Effects of the Combined Treatment of Extracorporeal Shock Wave Therapy (ESWT) and Stabilization Exercises on Pain and Functions of Patients with Myofascial Pain Syndrome
[Purpose] In order to develop a more effective treatment method for pain and function in myofascial pain syndrome, we examined the effects of ESWT, stability exercises, and combined treatment. [Subjects] The subjects were randomly divided into a stabilization exercise group (n=12), an ESWT (Extracor...
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| Published in | Journal of Physical Therapy Science Vol. 24; no. 12; pp. 1319 - 1323 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
The Society of Physical Therapy Science
01.12.2012
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5287 2187-5626 |
| DOI | 10.1589/jpts.24.1319 |
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| Abstract | [Purpose] In order to develop a more effective treatment method for pain and function in myofascial pain syndrome, we examined the effects of ESWT, stability exercises, and combined treatment. [Subjects] The subjects were randomly divided into a stabilization exercise group (n=12), an ESWT (Extracorporeal Shock Wave Therapy) group (n=12), and a combined treatment group (n=12). [Methods] The stabilization exercise group performed shoulder joint stabilization exercises. The ESWT group received ESWT for the upper trapezius. The combined treatment group received a combined treatment of shoulder joint stabilization exercises and ESWT. Pain and function were measured using the visual analog scale (VAS), pressure pain threshold (PPT), neck disability index (NDI), and the Constant Murley Scale (CMS). [Results] The VAS Score showed statistically significant improvements in all of the groups. All of the CMS evaluation items except muscle strength in the stabilization exercise group, and all of the CMS items in the ESWT group and the combined treatment group, exhibited statistically significant improvements. The combined treatment group of ESWT and stabilization exercises showed statistically significant improvements in all VAS of CMS evaluation items, and the NDI test after the four-week intervention. [Conclusion] The combined treatment was more effective at reducing pain than ESWT, and stabilization exercise would be useful for physical therapists treating myofascial pain syndrome in a clinical setting. |
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| AbstractList | [Purpose] In order to develop a more effective treatment method for pain and function in myofascial pain syndrome, we examined the effects of ESWT, stability exercises, and combined treatment. [Subjects] The subjects were randomly divided into a stabilization exercise group (n=12), an ESWT (Extracorporeal Shock Wave Therapy) group (n=12), and a combined treatment group (n=12). [Methods] The stabilization exercise group performed shoulder joint stabilization exercises. The ESWT group received ESWT for the upper trapezius. The combined treatment group received a combined treatment of shoulder joint stabilization exercises and ESWT. Pain and function were measured using the visual analog scale (VAS), pressure pain threshold (PPT), neck disability index (NDI), and the Constant Murley Scale (CMS). [Results] The VAS Score showed statistically significant improvements in all of the groups. All of the CMS evaluation items except muscle strength in the stabilization exercise group, and all of the CMS items in the ESWT group and the combined treatment group, exhibited statistically significant improvements. The combined treatment group of ESWT and stabilization exercises showed statistically significant improvements in all VAS of CMS evaluation items, and the NDI test after the four-week intervention. [Conclusion] The combined treatment was more effective at reducing pain than ESWT, and stabilization exercise would be useful for physical therapists treating myofascial pain syndrome in a clinical setting. Purpose: In order to develop a more effective treatment method for pain and function in myofascial pain syndrome, we examined the effects of ESWT, stability exercises, and combined treatment. Subjects: The subjects were randomly divided into a stabilization exercise group (n=12), an ESWT (Extracorporeal Shock Wave Therapy) group (n=12), and a combined treatment group (n=12). Methods: The stabilization exercise group performed shoulder joint stabilization exercises, The ESWT group received ESWT for the upper trapezius. The combined treatment group received a combined treatment of shoulder joint stabilization exercises and ESWT. Pain and function were measured using the visual analog scale (VAS), pressure pain threshold (PPT), neck disability index (NDI), and the Constant Murley Scale (CMS). Results: The VAS Score showed statistically significant improvements in all of the groups. All of the CMS evaluation items except muscle strength in the stabilization exercise group, and all of the CMS items in the ESWT group and the combined treatment group, exhibited statistically significant improvements. The combined treatment group of ESWT and stabilization exercises showed statistically significant improvements in all VAS of CMS evaluation items, and the NDI test after the four-week intervention. Conclusion: The combined treatment was more effective at reducing pain than ESWT, and stabilization exercise would be useful for physical therapists treating myofascial pain syndrome in a clinical setting. |
| Author | Kim, Jin-Sang Cho, Young-Shin Park, Soo-Jin Jang, Sang-Hun Choi, Young-Chul Lee, Jung-Ho |
| Author_xml | – sequence: 1 fullname: Park, Soo-Jin organization: Department of Physical Therapy, Daegu University Graduate School of Physical Therapy, Daegu University – sequence: 1 fullname: Choi, Young-Chul organization: Department of Physical Therapy, Daegu University Graduate School of Physical Therapy, Daegu University – sequence: 1 fullname: Jang, Sang-Hun organization: Department of Physical Therapy, Daegu University Graduate School of Physical Therapy, Daegu University – sequence: 1 fullname: Cho, Young-Shin organization: Department of Physical Therapy, Daegu University Graduate School of Physical Therapy, Daegu University – sequence: 1 fullname: Lee, Jung-Ho organization: Department of Physical Therapy, Daegu University Graduate School of Physical Therapy, Daegu University – sequence: 1 fullname: Kim, Jin-Sang organization: Department of Physical Therapy, Daegu College |
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| References | 2. Roh SC: Association between myofascial pain syndrome and the assessment of pain and the related function tests in female telephone directory assistance operators using VDT. J Prev Med Pub Health, 1997, 30: 779–790. 15. Lee JH, Hwang KO, Park YH: Comparing the effects of stability exercise, ESWT, and taping for patients with myofascial pain syndrome of upper trapezius. J Korean Soc Phys Ther, 2012, 24: 82–89. 12. Hofmann A, Ritz U, Hessmann MH, et al.: Extracorporeal shock wave-mediated changes in proliferation, differentiation and gene expression of human osteoblasts. J Trauma, 2008, 65: 1402–1410. 14. Krishnan CA, Sharma CA, Singh MS: Evaluation of therapeutic effects of extracorporeal shock wave therapy in resistant plantar fasciitis patients in a tertiary care. Med J Armed Forces India, 2012, 236–239. 5. Lavelle ED, Lavelle WL, Smith HS: Myofascial trigger points. Med Clin North Am, 2007, 91: 229–239. 6. Simons DG, Travell JG, Simons LS: Myofascial pain and dysfunction: the trigger point manual. Vol 1, upper half of body (2nd ed). Baltimore: Williams & Wikins: 1999. 17. Loew M, Daecke W, Kusnierczak D, et al.: Shock wave therapy is effective for chronic calcifying tendinitis of the shoulder. J Bone Joint Surg Br, 1999, 81: 863–867. 13. Rompe JD, Hopf C, Küllmer K, et al.: Low-energy extracorporal shock wave therapy for persistent tennis elbow. Int Orthop, 1996, 20: 23–27. 16. Oh JS: Comparison of muscle activity during a push-up on a suspension sling and a fixed support. Phys Ther Kor, 2003, 10: 29–40. 4. Testa M, Barbero M, Gherlone E: Trigger point updata of the clinical aspects. Eur Med Phys, 2003, 39: 37–43. 7. Huskisson EC: Measurement of pain. Lancet, 1974, 2: 1127–1131. 8. Park GB: Reliability and usefulness of the pressure pain threshold measurement in patients with myofascial pain. J Korean Acad Rehab Med, 2011, 35: 412–417. 1. Travell JG, Simons DG: Myofascial pain and dysfunction: the trigger point manual, the upper extremities. Baltimore: Williams &Wilkins, 1983, pp 37–40. 