Physical Therapy Rehabilitation Science

  • 제3권2호
  • /
  • Pages.142-147
  • /
  • 2014
  • /
  • 2287-7576(pISSN)
  • /
  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
권호 표지
DOI QR코드

DOI QR Code

Pressure pain threshold and visual analogue scale changes in the high and low energy extracorporeal shock wave

  • Yang, You-Jin (Department of Rehabilitation Medicine, Wonju Medical Center) ;
  • Lee, Seung-Joon (Medical Fitness Center, Jung Hospital) ;
  • Choi, Matthew (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
  • 투고 : 2014.09.12
  • 심사 : 2014.11.21
  • 발행 : 2014.10.26
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: This study aims to investigate high energy and low energy extracorporeal shockwave therapy (ESWT) and which one is more effective for shoulder pain. Design: Single blind randomized controlled trial. Methods: Fifty two subjects with upper trapezius (UT) trigger point (TrP) participated in this study. They were allocated to high energy (n=26) and low energy group (n=26). This study applies ESWT and investigates the changes of pressure pain threshold (PPT) and visual analogue scale (VAS). The high and low energy groups received focused piezo electric type ESWT 4 Hz, 1,000 pulses and 0.351 and $0.092mJ/mm^2$ respectively. Outcome measures of PPT and pain was measured by algometer and pain VAS. These measurements were performed before and after treatment. Results: The PPT value was significantly increased in both groups after treatment (p<0.05) and VAS scores were significantly decreased after treatment in both groups (p<0.05). However, there were no significant differences between groups. Conclusions: ESWT is an effective treatment for the application of the UT TrP. Although there were significant effects of extracorporeal shock wave therapy on PPT and VAS scores, there were no signficant differences between high and low energy extracorporeal shock wave therapy.

