최소 단어 이상 선택하여야 합니다.
최대 10 단어까지만 선택 가능합니다.
다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
NTIS 바로가기Medicine, v.97 no.28, 2018년, pp.e11432 - e11432
Park, Ki Deok (Department of Rehabilitation Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon) , Lee, Woo Yong (Department of Anesthesiology) , Park, Min-ho (Department of Rehabilitation Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea.) , Ahn, Jae Ki (Department of Rehabilitation Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea.) , Park, Yongbum (Department of Rehabilitation Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea.)
Conclusion: ESWT effectively improves VNS, NDI, neck ROM, and PT to patients with MPS of the upper trapezius. High-energy ESWT was more effective in improving NDI and neck flexion ROM compared to the low-energy ESWT, suggesting superiority in functional improvement. Further studies are required to s...
BACKGROUND:: To compare the efficacy of high- and low-energy extracorporeal shock wave therapy (ESWT) for patients with myofascial pain syndrome (MPS) of the upper trapezius. METHODS:: Thirty patients (3 men, 27 women) were randomly assigned to receive either high-energy ESWT (0.210 mJ/mm) or low-energy ESWT (0.068 mJ/mm). Both groups received 1500 pulses of ESWT once a week, for 2 weeks. Outcome measurement was assessed by verbal numeric pain scale (VNS), neck disability index (NDI), neck range of motion (ROM) (flexion, extension, rotation, lateral bending), and pressure threshold (PT). Statistical analysis was performed with significance level of P < .05. RESULTS:: No statistically significant differences of demographic and clinical characteristics existed between the 2 groups. VNS, NDI, neck ROM (rotation to sound side, lateral bending to affected side, lateral bending to sound side), and PT were improved in both groups. In contrast, statistically significant improvements in neck flexion and neck extension were observed only in the high-energy group. We also found significant differences in post-treatment NDI (4.20 ± 1.78 vs 6.47 ± 2.48) and post-treatment neck flexion ROM (65.47 ± 10.09 vs 55.93 ± 11.07) between high-energy and low-energy group. CONCLUSION:: ESWT effectively improves VNS, NDI, neck ROM, and PT to patients with MPS of the upper trapezius. High-energy ESWT was more effective in improving NDI and neck flexion ROM compared to the low-energy ESWT, suggesting superiority in functional improvement. Further studies are required to specify the effect of ESWT by energy intensity.
[1] Blasberg B Chalmers A Temporomandibular pain and dysfunction syndrome associated with generalized musculoskeletal pain: a retrospective study . J Rheumatol Suppl 1989 ; 19 : 87 – 90 . 2691688
[2] Simons D Clinical and etiological update of myofascial pain from trigger points . J Musculoskeletal Pain 1996 ; 4 : 97 – 125 .
[3] Shah JP Phillips TM Danoff JV An in vivo microanalytical technique for measuring the local biochemical milieu of human skeletal muscle . J Appl Physiol 2005 ; 99 : 1977 – 84 . 16037403
[4] Shah JP Danoff JV Desai MJ Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points . Arch Phys Med Rehabil 2008 ; 89 : 16 – 23 . 18164325
[5] Kuan TS Hong CZ Chen JT The spinal cord connections of the myofascial trigger spots . Eur J Pain 2007 ; 11 : 624 – 34 . 17174128
[6] Simons DG Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction . J Electromyogr Kinesiol 2004 ; 14 : 95 – 107 . 14759755
[7] Ferrante FM Bearn L Rothrock R Evidence against trigger point injection technique for the treatment of cervicothoracic myofascial pain with botulinum toxin type A . Anesthesiology 2005 ; 103 : 377 – 83 . 16052120
[8] Muller-Ehrenberg H Licht G Diagnosis and therapy of myofascial pain syndrome with focused shock waves . Med Orthop Tech 2005 ; 5 : 1 – 5 .
[9] Jeon JH Jung YJ Lee JY The effect of extracorporeal shock wave therapy on myofascial pain syndrome . Ann Rehabil Med 2012 ; 36 : 665 – 74 . 23185731
[10] Ji HM Kim HJ Han SJ Extracorporeal shock wave therapy on myofascial pain syndrome of upper trapezius . Ann Rehabil Med 2012 ; 36 : 675 – 80 . 23185732
[11] Cho YS Park SJ Jang SH Effects of the combined treatment of extracorporeal shock wave therapy (ESWT) and stabilization exercises on pain and functions of patients with myofascial pain syndrome . J Phys Ther Sci 2012 ; 24 : 1319 – 23 .
[12] Moghtaderi A Khosrawi S Dehghan F Extracorporeal shock wave therapy of gastroc-soleus trigger points in patients with plantar fasciitis. A randomized, placebo-controlled trial . Adv Biomed Res 2014 ; 25 : 99 .
[13] Gür A Koca İ Karagüllü H Comparison of the effectiveness of two different extracorporeal shock wave therapy regimens in the treatment of patients with myofascial pain syndrome . Arch Rheumatol 2014 ; 29 : 186 – 93 .
