{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T14:53:13Z","timestamp":1775832793564,"version":"3.50.1"},"reference-count":20,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,6,4]],"date-time":"2022-06-04T00:00:00Z","timestamp":1654300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The evaluation of manual Trigger Point Therapy (TrPt) on mandible abduction range of Analog Astronauts (AA) surviving isolation conditions during consecutive missions at the LunAres Habitat was performed. This physiotherapy method was applied to decrease stress-related neuromuscular tension. Abduction measurements were conducted on the two groups of five AA, who endured severe isolation conditions for 14 days in the limited space of the LunAres Research Station Habitat (Pi\u0142a, Poland) during missions. The test group consisted of abduction measurements of AA who received TrPt and control group of abduction measurements of AA who did not receive TrPt. All measurements were noted in the TemporoMandibular Joint (TMJ) diagnosis aspect of the integrated dental examination card SZOPPDP\u00a9. The ischemic compression was performed on an active localized trigger point\u2014resulting in cessation of pain. Maximum abduction measurements were made with an electronic caliper, and the abduction range was compared. The change of abduction range in AA with TrPt was bigger than in AA without TrPt. A larger increase in abduction range was observed in every case in the group receiving TrPt compared to the control group. TrPt effectively decreases the neuromuscular tension, which results in an increased mandibular abduction range of AA. Observations conducted in LunAres Research Station regarding stress-related neuromuscular tension can help identify effective therapeutic methods for circumstances of social isolation.<\/jats:p>","DOI":"10.3390\/ijerph19116888","type":"journal-article","created":{"date-parts":[[2022,6,4]],"date-time":"2022-06-04T09:42:32Z","timestamp":1654335752000},"page":"6888","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of Physiotherapy Impact on Neuromuscular Tension in Analog Astronauts at the LunAres Habitat"],"prefix":"10.3390","volume":"19","author":[{"given":"Barbara","family":"Gronwald","sequence":"first","affiliation":[{"name":"Department of Propaedeutics, Physical Diagnostics and Dental Physiotherapy, Pomeranian Medical University in Szczecin, 71-252 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karina","family":"Kijak","sequence":"additional","affiliation":[{"name":"Research Club STO-MATER-FIZ, Department of Propaedeutics, Physical Diagnostics and Dental Physiotherapy, Pomeranian Medical University in Szczecin, 71-252 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0676-2597","authenticated-orcid":false,"given":"Piotr","family":"Baszuk","sequence":"additional","affiliation":[{"name":"Department of Genetics and Pathology, Pomeranian Medical University in Szczecin, 71-252 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danuta","family":"Lietz-Kijak","sequence":"additional","affiliation":[{"name":"Department of Propaedeutics, Physical Diagnostics and Dental Physiotherapy, Pomeranian Medical University in Szczecin, 71-252 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamil","family":"Kosko","sequence":"additional","affiliation":[{"name":"Individual Dental Practice Kamil Kosko, 62-510 Konin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miko\u0142aj","family":"Matuszczak","sequence":"additional","affiliation":[{"name":"Research Club STO-MATER-FIZ, Department of Propaedeutics, Physical Diagnostics and Dental Physiotherapy, Pomeranian Medical University in Szczecin, 71-252 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piotr","family":"Skomro","sequence":"additional","affiliation":[{"name":"Department of Propaedeutics, Physical Diagnostics and Dental Physiotherapy, Pomeranian Medical University in Szczecin, 71-252 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanna","family":"Bielawska-Victorini","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Pomeranian Medical University in Szczecin, 71-252 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leszek","family":"Orzechowski","sequence":"additional","affiliation":[{"name":"LunAres Research Station, 64-930 Pi\u0142a, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agata","family":"Mintus","sequence":"additional","affiliation":[{"name":"LunAres Research Station, 64-930 Pi\u0142a, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9105-6840","authenticated-orcid":false,"given":"Helena","family":"Gronwald","sequence":"additional","affiliation":[{"name":"Department of Propaedeutics, Physical Diagnostics and Dental Physiotherapy, Pomeranian Medical University in Szczecin, 71-252 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,6,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1159\/000080176","article-title":"Salivary cortisol level, salivary flow rate, and masticatory muscle activity in response to acute mental stress: A comparison between aged and young women","volume":"50","author":"Bakke","year":"2004","journal-title":"Gerontology"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Zetterman, T., Markkula, R., Partanen, J.V., Miettinen, T., Estlander, A.M., and Kalso, E. (2021). Muscle activity and acute stress in fibromyalgia. BMC Musculoskelet. Disord., 22.","DOI":"10.1186\/s12891-021-04013-1"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1007\/s004210000281","article-title":"Surface EMG and psychophysiological stress reactions in women during repetitive work","volume":"83","author":"Melin","year":"2000","journal-title":"Eur. J. Appl. Physiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1207\/s15327558ijbm0104_5","article-title":"Psychophysiological stress and emg activity of the trapezius muscle","volume":"1","author":"Lundberg","year":"1994","journal-title":"Int. J. Behav. Med."