M.: Meditsina, 1989. 462 s.
31. Tomas. V. Mayers. Anatomicheskie poezda: miofastsial´nye meridiany dlya manual´nykh tera-pevtov, 2007. 273 c.
32. Trevell D.G., Simons D.G. Miofastsial´nye boli. 1989.
33. Fedotova A.V., Voznesenskaya T.G. Baklofen pri lechenii boley v spine myshechno-tonicheskikh i miofastsial´nykh bolevykh sindromov. Lechenie nervnykh bolezney. 2004. № 2(14). S. 19-22.
34. Chernyshova T.N. Diagnostika i korrektsiya neyrotransmitternykh narusheniy s pozitsii pri-kladnoy kineziologii. Prikladnaya kineziologiya. 2007. №8-9. S. 32-33.
35. Yakupova A.A., Ismagilov M.F. Miofastsial´nyy bolevoy sindrom kak faktor, vliyayushchiy na tyazhest´ klinicheskikh proyavleniy migreni bez aury. Nevrologicheskiy zhurnal. 2008. №2. C. 21-23.
36. Agasarov L.G. Pharmacopuncture in dorsopathy treatment. JAMS Journal of Acupuncture and Me-ridian Studies. 2008. № 2. S. 110-113.
37. Brandt T., Bronstein A.M. Cervical vertigo. J Neurol Neurosurg Psychiatry. 2001. 71. P. 8-12.
38. Bron C., Dommerholt J.D. Etiology of Myofascial Trigger Points. Curr Pain Headache Rep. 2012. 16. P. 439-444.
39. Calderon P. dos Santos, Hildenberg P.B., Rosetti L.M., Laurenti J.V., Conti P.C. Influence of tinnitus on pain severity and quality of life in patients with temporomandibular disorders. J Appl Oral Sci. 2012. 20(2). P. 170-173.
40. Campbell D., Parsons C. Referred head pain and its concomitants. J Nerv Mental Dis. 1944. 99. R. 544-551.
41. Durette M.R., Rodriquez A.A., Agre J.C. Needle electromyographic evaluation of patients with myofacial or fibromyalgic pain. Am J Phys Med Rehabil. 1991. 70(3). P. 154-156.
42. Ferendiuk E., Zajdel K., Pihut M. Incidence of Otolaryngological Symptoms in Patients with Tempo-romandibular Joint Dysfunctions. Hindawi Publishing CorporationBioMed Research International. 2014. 5.
43. Fiahin N., Karatafl O., Ozkaya M., Cakmak A., Berker E. Demographics features, clinical findings and functional status in a group of subjects with cervical myofascial pain syndrome. AGRI. 2008. 20. P. 14-19.
44. Fuller B. Synergetics. New York: Macmillan, 1975.
45. Goodheart G. Applied Kinesiology. G. Goodheart. London; Edinburg, 1976. 359 p.
46. Goodheart G.J., Jr., Applied Kinesiology 1977 Workshop Procedure Manual, 13th ed, 1977.
47. Graziano D.L., Nitsch W., Huijbregts P.A. Positive Cervical Artery Testing in a Patient with Chronic Whiplash Syndrome: Clinical Decision-Making in the Presence of Diagnostic Uncertainty. J Man Manip Ther. 2007. 15(3). R. 45-63.
48. Hagg G.M. Human muscle fibre abnormalities related to occupational load. Eur J Appl Physiol. 2000. 83. S. 159-165.
49. Hubbard D.R., Berkoff G.M. Myofacial trigger points show spontaneous needle EMG activity. Spine. 1993. 18. S. 1803-1807.
50. Kenneth P.B., Kavita Sharma, Romeo S., Bharat C.P. Ultrasound-Guided Trigger Point Injections in the Cervicothoracic Musculature: A New and Unreported Technique. Pain Physician. 2008. 11. R. 885-889.
51. Manolopoulos L., Vlastarakos P.V., Georgiou L., Giotakis I., Loizos A., Nikolopoulos T.P. Myofascial pain syndromes in the maxillofacial area: a common but underdiagnosed cause of head and neck pain. Int J Oral Maxillofac Surg. 2008. 37(11). P. 975-984.
52. Mehul J. Desai, Vikramjeet Saini, Shawnjeet S. Myofascial Pain Syndrome: A Treatment Review Pain Ther. Jun. 2013. 2(1). P. 21-36.
53. Packard RC. The relationship of neck injury and post-traumatic headache. Curr Pain Headache Rep. 2002. 6(4). P. 301-307.
54. Palmer D.D. The Science, Art and Philosophy of Chiropractic (Portlend, OR: Portlend Printing Hause, 1910.
55. Peter C. Emary DC. Chiropractic management of a 40-year-old female patient with Meniere disease. Journal of Chiropractic Medicine. 2010. 9. R. 22-27.
56. Richard G. Strunk DC, Cheryl Hawk DC. Effects of chiropractic care on dizziness, neck pain, and balance: a single-group, preexperimental, feasibility study. Journal of Chiropractic Medicine. 2009. 8. R. 156-164.
57. Sikdar S., Shah J.P., Gebreab T., Yen R.H., Gilliams E., Danoff J., Gerber L.H. Novel applications of ultrasound technology to visualize and characterize myofascial trigger points and surrounding soft tissue. Arch Phys Med Rehabil. 2009. 90(11). R. 1829-1838.
58. Soares A., Andriolo R.B., Atallah A.N., da Silva E.M. Botulinum toxin for myofascial pain syndromes in adults. Cochrane Database Syst Rev. 2012. 4.
59. Tanit Ganz Sanchez, Carina Bezerra Rocha. Diagnosis and management of somatosensory tinnitus: review article. Clinics. 2011. 66(6). 1089-1094.
60. Thomas K., Shankar H. Targeting myofascial taut bands by ultrasound. Curr Pain Headache Rep. 2013. 17(7). R. 349.
61. Walther D.S. Applied Kinesiology Synopsis. D.Walther. Colorado: SDC, 1988. 572 p.
62. Wheeler AH. Myofascial pain disorders: theory to therapy. Drugs. 2004. 64(1). R. 45-62.
