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

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World Journal of Orthopedics 2023年第7期14卷 572-581页

作者： Nourhan Elsayed Shamseldeen Mohammed Moustafa Aldosouki Hegazy Nadia Abdalazeem Fayaz Nesreen Fawzy Mahmoud Department of Physical Therapy for Musculoskeletal Disorders&Its Surgery Faculty of Physical TherapyCairo UniversityCairo 14531Egypt

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.

关键词： Myofascial trigger points upper trapezius muscle Instrument-assisted soft tissue mobilization Extracorporeal shock wave therapy Myofascial pain syndrome

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