FizioRadar

Iván Edina és Forgács-Kristóf Katalin

Az első magyar fizioterápiás podcast! Naprakész, hiteles, tudományosan megalapozott tudás, ami mindenkinek jár!

  1. Jul 27

    #44: Triggerpontok és amit nem mondtak el róluk

    Erre a linkre kattintva tudsz feliratkozni a Bennfentes Hírlevélre! Ha tetszett az adás, és megteheted, hívj meg minket egy kávéra: Meghívlak titeket egy kávéra! A triggerpontok léteznek. Csak éppen máig nem tudjuk pontosan, hogy mik azok. Egymással versengő elméletek, eltérő kategóriák, bizonytalan diagnosztikai kritériumok és egységesnek aligha nevezhető kezelések.  Ebben az adásban megkíséreljük kibogozni a szálakat.  Felhasznált irodalom: Albaker, A. B. 2023. “Ischemic Pressure vs. Post-Isometric Relaxation for Treatment of Rhomboid Latent Myofascial Trigger Point: A Systemic Review.” European Review for Medical and Pharmacological Sciences 27 (11): 5031–38. Alvarez, David J., and Pamela G. Rockwell. 2002. “Trigger Points: Diagnosis and Management.” American Family Physician 65 (4): 653–60. Barbero, Marco, Alessandro Schneebeli, Eva Koetsier, and Paolo Maino. 2019. “Myofascial Pain Syndrome and Trigger Points: Evaluation and Treatment in Patients with Musculoskeletal Pain: Evaluation and Treatment in Patients with Musculoskeletal Pain.” Current Opinion in Supportive and Palliative Care 13 (3): 270–76. Bron, Carel, and Jan D. Dommerholt. 2012. “Etiology of Myofascial Trigger Points.” Current Pain and Headache Reports 16 (5): 439–44. Cagnie, Barbara, Vincent Dewitte, Tom Barbe, Frank Timmermans, Nicolas Delrue, and Mira Meeus. 2013. “Physiologic Effects of Dry Needling.” Current Pain and Headache Reports 17 (8): 348. Charles, Derek, Trey Hudgins, Josh MacNaughton, Eric Newman, Joanne Tan, and Michael Wigger. 2019. “A Systematic Review of Manual Therapy Techniques, Dry Cupping and Dry Needling in the Reduction of Myofascial Pain and Myofascial Trigger Points.” Journal of Bodywork and Movement Therapies 23 (3): 539–46. Chen, Yongjia, Yannan Sun, Shaolong Ai, and Qian Wang. 2025. “Comparison of Dry Needling with Physical Modalities for Myofascial Trigger Point of Patients with Neck Pain: A Systematic Review and Meta-Analysis.” Journal of Bodywork and Movement Therapies 45 (December): 493–501. Cummings, T. M., and A. R. White. 2001. “Needling Therapies in the Management of Myofascial Trigger Point Pain: A Systematic Review.” Archives of Physical Medicine and Rehabilitation 82 (7): 986–92. Dommerholt, Jan, and Robert D. Gerwin. 2015. “A Critical Evaluation of Quintner et al: Missing the Point.” Journal of Bodywork and Movement Therapies 19 (2): 193–204. Donnelly, Joseph M. 2019. Travell, Simons & Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual. Edited by César Fernández-de-las-Peñas, Michelle Finnegan, and Jennifer L. Freeman. 3rd ed. Philadelphia: Wolters Kluwer Health. Fernández-de-Las-Peñas, César, and Jan Dommerholt. 2018. “International Consensus on Diagnostic Criteria and Clinical Considerations of Myofascial Trigger Points: A Delphi Study.” Pain Medicine (Malden, Mass.) 19 (1): 142–50. Ge, Hong-You, and Lars Arendt-Nielsen. 