Evidence map›Paper›PMID 30376863›Full record

ArticleBMC musculoskeletal disorders2018

Evaluation of mitochondrial function in chronic myofascial trigger points - a prospective cohort pilot study using high-resolution respirometry.

Michael J Fischer, Gergo Horvath, Martin Krismer, Erich Gnaiger, Georg Goebel, Dominik H Pesta

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03704311 (Evaluation of Mitochondrial Function in Chronic Myofascial Trigger Points - A Prospective Cohort Pilot Study Using High-resolution Respirometry), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 38% 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.

NCT03704311 nacompletednot on this map

Evaluation of Mitochondrial Function in Chronic Myofascial Trigger Points - A Prospective Cohort Pilot Study Using High-resolution Respirometry

TypeinterventionalSponsorMedical University InnsbruckRan2013 to 2014Enrolled20ConditionsPain, Neck, Pain, Back, Myofascial Trigger Point Pain, Myofascial PainArmsMuscle biopsy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Myofascial and discogenic origins of lumbar pain: A critical review.The Journal of manual & manipulative therapy · 2023
    Review
  6. Article
  7. Review
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

6 authors at 3 institutions in 3 countries.

Michael J FischerVamed Rehabilitation Center Kitzbuehel, Kitzbuehel, Austria.
Gergo HorvathDepartment of Medical Biochemistry, Semmelweis University, Budapest, Hungary.
Martin KrismerDepartment of Orthopedics, Medical University Innsbruck, Innsbruck, Austria.
Erich GnaigerD. Swarovski Research Laboratory, Department of Visceral, Transplant and Thoracic Surgery, Medical University Innsbruck, Innsbruck, Austria.
Georg GoebelDepartment of Medical Statistics, Informatics and Health Economics, Medical University Innsbruck, Innsbruck, Austria.
Dominik H PestaInstitute for Clinical Diabetology, German Diabetes Center, Leibniz Institute for Diabetes Research, Heinrich-Heine-University, Düsseldorf, Germany. dominik.pesta@ddz.uni-duesseldorf.de.ORCID http://orcid.org/0000-0002-5089-3586
Innsbruck Medical University · ATSemmelweis University · HUUniversität Innsbruck · AT

Funding

Austrian Science Fund J3267German Society for Manual Medicine -
6 · The paper itself

Abstract

backgroundMyofascial trigger points (MTrPs) are hyperirritable areas in the fascia of the affected muscle, possibly related to mitochondrial impairment. They can result in pain and hypoxic areas within the muscle. This pilot study established a minimally invasive biopsy technique to obtain high-quality MTrP tissue samples to evaluate mitochondrial function via high-resolution respirometry. Secondary objectives included the feasibility and safety of the biopsy procedure.

methodsTwenty healthy males participated in this study, 10 with a diagnosis of myofascial pain in the musculus (m.) trapezius MTrP (TTP group) and 10 with a diagnosis of myofascial pain in the m. gluteus medius (GTP group). Each participant had 2 muscle biopsies taken in one session. The affected muscle was biopsied followed by a biopsy from the m. vastus lateralis to be used as a control. Measurements of oxygen consumption were carried out using high-resolution respirometry.

resultsMitochondrial respiration was highest in the GTP group compared to the TTP group and the control muscle whereas no differences were observed between the GTP and the control muscle. When normalizing respiration to an internal reference state, there were no differences between muscle groups. None of the participants had hematomas or reported surgical complications. Patient-reported pain was minimal for all 3 groups. All participants reported a low procedural burden.

conclusionsThis pilot study used a safe and minimally invasive technique for obtaining biopsies from MTrPs suitable for high-resolution respirometry analysis of mitochondrial function. The results suggest that there are no qualitative differences in mitochondrial function of MTrPs of the trapezius and gluteus medius muscles compared to the vastus lateralis control muscle, implying that alterations of mitochondrial function do not appear to have a role in the development of MTrPs.

trial registrationRegistered as No. 20131128-850 at the Coordinating Center for Clinical Studies of the Medical University of Innsbruck, trial registration date: 28th November 2013 and retrospectively registered on 11th of October 2018 at ClinicalTrials.gov with the ID NCT03704311 .

Indexed as

AdultBiopsy, NeedleButtocksCohort StudiesHumansMaleMiddle AgedMitochondriaMyofascial Pain SyndromesOxygen ConsumptionPilot ProjectsProspective StudiesSuperficial Back MusclesYoung AdultHigh-resolution respirometryMitochondriaMitochondrial functionMuscle biopsyMyofascial trigger points

Identifiers

PMID30376863
PMCPMC6208107
OpenAlexW2899199908

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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.