키워드

참고문헌

  1. Simons DG, Travell JG, Simons LS. Myofascial pain and dysfunction: the trigger point manual. 1st ed. Baltimore: Williams & Wilkins; 1999.
  2. Fricton JR, Kroening R, Haley D, Siegert R. Myofascial pain syndrome of the head and neck: a review of clinical characteristics of 164 patients. Oral Surg Oral Med Oral Pathol 1985;60:615-23. https://doi.org/10.1016/0030-4220(85)90364-0
  3. Borg-Stein J, Simons DG. Focused review: myofascial pain. Arch Phys Med Rehabil 2002;83(3 Suppl 1):S40-7, S48-9. https://doi.org/10.1053/apmr.2002.32155
  4. Bron C, de Gast A, Dommerholt J, Stegenga B, Wensing M, Oostendorp RA. Treatment of myofascial trigger points in patients with chronic shoulder pain: a randomized, controlled trial. BMC Med 2011;9:8. https://doi.org/10.1186/1741-7015-9-8
  5. Fernandez-de-Las-Penas C, Cuadrado ML, Pareja JA. Myofascial trigger points, neck mobility, and forward head posture in episodic tension-type headache. Headache 2007;47:662-72. https://doi.org/10.1111/j.1526-4610.2006.00632.x
  6. Punnett L, Robins JM, Wegman DH, Keyserling WM. Soft tissue disorders in the upper limbs of female garment workers. Scand J Work Environ Health 1985;11:417-25. https://doi.org/10.5271/sjweh.2205
  7. Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Med Clin North Am 2007;91:229-39. https://doi.org/10.1016/j.mcna.2006.12.004
  8. Fricton JR. Myofascial pain. Baillieres Clin Rheumatol 1994;8:857-80. https://doi.org/10.1016/S0950-3579(05)80052-4
  9. Ay S, Evcik D, Tur BS. Comparison of injection methods in myofascial pain syndrome: a randomized controlled trial. Clin Rheumatol 2010;29:19-23. https://doi.org/10.1007/s10067-009-1307-8
  10. Aguilera FJ, Martin DP, Masanet RA, Botella AC, Soler LB, Morell FB. Immediate effect of ultrasound and ischemic compression techniques for the treatment of trapezius latent myofascial trigger points in healthy subjects: a randomized controlled study. J Manipulative Physiol Ther 2009;32:515-20. https://doi.org/10.1016/j.jmpt.2009.08.001
  11. Dundar U, Turkmen U, Toktas H, Solak O, Ulasli AM. Effect of high-intensity laser therapy in the management of myofascial pain syndrome of the trapezius: a double-blind, placebo-controlled study. Lasers Med Sci 2014. [Epub ahead of print]
  12. Moraska AF, Stenerson L, Butryn N, Krutsch JP, Schmiege SJ, Mann JD. Myofascial trigger point-focused head and neck massage for recurrent tension-type headache: a randomized, placebo-controlled clinical trial. Clin J Pain 2014. [Epub ahead of print]
  13. Heinrichs W, Witzsch U, Burger RA. Extracorporeal shockwave therapy (ESWT) for pseudoarthrosis. A new indication for regional anesthesia. Anaesthesist 1993;42:361-4.
  14. McCormack D, Lane H, McElwain J. The osteogenic potential of extracorporeal shock wave therapy. an in-vivo study. Ir J Med Sci 1996;165:20-2. https://doi.org/10.1007/BF02942794
  15. Rompe JD, Hopf C, Nafe B, Burger R. Low-energy extracorporeal shock wave therapy for painful heel: a prospective controlled single-blind study. Arch Orthop Trauma Surg 1996;115:75-9. https://doi.org/10.1007/BF00573445
  16. Rompe JD, Eysel P, Hopf C, Krischek O, Vogel J, Burger R, et al. Extracorporeal shockwave therapy in orthopedics. Positive results in tennis elbow and tendinosis calcarea of the shoulder. Fortschr Med 1997;115:26, 29-33.
  17. Spindler A, Berman A, Lucero E, Braier M. Extracorporeal shock wave treatment for chronic calcific tendinitis of the shoulder. J Rheumatol 1998;25:1161-3.
  18. Kraus M, Reinhart E, Krause H, Reuther J. Low energy extracorporeal shockwave therapy (ESWT) for treatment of myogelosis of the masseter muscle. Mund Kiefer Gesichtschir 1999;3:20-3. https://doi.org/10.1007/s100060050087
  19. Ji HM, Kim HJ, Han SJ. Extracorporeal shock wave therapy in myofascial pain syndrome of upper trapezius. Ann Rehabil Med 2012;36:675-80. https://doi.org/10.5535/arm.2012.36.5.675
  20. Jeon JH, Jung YJ, Lee JY, Choi JS, Mun JH, Park WY, et al. The effect of extracorporeal shock wave therapy on myofascial pain syndrome. Ann Rehabil Med 2012;36:665-74. https://doi.org/10.5535/arm.2012.36.5.665
  21. Moghtaderi A, Khosrawi S, Dehghan F. Extracorporeal shock wave therapy of gastroc-soleus trigger points in patients with plantar fasciitis: a randomized, placebo-controlled trial. Adv Biomed Res 2014;3:99. https://doi.org/10.4103/2277-9175.129369
  22. Gleitz M. Myofascial syndromes and trigger points. Shock wave therapy in practice series. Hamburg: Level10; 2011.
  23. Buchbinder R, Green SE, Youd JM, Assendelft WJ, Barnsley L, Smidt N. Shock wave therapy for lateral elbow pain. Cochrane Database Syst Rev 2005;(4):CD003524.
  24. Louwerens JK, Sierevelt IN, van Noort A, van den Bekerom MP. Evidence for minimally invasive therapies in the management of chronic calcific tendinopathy of the rotator cuff: a systematic review and meta-analysis. J Shoulder Elbow Surg 2014;23:1240-9. https://doi.org/10.1016/j.jse.2014.02.002
  25. Schofer MD, Hinrichs F, Peterlein CD, Arendt M, Schmitt J. High-versus low-energy extracorporeal shock wave therapy of rotator cuff tendinopathy: a prospective, randomised, controlled study. Acta Orthop Belg 2009;75:452-8.
  26. Rompe JD, Burger R, Hopf C, Eysel P. Shoulder function after extracorporal shock wave therapy for calcific tendinitis. J Shoulder Elbow Surg 1998;7:505-9. https://doi.org/10.1016/S1058-2746(98)90203-8
  27. Fischer AA. Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain 1987;30:115-26. https://doi.org/10.1016/0304-3959(87)90089-3
  28. Kersten P, White PJ, Tennant A. Is the pain visual analogue scale linear and responsive to change? An exploration using Rasch analysis. PLoS One 2014;9:e99485. https://doi.org/10.1371/journal.pone.0099485
  29. Cohen J. A power primer. Psychol Bull 1992;112:155-9. https://doi.org/10.1037/0033-2909.112.1.155
  30. Hausdorf J, Lemmens MA, Heck KD, Grolms N, Korr H, Kertschanska S, et al. Selective loss of unmyelinated nerve fibers after extracorporeal shockwave application to the musculoskeletal system. Neuroscience 2008;155:138-44. https://doi.org/10.1016/j.neuroscience.2008.03.062
  31. Hausdorf J, Lemmens MA, Kaplan S, Marangoz C, Milz S, Odaci E, et al. Extracorporeal shockwave application to the distal femur of rabbits diminishes the number of neurons immunoreactive for substance P in dorsal root ganglia L5. Brain Res 2008;1207:96-101. https://doi.org/10.1016/j.brainres.2008.02.013
  32. Wang CJ, Wang FS, Yang KD, Weng LH, Hsu CC, Huang CS, et al. Shock wave therapy induces neovascularization at the tendon-bone junction. A study in rabbits. J Orthop Res 2003;21:984-9. https://doi.org/10.1016/S0736-0266(03)00104-9
  33. Davis TA, Stojadinovic A, Anam K, Amare M, Naik S, Peoples GE, et al. Extracorporeal shock wave therapy suppresses the early proinflammatory immune response to a severe cutaneous burn injury. Int Wound J 2009;6:11-21. https://doi.org/10.1111/j.1742-481X.2008.00540.x
  34. De Sanctis MT, Belcaro G, Nicolaides AN, Cesarone MR, Incandela L, Marlinghaus E, et al. Effects of shock waves on the microcirculation in critical limb ischemia (CLI) (8-week study). Angiology 2000;51:S69-78. https://doi.org/10.1177/000331970005100809

피인용 문헌

  1. 다양한 자세에 따른 턱 당기기 운동이 목과 어깨의 근활성도에 미치는 영향 vol.18, pp.3, 2014, https://doi.org/10.21598/jkpnfa.2020.18.3.403
  2. 8자형 어깨 보조기와 테이핑 중재가 전방머리자세를 가진 환자의 둥근어깨자세와 등뼈 뒤 굽음 및 가슴우리가동성에 미치는 즉각적인 효과 vol.19, pp.2, 2014, https://doi.org/10.21598/jkpnfa.2021.19.2.205