2011. “Latent Myofascial Trigger Points.” Current Pain and Headache Reports 15 (5): 386–92. Ge, Hong-You, César Fernández-de-Las-Peñas, and Shou-Wei Yue. 2011. “Myofascial Trigger Points: Spontaneous Electrical Activity and Its Consequences for Pain Induction and Propagation.” Chinese Medicine 6 (1): 13. Gerwin, R. D. 1994. “Neurobiology of the Myofascial Trigger Point.” Bailliere’s Clinical Rheumatology 8 (4): 747–62. Hong, Chang-Zern. 1994. “LIDOCAINE INJECTION VERSUS DRY NEEDLING TO MYOFASCIAL TRIGGER POINT: The Importance of the Local Twitch Response.” American Journal of Physical Medicine & Rehabilitation 73 (4): 256. Lavelle, Elizabeth Demers, William Lavelle, and Howard S. Smith. 2007. “Myofascial Trigger Points.” Anesthesiology Clinics 25 (4): 841–51, vii–iii. Lew, Jennalyn, Jennifer Kim, and Preeti Nair. 2021. “Comparison of Dry Needling and Trigger Point Manual Therapy in Patients with Neck and Upper Back Myofascial Pain Syndrome: A Systematic Review and Meta-Analysis.” The Journal of Manual & Manipulative Therapy 29 (3): 136–46. Li, Lihui, Rahel Stoop, Ron Clijsen, Erich Hohenauer, César Fernández-de-Las-Peñas, Qiangmin Huang, and Marco Barbero. 2020. “Criteria Used for the Diagnosis of Myofascial Trigger Points in Clinical Trials on Physical Therapy: Updated Systematic Review: Updated Systematic Review.” The Clinical Journal of Pain 36 (12): 955–67. Lucas, Nicholas, Petra Macaskill, Les Irwig, Robert Moran, and Nikolai Bogduk. 2009. “Reliability of Physical Examination for Diagnosis of Myofascial Trigger Points: A Systematic Review of the Literature: A Systematic Review of the Literature.” The Clinical Journal of Pain 25 (1): 80–89. Money, Sarah. 2017. “Pathophysiology of Trigger Points in Myofascial Pain Syndrome.” Journal of Pain & Palliative Care Pharmacotherapy 31 (2): 158–59. Peñas, César Fernández de las, Mónica Sohrbeck Campo, Josué Fernández Carnero, and Juan Carlos Miangolarra Page. 2005. “Manual Therapies in Myofascial Trigger Point Treatment: A Systematic Review.” Journal of Bodywork and Movement Therapies 9 (1): 27–34. Quintner, John L., Geoffrey M. Bove, and Milton L. Cohen. 2015. “A Critical Evaluation of the Trigger Point Phenomenon.” Rheumatology (Oxford, England) 54 (3): 392–99. Rathbone, Alasdair T. L., Liza Grosman-Rimon, and Dinesh A. Kumbhare. 2017. “Interrater Agreement of Manual Palpation for Identification of Myofascial Trigger Points: A Systematic Review and Meta-Analysis: A Systematic Review and Meta-Analysis.” The Clinical Journal of Pain 33 (8): 715–29. Shah, Jay P., Jerome V. Danoff, Mehul J. Desai, Sagar Parikh, Lynn Y. Nakamura, Terry M. Phillips, and Lynn H. Gerber. 2008. “Biochemicals Associated with Pain and Inflammation Are Elevated in Sites near to and Remote from Active Myofascial Trigger Points.” Archives of Physical Medicine and Rehabilitation 89 (1): 16–23. Shah, Jay P., Terry M. Phillips, Jerome V. Danoff, and Lynn H. Gerber. 2005. “An in Vivo Microanalytical Technique for Measuring the Local Biochemical Milieu of Human Skeletal Muscle.” Journal of Applied Physiology (Bethesda, Md.: 1985) 99 (5): 1977–84. Simons, David G. 2006. “Review of Microanalytical in Vivo Study of Biochemical Milieu of Myofascial Trigger Points.” Journal of Bodywork and Movement Therapies 10 (1): 10–11. Tough, Elizabeth A., Adrian R. White, Suzanne Richards, and John Campbell. 2007. “Variability of Criteria Used to Diagnose Myofascial Trigger Point Pain Syndrome--Evidence from a Review of the Literature.” The Clinical Journal of Pain 23 (3): 278–86. https://www.painscience.com/blog/please-stop-saying-trigger-points-dont-exist.html

