Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain—The 8:1 Block
Upper Crossed Syndrome (UCS), described by Vladimir Janda, is characterized by postural changes involving the cervical spine and trunk, leading to biomechanical limitations and cervicoscapulobrachial pain. This study proposes a mesotherapy protocol, termed the 8:1 block, to address cervicoscapulobra...
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MDPI AG
2024-11-01
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| Series: | Bioengineering |
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| Online Access: | https://www.mdpi.com/2306-5354/11/11/1142 |
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| author | Luyddy Pires Napoliane Santos João Vitor Lana Alex Pontes de Macedo Fábio Ramos Costa Gabriel Ohana Marques Azzini Tomas Mosaner Daniel de Moraes Ferreira Jorge Gabriel Silva Santos Arthur Medeiros José Alexandre Reale Pereira José Fábio Lana |
| author_facet | Luyddy Pires Napoliane Santos João Vitor Lana Alex Pontes de Macedo Fábio Ramos Costa Gabriel Ohana Marques Azzini Tomas Mosaner Daniel de Moraes Ferreira Jorge Gabriel Silva Santos Arthur Medeiros José Alexandre Reale Pereira José Fábio Lana |
| author_sort | Luyddy Pires |
| collection | DOAJ |
| description | Upper Crossed Syndrome (UCS), described by Vladimir Janda, is characterized by postural changes involving the cervical spine and trunk, leading to biomechanical limitations and cervicoscapulobrachial pain. This study proposes a mesotherapy protocol, termed the 8:1 block, to address cervicoscapulobrachialgia by targeting the scapulae and associated musculature. The scapula, central to shoulder girdle kinematics, often exhibits dyskinesis and muscular imbalances, notably the pattern referred to as scapular upper trapping (SUT). SUT involves scapular elevation, medial rotation, and shoulder protraction, contributing to cervicobrachial pain. The protocol includes a comprehensive assessment of muscle tone changes and biomechanical considerations, highlighting the importance of the scapula in upper limb movement and posture. Key anatomical changes involve tightened upper trapezius, levator scapulae, and pectoralis minor muscles, with weakened middle trapezius and serratus anterior. The mesotherapy approach targets these imbalances through specific injection points to alleviate muscle tension and correct postural deviations. Case studies from our clinic demonstrate the protocol’s effectiveness in reducing pain and restoring scapular biomechanics. Patients reported significant improvements in pain relief and functional outcomes, underscoring the clinical utility of the 8:1 block in treating cervicoscapulobrachialgia. This protocol offers a feasible, cost-effective intervention that enhances the efficacy of traditional therapeutic exercises by addressing underlying muscular and biomechanical dysfunctions. In conclusion, the 8:1 block mesotherapy protocol provides a novel approach to managing cervicoscapulobrachial pain by focusing on scapular biomechanics and muscle tension. Further studies are needed to validate these findings and refine the protocol for broader clinical application. |
| format | Article |
| id | doaj-art-3688f69f85f647d4ab51ec7b045b2ec2 |
| institution | OA Journals |
| issn | 2306-5354 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Bioengineering |
| spelling | doaj-art-3688f69f85f647d4ab51ec7b045b2ec22025-08-20T02:28:07ZengMDPI AGBioengineering2306-53542024-11-011111114210.3390/bioengineering11111142Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain—The 8:1 BlockLuyddy Pires0Napoliane Santos1João Vitor Lana2Alex Pontes de Macedo3Fábio Ramos Costa4Gabriel Ohana Marques Azzini5Tomas Mosaner6Daniel de Moraes Ferreira Jorge7Gabriel Silva Santos8Arthur Medeiros9José Alexandre Reale Pereira10José Fábio Lana11Orthopedics, Brazilian Institute of Regenerative Medicine (BIRM), Indaiatuba 13334-170, SP, BrazilOrthopedics, Brazilian Institute of Regenerative Medicine (BIRM), Indaiatuba 13334-170, SP, BrazilMedical School, Max Planck University Center (UniMAX), Indaiatuba 