Efficacy of Extracorporeal Shockwave Therapy on Cervical Myofascial Pain Following Neck Dissection Surgery: A Randomized Controlled Trial

Autor: FatmaAlzahraa Hassan Kamel, Maged Basha, Ashwag Alsharidah, Islam Mohamed Hewidy, Mohamed Ezzat, Nancy Hassan Aboelnour
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Annals of Rehabilitation Medicine, Vol 44, Iss 5, Pp 393-401 (2020)
Druh dokumentu: article
ISSN: 2234-0645
2234-0653
DOI: 10.5535/arm.20055
Popis: Objective To investigate the efficacy of extracorporeal shockwave therapy (ESWT) on cervical myofascial pain following neck dissection in reducing pain and improving cervical range of motion (ROM). Methods Forty-six patients with cervical myofascial pain following neck dissection surgery were recruited and subdivided at random into two equal groups. The ESWT group received ESWT once a week for 4 weeks (0.25 mL/mm2, 1,000 shocks) and a topical non-steroidal anti-inflammatory drug (3 times/day for 4 weeks). The control group received only topical NSAID. The pain assessment was done by using the visual analog scale (VAS) and pressure algometry. A cervical ROM device was used for the assessment of the lateral flexion and rotation of the neck ROM on both sides. All measurements were collected at baseline, 2 weeks, and 4 weeks. Results The ESWT group revealed a significant improvement in all parameters at post I and post II than did the control group (p>0.001), that revealed a statistical decrease only in the VAS score at post I without any statistical difference in the pain threshold and neck ROM. However, there were statistical differences in all parameters at post II compared to those at pre-treatment and post I (p
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