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Effects of Extracorporeal Shock Wave Therapy with Myofascial Release Techniques on Pain, Movement, and Function in Patients with Myofascial Pain Syndrome

근막통증 증후군 환자에게 체외충격파와 근막이완술 병행 치료가 통증, 움직임, 기능에 미치는 영향

  • Choi, Won-Jae (Institute of SMART Rehabilitation, Sahmyook University) ;
  • Nam, Eun-Jung (Department of Physical Therapy, Graduate School of Sahmyook University) ;
  • Kim, Hyun-Joong (Department of Physical Therapy, Graduate School of Sahmyook University) ;
  • Lee, Seung-Won (Department of Physical Therapy, Sahmyook University)
  • 최원재 (삼육대학교 SMART 재활연구소) ;
  • 남은정 (삼육대학교 일반대학원 물리치료학과) ;
  • 김현중 (삼육대학교 일반대학원 물리치료학과) ;
  • 이승원 (삼육대학교 물리치료학과)
  • Received : 2020.04.08
  • Accepted : 2020.05.09
  • Published : 2020.08.31

Abstract

Purpose: The study investigated the effects of extracorporeal shock wave therapy with myofascial release techniques (ESWT+MFR) on pain, movement, and function in patients with myofascial pain syndrome. Methods: Forty participants with upper trapezius trigger points were recruited and randomly allocated to two groups: an experimental group (n = 20) and a control group (n = 20). The experimental group performed the ESWT+MFR, and the control group performed only myofascial release techniques. Each group was treated for 15 minutes, twice a week for four weeks. Pain was assessed using a visual analogue scale and a pressure pain threshold measure. Movement was assessed by cervical range of motion, and cervical and shoulder function were assessed on the Constant-Murley Scale and the Neck Disability Index before and after treatment. Results: The results indicate statistically significant improvements in the two groups on all parameters after intervention as compared to baseline (p < 0.05). As compared to the control group, the experimental group showed statistically significant improvements on the visual analogue scale and pressure pain threshold, cervical range of motion (except rotation), and on the Neck Disability Index (p < 0.05). Conclusion: The ESWT+MFR is more effective than myofascial release techniques for pain, movement, and function in patients with myofascial pain syndrome and would be clinically useful for physical therapists treating myofascial pain syndrome.

Keywords

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