13343-060, SP, BrazilOrthopedics, Brazilian Institute of Regenerative Medicine (BIRM), Indaiatuba 13334-170, SP, BrazilOrthopedics, FC Sports Traumatology, Salvador 40296-210, BA, BrazilOrthopedics, Brazilian Institute of Regenerative Medicine (BIRM), Indaiatuba 13334-170, SP, BrazilOrthopedics, Brazilian Institute of Regenerative Medicine (BIRM), Indaiatuba 13334-170, SP, BrazilOrthopedics, Brazilian Institute of Regenerative Medicine (BIRM), Indaiatuba 13334-170, SP, BrazilOrthopedics, Brazilian Institute of Regenerative Medicine (BIRM), Indaiatuba 13334-170, SP, BrazilOrthopedics, Ortocentro, Recife 51110-160, PE, BrazilOrthopedics, Madre Teresa Hospital, Belo Horizonte 30441-070, MG, BrazilOrthopedics, Brazilian Institute of Regenerative Medicine (BIRM), Indaiatuba 13334-170, SP, BrazilUpper Crossed Syndrome (UCS), described by Vladimir Janda, is characterized by postural changes involving the cervical spine and trunk, leading to biomechanical limitations and cervicoscapulobrachial pain. This study proposes a mesotherapy protocol, termed the 8:1 block, to address cervicoscapulobrachialgia by targeting the scapulae and associated musculature. The scapula, central to shoulder girdle kinematics, often exhibits dyskinesis and muscular imbalances, notably the pattern referred to as scapular upper trapping (SUT). SUT involves scapular elevation, medial rotation, and shoulder protraction, contributing to cervicobrachial pain. The protocol includes a comprehensive assessment of muscle tone changes and biomechanical considerations, highlighting the importance of the scapula in upper limb movement and posture. Key anatomical changes involve tightened upper trapezius, levator scapulae, and pectoralis minor muscles, with weakened middle trapezius and serratus anterior. The mesotherapy approach targets these imbalances through specific injection points to alleviate muscle tension and correct postural deviations. Case studies from our clinic demonstrate the protocol’s effectiveness in reducing pain and restoring scapular biomechanics. Patients reported significant improvements in pain relief and functional outcomes, underscoring the clinical utility of the 8:1 block in treating cervicoscapulobrachialgia. This protocol offers a feasible, cost-effective intervention that enhances the efficacy of traditional therapeutic exercises by addressing underlying muscular and biomechanical dysfunctions. In conclusion, the 8:1 block mesotherapy protocol provides a novel approach to managing cervicoscapulobrachial pain by focusing on scapular biomechanics and muscle tension. Further studies are needed to validate these findings and refine the protocol for broader clinical application.https://www.mdpi.com/2306-5354/11/11/1142upper crossed syndromescapular dyskinesiscervicoscapulobrachialgiamesotherapy protocolscapular upper trapping |
| spellingShingle | Luyddy Pires Napoliane Santos João Vitor Lana Alex Pontes de Macedo Fábio Ramos Costa Gabriel Ohana Marques Azzini Tomas Mosaner Daniel de Moraes Ferreira Jorge Gabriel Silva Santos Arthur Medeiros José Alexandre Reale Pereira José Fábio Lana Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain—The 8:1 Block Bioengineering upper crossed syndrome scapular dyskinesis cervicoscapulobrachialgia mesotherapy protocol scapular upper trapping |
| title | Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain—The 8:1 Block |
| title_full | Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain—The 8:1 Block |
| title_fullStr | Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain—The 8:1 Block |
| title_full_unstemmed | Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain—The 8:1 Block |
| title_short | Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain—The 8:1 Block |
| title_sort | upper crossed syndrome and scapulae upper trapping a mesotherapy protocol in cervicoscapulobrachial pain the 8 1 block |
| topic | upper crossed syndrome scapular dyskinesis cervicoscapulobrachialgia mesotherapy protocol scapular upper trapping |
| url | https://www.mdpi.com/2306-5354/11/11/1142 |
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