The Effect of Extracorporeal Shock Wave Therapy on Myofascial Pain Syndrome

نویسندگان

  • Jong Hyun Jeon
  • Yun Jae Jung
  • Ju Youn Lee
  • Ji Soo Choi
  • Jeong Hyeon Mun
  • Won Yong Park
  • Cheong Hoon Seo
  • Ki Un Jang
چکیده

OBJECTIVE To investigate the effect of extracorporeal shock wave therapy (ESWT) on myofascial pain syndrome (MPS). METHOD Thirty patients with MPS in trapezius muscle were randomly divided into two groups, ESWT group (n=15), and trigger point injections (TPI)+transcutaneous electrical nerve stimulation (TENS) group (n=15). For a total of 3 weeks, ESWT was undertaken with 1,500 pulse each time at one week interval totaling 4,500 pulse, TPI for once a week totaling three times and TENS for five times a week totaling three weeks. RESULTS The changes in pain threshold (lb/cm(2)) showed the values of 6.86±1.35 before first therapy, 11.43±0.27 after first therapy, and 12.57±0.72 after third therapy, while TPI+TENS group showed the values of 6.20±1.92 before first therapy, 8.80±0.48 after first therapy, and 9.60±2.19 after third therapy, and the changes between the groups were significantly different (p=0.045). The changes in visual analog scale were estimated to be 6.86±0.90 before first therapy, 2.86±0.90 after first therapy, and 1.86±0.69 after third therapy in case of ESWT group, whereas the figures were estimated to be 7.20±1.30 before first therapy, 4.60±0.55 after first therapy, and 2.80±0.84 after third therapy in case of TPI+TENS group, and the changes between the groups were significantly different (p=0.010). The changes in McGill pain questionnaire (p=0.816) and pain rating scale (p=0.644) between the groups were not significantly different. The changes in neck ROM were also not significantly different between the groups (p>0.05). CONCLUSION The ESWT in patients with MPS in trapezius muscle are as effective as TPI and TENS for the purpose of pain relief and improving cervical range of motion.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Assessment and Comparison of the Effects Of Radial Extracorporeal Shock Wave and Low-Power Laser Therapies on Clinical and Electrophysiological Parameters in Moderate Carpal Tunnel Syndrome: A Blinded Randomized Control Trial

Objectives: Carpal tunnel syndrome (CTS) is a common peripheral entrapment neuropathy with squeezing of the median nerve and the patient is unable to function properly. There are different physiotherapy interventions for the management of these patients and recently, shock wave therapy and low-power laser (LPL) have been widely used, but there is no strong evidence comparing the effect of shock...

متن کامل

The Effect of Combination of Extracorporeal Shock Wave Therapy and Muscle Energy Technique on Active Trigger Points of Upper Trapezius Muscle

Objective: to demonstrate the effectiveness of combination of radial extracorporeal shock wave therapy and muscle energy technique on pain, range of motion, and neck function of the individuals with active trigger points of upper trapezius muscle. Method: Fifty-four (54) participants with active TrPs of upper trapezius muscle were participated and randomly divided into three groups. Group A (...

متن کامل

The Effect of Extracorporeal Shock Wave Therapy on Clinical and Functional Outcomes of Individuals with Medial Tibial Stress Syndrome: A Systematic Review

Background and Aim: Medial Tibial Stress Syndrome (MTSS) is one of the most common sports-related overuse injuries among runners and military personnel. Extracorporeal shock wave therapy (ESWT) is an emerging treatment modality that used for individuals with MTSS. However, there was no found a systematic review that specifically assess the clinical and functional efficacy of ESWT in individuals...

متن کامل

Extracorporeal Shock Wave Therapy Versus Trigger Point Injection in the Treatment of Myofascial Pain Syndrome in the Quadratus Lumborum

OBJECTIVE To compare the effectiveness of extracorporeal shock wave therapy (ESWT) and trigger point injection (TPI) for the treatment of myofascial pain syndrome in the quadratus lumborum. METHODS In a retrospective study at our institute, 30 patients with myofascial pain syndrome in the quadratus lumborum were assigned to ESWT or TPI groups. We assessed ESWT and TPI treatment according to t...

متن کامل

Extracorporeal Shock Wave Therapy in Myofascial Pain Syndrome of Upper Trapezius

OBJECTIVE To evaluate the effect of extracorporeal shock wave therapy (ESWT) in myofascial pain syndrome of upper trapezius with visual analogue scale (VAS) and pressure threshold by digital algometer. METHOD Twenty-two patients diagnosed with myofascial pain syndrome in upper trapezius were selected. They were assigned to treatment and standard care (control) groups balanced by age and sex, ...

متن کامل

Trigger points – Diagnosis and treatment concepts with special reference to extracorporeal shock waves

The 70-year-old trigger point theory has experienced a growing scientific confirmation and clinical significance as a consequence of recent muscle pain research. The trigger point pain formation is caused by high levels of vasoneuroactive substances. Depending on intensity and duration of the muscle stimulus the central pain processing is modified and leads to characteristic referred pain patte...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 36  شماره 

صفحات  -

تاریخ انتشار 2012