Instrumented assisted soft tissue mobilization vs extracorporeal shock wave therapy in treatment of myofascial pain syndrome

作     者：Nourhan Elsayed Shamseldeen Mohammed Moustafa Aldosouki Hegazy Nadia Abdalazeem Fayaz Nesreen Fawzy Mahmoud 

作者机构：Department of Physical Therapy for Musculoskeletal Disorders&Its SurgeryFaculty of Physical TherapyCairo UniversityCairo 14531Egypt 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2023年第14卷第7期

页      面：572-581页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Myofascial trigger points Upper trapezius muscle Instrument-assisted soft tissue mobilization Extracorporeal shock wave therapy Myofascial pain syndrome 

摘      要：BACKGROUND Active myofascial trigger points(TrPs)often occur in the upper region of the upper trapezius(UT)*** TrPs can be a significant source of neck,shoulder,and upper back pain and *** TrPs and their related pain and disability can adversely affect an individual’s everyday routine functioning,work-related productivity,and general quality of *** To investigate the effects of instrument assisted soft tissue mobilization(IASTM)vs extracorporeal shock wave therapy(ESWT)on the TrPs of the UT *** A randomized,single-blind,comparative clinical study was conducted at the Medical Center of the Egyptian Railway Station in *** patients(28 females and 12 males),aged between 20-years-old and 40-years-old,with active myofascial TrPs in the UT muscle were randomly assigned to two equal groups(A and B).Group A received IASTM,while group B received *** group was treated twice weekly for 2 *** groups received muscle energy technique for the UT *** were evaluated twice(pre-and posttreatment)for pain intensity using the visual analogue scale and for pain pressure threshold(PPT)using a pressure *** Comparing the pre-and post-treatment mean values for all variables for group A,there were significant differences in pain intensity for TrP1 and TrP2(P=0.0001)and PPT for TrP1(P=0.0002)and TrP2(P=0.0001).Also,for group B,there were significant differences between the pre-and post-treatment pain intensity for TrP1 and TrP2 and PPT for TrP1 and TrP2(P=0.0001).There were no significant differences between the two groups in the post-treatment mean values of pain intensity for TrP1(P=0.9)and TrP2(P=0.76)and PPT for TrP1(P=0.09)and for TrP2(P=0.91).CONCLUSION IASTM and ESWT are effective methods for improving pain and PPT in patients with UT muscle *** is no significant difference between either treatment method.