Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Effects of Extracorporeal Shock Wave Therapy in Pain Point on Range of Motion, Pain and Mechanical Muscle Properties in Myofascial Pain Syndrome

근막통증증후군 환자에게 통증점 체외충격파 치료가 경추의 가동 범위, 통증, 근육의 기계적 특성에 미치는 영향

  • Jung, Koo-Young (Department of Physical Therapy, College of Health & Medical Science, Cheongju University) ;
  • Yoon, Tae-Lim (Department of Physical Therapy, College of Health & Medical Science, Cheongju University) ;
  • Lee, Jun-Hee (Department of Physical Therapy, College of Health & Medical Science, Cheongju University)
  • 정구영 (청주대학교 보건의료대학원 물리치료학과) ;
  • 윤태림 (청주대학교 보건의료대학원 물리치료학과) ;
  • 이준희 (청주대학교 보건의료대학원 물리치료학과)
  • Received : 2020.09.07
  • Accepted : 2021.01.07
  • Published : 2021.02.20
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Abstract

Background: To evaluate whether extracorporeal shock wave therapy (ESWT) in the pain point is a more effective treatment than the trigger point for myofascial pain syndrome (MPS) of the upper trapezius. Objects: The purpose of this study was to compare the most effective areas when applying extracorporeal shock wave therapy. Methods: A total of 30 patients with MPS were randomly assigned to the trigger point in the ESWT (n = 15) and pain point ESWT (n = 15) groups. Interventions in both groups were performed in one session, i.e., 2,000 shocks with 1.5 bar intensity. Pain and function were assessed using the visual analog scale (VAS) and cervical range of motion (ROM) and based on mechanical muscle properties. Statistical analysis was performed using the repeated measures two-way analysis of variance to determine the significance probability between pre- and post-test. Results: Changes in mechanical muscle properties were not statistically significant between the two groups. However, VAS and cervical ROM showed statistically significant differences at pre- and post-intervention, regardless of the group (p < 0.05). Conclusion: Although no significant difference was observed in the intervention effect, applying an extracorporeal shock wave to the pain point rather than the pain trigger point should be considered in order to save time in effectively and accurately identifying the pain trigger point and site.

Keywords

References

  1. Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual. Baltimore: Williams & Wilkins; 1983.
  2. Sciotti VM, Mittak VL, DiMarco L, Ford LM, Plezbert J, Santipadri E, et al. Clinical precision of myofascial trigger point location in the trapezius muscle. Pain 2001;93(3):259-66. https://doi.org/10.1016/S0304-3959(01)00325-6
  3. Lee M, Park R. The effect of MFR and taping on the pain level in whiplash injury. J Korean Soc Phys Ther 2004;16(3):125-41.
  4. Simons DG. Clinical and etiological update of myofascial pain from trigger points. J Musculoskelet Pain 1996;4(1-2):93-122. https://doi.org/10.1300/J094v04n01_07
  5. Han SC, Harrison P. Myofascial pain syndrome and triggerpoint management. Reg Anesth 1997;22(1):89-101. https://doi.org/10.1016/S1098-7339(06)80062-3
  6. Lee JH, Jung KH, Park YH. Extracorporeal shock wave therapy for myofascial pain syndrome of upper trapezius. J Korean Soc Phys Med 2012;7(2):183-90. https://doi.org/10.13066/kspm.2012.7.2.183
  7. So Y, Woo Y. Effects of smartphone use on muscle fatigue and pain and, cervical range of motion among subjects with and without neck muscle pain. Phys Ther Korea 2014;21(3):28-37. https://doi.org/10.12674/ptk.2014.21.3.028
  8. Gerdesmeyer L, Gollwitzer H, Diehl P, Wagner K. Radial extracorporeal shockwave therapy (rESWT) in orthopaedics. J Miner Stoffwechs 2004;11(4):36-9.
  9. 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(6):984-9. https://doi.org/10.1016/S0736-0266(03)00104-9
  10. Speed CA, Nichols D, Richards C, Humphreys H, Wies JT, Burnet S, et al. Extracorporeal shock wave therapy for lateral epicondylitis--a double blind randomised controlled trial. J Orthop Res 2002;20(5):895-8. https://doi.org/10.1016/S0736-0266(02)00013-X
  11. 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(5):665-74. https://doi.org/10.5535/arm.2012.36.5.665
  12. Ji HM, Kim HJ, Han SJ. Extracorporeal shock wave therapy in myofascial pain syndrome of upper trapezius. Ann Rehabil Med 2012;36(5):675-80. https://doi.org/10.5535/arm.2012.36.5.675
  13. Engebretsen K, Grotle M, Bautz-Holter E, Sandvik L, Juel NG, Ekeberg OM, et al. Radial extracorporeal shockwave treatment compared with supervised exercises in patients with subacromial pain syndrome: single blind randomised study. BMJ 2009;339:b3360. https://doi.org/10.1136/bmj.b3360
  14. Mangone G, Veliaj A, Postiglione M, Viliani T, Pasquetti P. Radial extracorporeal shock-wave therapy in rotator cuff calcific tendinosis. Clin Cases Miner Bone Metab 2010;7(2):91-6.
  15. Lee J, Jung K, Park Y. Extracorporeal shock wave therapy for myofascial pain syndrome of upper trapezius. J Korean Soc Phys Med 2012;7(2):183-90. https://doi.org/10.13066/kspm.2012.7.2.183
  16. Kim JH, Jeon TY, Kim KW, Kim MS, Kim HJ, Park YA, et al. A study on comparison the muscle tone of resting and maximum contraction of biceps brachii. J Korean Soc Neurother 2016;20(3):19-22.
  17. Tousignant-Laflamme Y, Boutin N, Dion AM, Vallee CA. Reliability and criterion validity of two applications of the iPhone™ to measure cervical range of motion in healthy participants. J Neuroeng Rehabil 2013;10(1):69. https://doi.org/10.1186/1743-0003-10-69
  18. Lee SH, Pi ER, Jung HN, Lee HS, Joo DS, Lee SH, et al. The effects of ESWT and US on muscle power, pain and muscle tension at trigger point of the scapular inter angle. J Korean Acad Clin Electrophysiol 2009;7(1):29-34. https://doi.org/10.5627/KACE.2009.7.1.029
  19. Park SK, Yang DJ, Uhm YH, Yoon JH, Kim JH. Effects of extracorporeal shock wave therapy on upper extremity muscle tone in chronic stroke patients. J Phys Ther Sci 2018;30(3):361-4. https://doi.org/10.1589/jpts.30.361
  20. Gordon CM, Andrasik F, Schleip R, Birbaumer N, Rea M. Myofascial triggerpoint release (MTR) for treating chronic shoulder pain: a novel approach. J Bodyw Mov Ther 2016;20(3):614-22. https://doi.org/10.1016/j.jbmt.2016.01.009
  21. Oh JH, Lhee SH, Park JY, Choi HW, Jeon SH, Eom JS. Extracorporeal shock wave therapy versus platelet-rich plasma injection for the treatment of lateral epicondylitis: a prospective randomized clinical trial. J Korean Soc Surg Hand 2011;16(4):241-6.
  22. Pettrone FA, McCall BR. Extracorporeal shock wave therapy without local anesthesia for chronic lateral epicondylitis. J Bone Joint Surg Am 2005;87(6):1297-304.
  23. Sanzo P. Radial shockwave therapy improves pain, range of motion, strength, and function in patients with chronic lateral epicondylitis. Int J Prev Treat 2016;5(1):1-6.