  2. Jun 19

    #43: Pátia-pátia 3: Górcső alatt a PATELLA-tendinopátia

    Ebben az adásban a patella-tendinopátia problémakörét boncolgatjuk.  Legyél Bennfentes és szerezd meg az adásokhoz kapcsolódó extra tartalmakat: https://fizioradar-bennfentes.subscribepage.io/ Kritikai Gondolkodás Egészségügyi Szakembereknek program (kedvezményes bevezető ár június 30-ig!): https://fizioradar.learnworlds.com/course/kritikai-gondolkodas   Hivatkozások: Ophey M, Koëter S, van Ooijen L, et al. Dutch multidisciplinary guideline on anterior knee pain: Patellofemoral pain and patellar tendinopathy. Knee Surg Sports Traumatol Arthrosc. 2025;33(2):457-469. doi:10.1002/ksa.12367   Theodorou A, Komnos G, Hantes M. Patellar tendinopathy: an overview of prevalence, risk factors, screening, diagnosis, treatment and prevention. Arch Orthop Trauma Surg. 2023;143(11):6695-6705. doi:10.1007/s00402-023-04998-5   Challoumas D, Pedret C, Biddle M, et al. Management of patellar tendinopathy: a systematic review and network meta-analysis of randomised studies. BMJ Open Sport Exerc Med. 2021;7(4):e001110. Published 2021 Nov 29. doi:10.1136/bmjsem-2021-001110   Llombart R, Mariscal G, Barrios C, Llombart-Ais R. The Best Current Research on Patellar Tendinopathy: A Review of Published Meta-Analyses. Sports (Basel). 2024;12(2):46. Published 2024 Feb 1. doi:10.3390/sports12020046   Rosen AB, Wellsandt E, Nicola M, Tao MA. Clinical Management of Patellar Tendinopathy. J Athl Train. 2022;57(7):621-631. doi:10.4085/1062-6050-0049.21   Scott A, Squier K, Alfredson H, et al. ICON 2019: International Scientific Tendinopathy Symposium Consensus: Clinical Terminology. Br J Sports Med. 2020;54(5):260-262. doi:10.1136/bjsports-2019-100885

  3. Apr 21

    #42: Pátia-pátia 2: Összefoglaló a rotátorköpeny-tendinopátiáról

    Hívj meg minket egy kávéra: Buy Me a Coffee Legyél te is Bennfentes - iratkozz fel: subscribepage.io/fizioradar-bennfentes   Hivatkozások:   C. Littlewood, S. May, S. Walters, A Review of Systematic Reviews of the Effectiveness of Conservative Interventions for Rotator Cuff Tendinopathy, Shoulder & Elbow 5 (2013) 151–167. https://doi.org/10.1111/sae.12009.   F.C.L. De Oliveira, L.J. Bouyer, A.L. Ager, J.-S. Roy, Electromyographic analysis of rotator cuff muscles in patients with rotator cuff tendinopathy: A systematic review, Journal of Electromyography and Kinesiology 35 (2017) 100–114. https://doi.org/10.1016/j.jelekin.2017.06.002.   J.G. Dominguez-Romero, J.J. Jiménez-Rejano, C. Ridao-Fernández, G. Chamorro-Moriana, Exercise-Based Muscle Development Programmes and Their Effectiveness in the Functional Recovery of Rotator Cuff Tendinopathy: A Systematic Review, Diagnostics 11 (2021) 529. https://doi.org/10.3390/diagnostics11030529.   L. Cipollaro, R. Sahemey, F. Oliva, N. Maffulli, Immunohistochemical features of rotator cuff tendinopathy, British Medical Bulletin 130 (2019) 105–123. https://doi.org/10.1093/bmb/ldz016.   C. Littlewood, M. Bateman, C. Connor, J. Gibson, I. Horsley, A. Jaggi, V. Jones, A. Meakins, M. Scott, Physiotherapists’ recommendations for examination and treatment of rotator cuff related shoulder pain: A consensus exercise, Physiotherapy Practice and Research: The Official Journal of The Irish Society of Chartered Physiotherapists 40 (2019) 87–94. https://doi.org/10.3233/PPR-190129.   H. Leong, S. Fu, X. He, J. Oh, N. Yamamoto, S. Yung, Risk factors for rotator cuff tendinopathy: A systematic review and meta-analysis, J Rehabil Med 51 (2019) 627–637. https://doi.org/10.2340/16501977-2598.   F. Desmeules, J.-S. Roy, S. Lafrance, M. Charron, M.-O. Dubé, F. Dupuis, J.M. Beneciuk, J. Grimes, H.M. Kim, M. Lamontagne, K. McCreesh, E. Shanley, T. Vukobrat, L.A. Michener, Rotator Cuff Tendinopathy Diagnosis, Nonsurgical Medical Care, and Rehabilitation: A Clinical Practice Guideline, Journal of Orthopaedic & Sports Physical Therapy 55 (2025) 235–274. https://doi.org/10.2519/jospt.2025.13182.   M. Rohrback, S. Ramtin, A. Abdelaziz, L. Matkin, D. Ring, T.J. Crijns, A. Johnson, Rotator cuff tendinopathy: magnitude of incapability is associated with greater symptoms of depression rather than pathology severity, Journal of Shoulder and Elbow Surgery 31 (2022) 2134–2139. https://doi.org/10.1016/j.jse.2022.03.007.   W.K. Wong, M.Y. Li, P.S.-H. Yung, H.T. Leong, The effect of psychological factors on pain, function and quality of life in patients with rotator cuff tendinopathy: A systematic review, Musculoskeletal Science and Practice 47 (2020) 102173. https://doi.org/10.1016/j.msksp.2020.102173.