[14] Ramon S Gleitz M Hernandez L Update on the efficacy of extracorporeal shockwave treatment for myofascial pain syndrome and fibromyalgia . Int J Surg 2015 ; 24 : 201 – 6 . 26363497
[15] Simons DG Travell JG Simons LS Travell and Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual . 2nd ed. 1999 ; Baltimore, MD : Williams & Wilkins , 278–307 .
[16] Ioppolo F Tattoli M Di Sante L Extracorporeal shock-wave therapy for supraspinatus calcifying tendinitis: a randomized clinical trial comparing two different energy levels . Phys Ther 2012 ; 92 : 1376 – 85 . 22745199
[17] Hartrick CT Kovan JP Shapiro S The numeric rating scale for clinical pain measurement: a ratio measure? Pain Pract 2003 ; 3 : 310 – 6 . 17166126
[18] Vernon H Mior S The neck disability index: a study of reliability and validity . J Manipulative Physiol Ther 1991 ; 14 : 409 – 15 . 1834753
[19] Fletcher JP Bandy WD Intrarater reliability of CROM measurement of cervical spine active range of motion in persons with and without neck pain . J Orthop Sports Phys Ther 2008 ; 38 : 640 – 5 . 18827326
[20] Malanga GA Gwynn MW Smith R Tizanidine is effective in the treatment of myofascial pain syndrome . Pain Physician 2002 ; 5 : 422 – 32 . 16886022
[21] Ottomann C Hartmann B Tyler J Prospective randomized trial of accelerated re-epithelization of skin graft donor sites using extracorporeal shock wave therapy . J Am Coll Surg 2010 ; 211 : 361 – 7 . 20800193
[22] Rompe JD Hope C Küllmer K Anlagesic effect of extracorporeal shock-wave therapy on chronic tennis elbow . J Bone Joint Surg Br 1996 ; 78 : 233 – 7 . 8666632
[23] Hofmann A Ritz U Hessmann MH Extracorporeal shock wave-mediated changes in proliferation, differentiation and gene expression of human osteoblasts . J Trauma 2008 ; 65 : 1402 – 10 . 19077634
[24] Hausdorf J Lemmens MA Heck KD Selective loss of unmyelinated nerve fibers after extracorporeal shockwave application to the musculoskeletal system . Neuroscience 2008 ; 155 : 138 – 44 . 18579315
[25] McClure S Dorfmuller C Extracorporeal shock wave therapy: theory and equipment . Clin Tech Equine Pract 2003 ; 2 : 348 – 57 .
[26] Ogden JA Alvarez RG Levitt RL Electrohydraulic high-energy shock-wave treatment for chronic plantar fasciitis . J Bone Joint Surg Am 2004 ; 86 : 2216 – 28 . 15466731
[27] Rompe JD Meurer A Nafe B Repetitive low-energy shock wave application without local anesthesia is more efficient than repetitive low-energy shock wave application with local anesthesia in the treatment of chronic plantar fasciitis . J Orthop Res 2005 ; 23 : 931 – 41 . 16023010
[28] Metzner G Dohnalek C Aigner E High-energy extracorporeal shock-wave therapy for the treatment of chronic plantar fasciitis . Foot Ankle Int 2010 ; 31 : 790 – 6 . 20880482
[29] Liang HW Wang TG Chen WS Thinner plantar fascia predicts decreased pain after extracorporeal shock wave therapy . Clin Orthop Relat Res 2007 ; 460 : 219 – 25 . 17353798
[30] Theodore GH Buch M Amendola A Extracorporeal shock wave therapy for the treatment of plantar fasciitis . Foot Ankle Int 2004 ; 25 : 290 – 7 . 15134608
[31] Takahashi N Ohtori S Saisu T Second application of low-energy shock waves has a cumulative effect on free nerve endings . Clin Orthop Relat Res 2006 ; 443 : 315 – 9 . 16462457
[32] Ohtori S Inoue G Mannoji C Shock wave application to rat skin induces degeneration and reinnervation of sensory nerve fibers . Neurosci Lett 2001 ; 315 : 57 – 60 . 11711214
[33] Rompe JD Kirkpatrick CJ Kullmer K Dose-related effects of shock waves on rabbit tendo achillis. A sonographic and histological study . J Bone Joint Surg Br 1998 ; 80 : 546 – 52 . 9619954
[34] Kraemer R Sorg H Forstmeier V Immediate dose-response effect of high-energy versus low-energy extracorporeal shock wave therapy on cutaneous microcirculation . Ultrasound Med Biol 2016 ; 42 : 2975 – 82 . 27662701
[35] Klonschinski T Ament SJ Schlereth T Application of local anesthesia inhibits effects of low-energy extracorporeal shock wave treatment (ESWT) on nociceptors . Pain Med 2011 ; 12 : 1532 – 7 . 21917114
*원문 PDF 파일 및 링크정보가 존재하지 않을 경우 KISTI DDS 시스템에서 제공하는 원문복사서비스를 사용할 수 있습니다.
오픈액세스 학술지에 출판된 논문
※ AI-Helper는 부적절한 답변을 할 수 있습니다.