Comparison of the Efficacy of Dry Needling and High-Power Pain Threshold Ultrasound Therapy with Clinical Status and Sonoelastography in Myofascial Pain Syndrome
| Autor: | Nihat Kilicaslan, Erol Bozdogan, Dilek Sen Dokumaci, Nurefsan Boyaci, Ahmet Boyaci, Alparslan Yetişgin, Ahmet Tutoglu, Rifat Aridici |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Pain Threshold medicine.medical_specialty Ultrasonic Therapy Treatment outcome Acupuncture Therapy Sonoelastography Physical Therapy Sports Therapy and Rehabilitation Myofascial pain syndrome 03 medical and health sciences 0302 clinical medicine Threshold of pain Humans Medicine Myofascial Pain Syndromes Pain Measurement 030203 arthritis & rheumatology Dry needling Neck Pain business.industry Myofascial pain Rehabilitation Ultrasound Trigger Points Middle Aged medicine.disease Treatment Outcome Physical therapy Elasticity Imaging Techniques Female business 030217 neurology & neurosurgery |
| Zdroj: | American Journal of Physical Medicine & Rehabilitation. 95:e149-e158 |
| ISSN: | 0894-9115 |
| Popis: | The aim of this study was to compare the therapeutic efficacy of high-power pain threshold (HPPT) ultrasound therapy applied to the trigger points and dry needling (DN) in myofascial pain syndrome.Sixty-one patients were randomly assigned to an HPPT (n = 30) and dry needling (n = 31) groups. The primary outcome measures were the Visual Analog Scale (VAS) and Neck Pain and Disability Scale (NPDS), both at 1 week and 4 weeks after treatment. The secondary outcome measures were the number of painful trigger points, range of the tragus-acromioclavicular joint, the Short Form-36, the Beck Depression Inventory, the Beck Anxiety Inventory, and sonoelastographic tests after a 1-week treatment.More improvement was seen in anxiety in the HPPT group (P0.05). However, no significant differences were found between the groups with regard to other parameters (P0.05). A decrease in tissue stiffness was only seen in the HPPT group (P0.05). Significant posttreatment improvements were seen on all clinical scales in both groups (P0.05). After a treatment period of 4 weeks, a significant improvement was also observed on the visual analog scale and NPDS (P0.05).Our study favors the efficacy of both treatment methods in myofascial pain syndrome. Although a significant decrease was shown in tissue stiffness with HPPT, neither of these treatments had an apparent superiority. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|