  4. Mar 17

    #41: Pátia-pátia 1: Minden, amit az Achilles-tendinopátiáról tudni érdemes

    Legyél te is Bennfentes - iratkozz fel: subscribepage.io/fizioradar-bennfentes   A mai adásban az Achilles tendinopátia témakörét járjuk körül a legfrissebb irányelvek, szakmai ajánlások tükrében. Tisztázzuk a tendinopátia fogalma körüli ellentmondásokat, végig vesszük a kockázati tényezőket és a diagnosztikai kritériumokat. Részletesen kitérünk a kezelési lehetőségekre, a terhelésmenedzsmentre és a prognózisra is.   00:00:52 – köszöntő 00:06:45 – definíciók, epidemiológia 00:20:04 – differenciáldiagnosztika 00:36:56 – képalkotó vizsgálatok 00:40:20 – anamnézis és fizikális vizsgálat 00:44:04 – kezelési lehetőségek 00:56:03 – prognózis 01:00:23 – összefoglalás   Hivatkozások: de Vos, R. J., van der Vlist, A. C., Zwerver, J., Meuffels, D. E., Smithuis, F., van Ingen, R., van der Giesen, F., Visser, E., Balemans, A., Pols, M., Veen, N., den Ouden, M., & Weir, A. (2021). Dutch multidisciplinary guideline on Achilles tendinopathy. British journal of sports medicine, 55(20), 1125–1134. https://doi.org/10.1136/bjsports-2020-103867   Chimenti, R. L., Neville, C., Houck, J., Cuddeford, T., Carreira, D., & Martin, R. L. (2024). Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision - 2024. The Journal of orthopaedic and sports physical therapy, 54(12), CPG1–CPG32. https://doi.org/10.2519/jospt.2024.0302   Malliaras P. (2022). Physiotherapy management of Achilles tendinopathy. Journal of physiotherapy, 68(4), 221–237. https://doi.org/10.1016/j.jphys.2022.09.010   Pringels L, Capelleman R, Van den Abeele A, et al. Effectiveness of reducing tendon compression in the rehabilitation of insertional Achilles tendinopathy: a randomised clinical trial. Br J Sports Med. 2025;59(9):640-650. doi:10.1136/BJSPORTS-2024-109138

  5. 12/31/2025

    40: Várandósság és medenceövi fájdalom

    Miért fáj olyan sok kismamának a medenceöve a várandósság alatt? Honnan lehet tudni, hogy ez még „belefér”, vagy már segítséget igényel? Van-e valódi megoldás, vagy tényleg csak túl kell élni ezt az időszakot? Mit tehet az érintett anya a mindennapokban, és hogyan tud érdemben segíteni a gyógytornász-fizioterapeuta? És mit mondanak minderről a szakmai irányelvek? A mai adásban ezekre a kérdésekre kerestük a válaszokat. A várandóssághoz kapcsolódó medenceövi fájdalom hátteréről, a köré épülő narratívákról, a diagnosztikai bizonytalanságokról és a korszerű kezelési lehetőségekről beszélgettünk.   Hivatkozások: Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008;17(6):794-819. doi:10.1007/s00586-008-0602-4   Simonds, Adrienne H. PT, PhD1; Abraham, Karen PT, PhD2; Spitznagle, Theresa PT, DPT, WCS3. Clinical Practice Guidelines for Pelvic Girdle Pain in the Postpartum Population. Journal of Women's Health Physical Therapy 46(1):p E1-E38, January/March 2022. | DOI: 10.1097/JWH.0000000000000236    Pulsifer J, Britnell S, Sim A, Adaszynski J, Dufour S. Reframing beliefs and instiling facts for contemporary management of pregnancy-related pelvic girdle pain. Br J Sports Med. 2022;56(22):1262-1265. doi:10.1136/bjsports-2022-105724   A magyar infografika linkje: https://blogs.bmj.com/bjsm/2024/04/12/spoken-in-your-own-words-advancing-knowledge-mobilization-through-infographic-translations-for-pelvic-girdle-pain-in-pregnancy/

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Az első magyar fizioterápiás podcast! Naprakész, hiteles, tudományosan megalapozott tudás, ami mindenkinek jár!