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Gronwald, B.J., Kijak, K., Jezierska, K., Gronwald, H.A., Kosko, K., Matuszczak, M., Bielawska-Victorini, H.B., Podraza, W., Orzechowski, L., and Lietz-Kijak, D. (2022). Influence of Freeze-Dried Diet on Oral Hygiene Indicators in Strict Isolation Condition of an Analog Space Mission. Int. J. Environ. Res., 19.","DOI":"10.3390\/ijerph19031367"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1007\/s11916-012-0289-4","article-title":"Etiology of myofascial trigger points","volume":"16","author":"Bron","year":"2012","journal-title":"Curr. Pain Headache Rep."},{"key":"ref_7","unstructured":"Simons, D.G., Travell, J.G., and Simons, L.S. (2005). Myofascial Pain and Dysfunction: The Trigger Point Manual, Lippincott Williams & Wilkins."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Rodr\u00edguez-Jim\u00e9nez, J., Ortega-Santiago, R., Bonilla-Barba, L., Falla, D., Fern\u00e1ndez-de-Las-Pe\u00f1as, C., and Florencio, L.L. (Pain Med., 2022). Immediate Effects of Dry Needing or Manual Pressure Release of Upper Trapezius Trigger Points on Muscle Activity during the Cranio-Cervical Flexion Test in People with Chronic Neck Pain: A Randomized Clinical Trial, Pain Med., published online ahead of print.","DOI":"10.1093\/pm\/pnac034"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"36","DOI":"10.2334\/josnusd.17-0453","article-title":"Change in muscle hardness after trigger point injection and physiotherapy for myofascial pain syndrome","volume":"61","author":"Sekine","year":"2019","journal-title":"J. Oral Sci."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1111\/j.1365-2842.2012.02337.x","article-title":"Masticatory muscle disorders diagnostic criteria, the american academy of orofacial pain versus the research diagnostic criteria\/temporomandibular disorders (RDC\/TMD)","volume":"39","author":"Reiter","year":"2012","journal-title":"J. Oral Rehabil."},{"key":"ref_11","first-page":"473","article-title":"Factors involved in the etiology of temporomandibular disorders\u2014A literature review","volume":"88","author":"Chisnoiu","year":"2015","journal-title":"Clujul Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1037\/1076-8998.4.3.245","article-title":"Psychophysiological stress responses, muscle tension, and neck and shoulder pain among supermarket cashiers","volume":"4","author":"Lundberg","year":"1999","journal-title":"J. Occup. Health Psychol."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Ginszt, M., Zieli\u0144ski, G., Berger, M., Szkutnik, J., Bakalczuk, M., and Majcher, P. (2020). Acute Effect of the Compression Technique on the Electromyographic Activity of the Masticatory Muscles and Mouth Opening in Subjects with Active Myofascial Trigger Points. Appl. Sci., 10.","DOI":"10.3390\/app10217750"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.ccell.2007.02.006","article-title":"Psychosocial factors in musculoskeletal disorders","volume":"19","author":"Menzel","year":"2007","journal-title":"Crit. Care Nurs. Clin. N. Am."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1080\/00140130119649","article-title":"Trapezius muscle activity as a risk indicator for shoulder and neck pain in female service workers with low biomechanical exposure","volume":"44","author":"Westgaard","year":"2001","journal-title":"Ergonomics"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1002\/ajim.10039","article-title":"Daytime trapezius muscle activity and shoulder-neck pain of service workers with work stress and low biomechanical exposure","volume":"41","author":"Holte","year":"2002","journal-title":"Am. J. Ind. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1016\/j.pmrj.2015.01.024","article-title":"Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective","volume":"7","author":"Shah","year":"2015","journal-title":"PM&R"},{"key":"ref_18","first-page":"639","article-title":"Myofacial pain associated to trigger points: A literature review. Part 2: Differential diagnosis and treatment","volume":"15","year":"2010","journal-title":"Med. Oral Patol. Cir. Bucal."},{"key":"ref_19","first-page":"19","article-title":"Effects of physical and mental stressors on muscle pain","volume":"25","author":"Westgaard","year":"1999","journal-title":"Scand. J. Work Environ. Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.jad.2022.02.060","article-title":"COVID-19-related stressors and depression in Chinese adolescents: The effects of life history strategies and gender","volume":"304","author":"Yang","year":"2022","journal-title":"J. Affect. Disord."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/11\/6888\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:24:34Z","timestamp":1760138674000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/11\/6888"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,4]]},"references-count":20,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,6]]}},"alternative-id":["ijerph19116888"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19116888","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,4]]}}}