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http://dx.doi.org/10.15268/ksim.2021.9.2.141

Comparison of the Effect of Ischemic Compression Therapy and Extracorporeal Shock Wave Therapy on the Trigger Point of the Upper Trapezius Muscle  

Joo, Ji-Kyun (Dept. Physical Therapy, Graduate School of Daejeon University)
Park, Sam-Ho (Dept. Physical Therapy, Gwangyang Health Sciences University)
Shin, Won-Seob (Dept. Physical Therapy, College of Health and Medical Science, Daejeon University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.9, no.2, 2021 , pp. 141-152 More about this Journal
Abstract
Purpose: This study aimed to compare the effects of ischemic compression (IC) therapy and extracorporeal shock wave therapy (ESWT) in patients with upper trapezius myofascial pain syndrome and to present an effective treatment method for these patients. Methods: A total of 42 patients with upper trapezius myofascial pain syndrome were randomly assigned to the IC group (n = 21) and ESWT group (n = 21). IC therapy and ESWT were performed in the IC and ESWT groups, respectively. Treatment was applied to the trigger point of the upper trapezius muscle. Visual analog scales (VAS), pain pressure threshold (PPT), range of motion, neck disability index (NDI), and fear-avoidance belief questionnaire (FABQ) were evaluated before and after the intervention to compare its effectiveness. Results: Both groups showed significant differences before and after the intervention in VAS, PPT, NDI, FABQ, flexion, extension, right side bending, and left side bending (p <.05). In addition, there were significant differences in the IC group compared to the ESWT group in VAS, PPT, and NDI (p <.05). Conclusion: IC therapy and ESWT applied to patients with upper trapezius myofascial pain syndrome are mediating methods of pain, function, and psychosocial effects. In addition, IC therapy may be a more effective mediating method for pain and dysfunction than ESWT.
Keywords
extracorporeal shock wave therapy; ischemic compression; myofascial pain syndrome; upper trapezius;
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