Evidence map›Paper›PMID 29276464›Full record

ArticleJournal of chiropractic medicine2017

Reliability of the Upper Trapezius Muscle and Fascia Thickness and Strain Ratio Measures by Ultrasonography and Sonoelastography in Participants With Myofascial Pain Syndrome.

Mahyar Salavati, Behnam Akhbari, Ismail Ebrahimi Takamjani, Kamran Ezzati, Hamidreza Haghighatkhah

Registry-linked trialAbstract read
In one paragraph

Article in Journal of chiropractic medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07660523 (Effectiveness of Second-Generation Focused Extracorporeal Shockwave Therapy Combined With Ultrasonographic Assessment in Myofascial Pain Syndrome of the Neck and Shoulder), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07660523 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effectiveness of Second-Generation Focused Extracorporeal Shockwave Therapy Combined With Ultrasonographic Assessment in Myofascial Pain Syndrome of the Neck and Shoulder: A Pilot Randomized Controlled Trial

TypeinterventionalSponsorCishan Hospital, Ministry of Health and WelfareRan2026 to 2027Enrolled60ConditionsMyofascial Pain SyndromeArmsSecond-Generation Focused Extracorporeal Shockwave Therapy, Home-Based Neck Exercise Program
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Trial
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  4. Appropriate needle insertion depth for trigger point injections of the parascapular region.Turkish journal of physical medicine and rehabilitation · 2026
    Article
  5. Observational
  6. Article
  7. Article
  8. Ultrasound-Guided Fascial Hydrodissection with Eperisone: A Retrospective Study on Efficacy and Safety in Lumbodorsal Fasciitis Treatment.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Article
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  10. Article
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  12. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Mahyar SalavatiUniversity of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Behnam AkhbariUniversity of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Ismail Ebrahimi TakamjaniPhysiotherapy Department, Rehabilitation Faculty of Iran University of Medical Sciences, Tehran, Iran.
Kamran EzzatiPhysiotherapy Department, Guilan University of Medical Sciences, Rasht, Iran.
Hamidreza HaghighatkhahRadiology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
University of Social Welfare and Rehabilitation Sciences · IRGuilan University of Medical Sciences · IRIran University of Medical Sciences · IRShahid Beheshti University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study was to assess the intra- and interexaminer reliability of the upper trapezius muscle and fascia thickness measured by ultrasonography imaging and strain ratio by sonoelastography in participants with myofascial pain syndrome.

methodsThirty-two upper trapezius muscles were assessed. Two examiners measured the upper trapezius thickness and strain ratio 3 times by ultrasonography and sonoelastography independently in the test session. The retest session was completed 6 to 8 days later.

resultsA total of 87.5% of participants had trigger points on the right side, and 22.5% had trigger points on the left side. For the test session, the average upper trapezius thickness, fascia thickness, and strain ratio measured by first and second examiners were 11.86 mm and 11.56 mm, 1.23 mm and 1.25 mm, and 0.94 and 0.99, respectively. For the retest session, the previously mentioned parameters obtained by first and second examiners were 11.76 mm and 11.39 mm, 1.27 mm and 1.29 mm, and 0.96 and 0.99, respectively. The intraclass correlation coefficients indicated good to excellent reliability for both within-intraexaminer (0.78-0.96) and between-intraexaminer (0.75-0.98) measurements. Also, the intraclass correlation coefficients and standard errors of measurement of interexaminer reliability ranged between 0.88 to 0.93 and 0.05 to 0.44 for both muscle and fascia thickness and 0.70 to 0.75 and 0.04 to 0.20 for strain ratio of upper trapezius, respectively.

conclusionUpper trapezius thickness measurements by ultrasonography and strain ratio by sonoelastography are reliable methods in participants with myofascial pain syndrome.

Indexed as

Elasticity Imaging TechniquesMyofascial Pain SyndromesTrigger PointsUltrasonography: Diagnostic Imaging

Identifiers

PMID29276464
PMCPMC5731835
OpenAlexW2763120659

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.