3. Fisher AA: Temperature and pressure threshold measurement in trigger points. Thermology, 1986, 1: 212–215. 10. Howell ER: The association between neck pain, the neck disability index and cervical ranges of motion: a narrative review. J Can Chiropr Assoc, 2011, 55: 211–221. 9. Wainner RS, Fritz JM, Irrgang JJ, et al.: Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine, 2003, 28: 52–62. 11. Constant CR, Murley AH: A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res, 1987, 214: 160–164. 18. Kim WM: The effects of combined extracorporeal shock wave therapy & exercise program during 8 weeks on the pain, strength & proprioception in lateral epicondylitis patients. Korean J Sports Sci, 2010, 49: 591–600. 11 12 13 14 15 16 17 18 1 2 3 4 5 6 7 8 9 10 |
| References_xml | – reference: 2. Roh SC: Association between myofascial pain syndrome and the assessment of pain and the related function tests in female telephone directory assistance operators using VDT. J Prev Med Pub Health, 1997, 30: 779–790. – reference: 15. Lee JH, Hwang KO, Park YH: Comparing the effects of stability exercise, ESWT, and taping for patients with myofascial pain syndrome of upper trapezius. J Korean Soc Phys Ther, 2012, 24: 82–89. – reference: 10. Howell ER: The association between neck pain, the neck disability index and cervical ranges of motion: a narrative review. J Can Chiropr Assoc, 2011, 55: 211–221. – reference: 11. Constant CR, Murley AH: A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res, 1987, 214: 160–164. – reference: 6. Simons DG, Travell JG, Simons LS: Myofascial pain and dysfunction: the trigger point manual. Vol 1, upper half of body (2nd ed). Baltimore: Williams & Wikins: 1999. – reference: 1. Travell JG, Simons DG: Myofascial pain and dysfunction: the trigger point manual, the upper extremities. Baltimore: Williams &Wilkins, 1983, pp 37–40. – reference: 17. Loew M, Daecke W, Kusnierczak D, et al.: Shock wave therapy is effective for chronic calcifying tendinitis of the shoulder. J Bone Joint Surg Br, 1999, 81: 863–867. – reference: 9. Wainner RS, Fritz JM, Irrgang JJ, et al.: Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine, 2003, 28: 52–62. – reference: 12. Hofmann A, Ritz U, Hessmann MH, et al.: Extracorporeal shock wave-mediated changes in proliferation, differentiation and gene expression of human osteoblasts. J Trauma, 2008, 65: 1402–1410. – reference: 18. Kim WM: The effects of combined extracorporeal shock wave therapy & exercise program during 8 weeks on the pain, strength & proprioception in lateral epicondylitis patients. Korean J Sports Sci, 2010, 49: 591–600. – reference: 5. Lavelle ED, Lavelle WL, Smith HS: Myofascial trigger points. Med Clin North Am, 2007, 91: 229–239. – reference: 16. Oh JS: Comparison of muscle activity during a push-up on a suspension sling and a fixed support. Phys Ther Kor, 2003, 10: 29–40. – reference: 7. Huskisson EC: Measurement of pain. Lancet, 1974, 2: 1127–1131. – reference: 4. Testa M, Barbero M, Gherlone E: Trigger point updata of the clinical aspects. Eur Med Phys, 2003, 39: 37–43. – reference: 8. Park GB: Reliability and usefulness of the pressure pain threshold measurement in patients with myofascial pain. J Korean Acad Rehab Med, 2011, 35: 412–417. – reference: 14. Krishnan CA, Sharma CA, Singh MS: Evaluation of therapeutic effects of extracorporeal shock wave therapy in resistant plantar fasciitis patients in a tertiary care. Med J Armed Forces India, 2012, 236–239. – reference: 3. Fisher AA: Temperature and pressure threshold measurement in trigger points. Thermology, 1986, 1: 212–215. – reference: 13. Rompe JD, Hopf C, Küllmer K, et al.: Low-energy extracorporal shock wave therapy for persistent tennis elbow. Int Orthop, 1996, 20: 23–27. – ident: 2 – ident: 3 – ident: 12 doi: 10.1097/TA.0b013e318173e7c2 – ident: 13 doi: 10.1007/s002640050021 – ident: 18 – ident: 4 – ident: 1 – ident: 5 doi: 10.1016/j.mcna.2006.12.004 – ident: 8 doi: 10.5535/arm.2011.35.3.412 – ident: 10 – ident: 17 doi: 10.1302/0301-620X.81B5.9374 – ident: 16 – ident: 15 – ident: 9 doi: 10.1097/00007632-200301010-00014 – ident: 11 doi: 10.1097/00003086-198701000-00023 – ident: 7 doi: 10.1016/S0140-6736(74)90884-8 – ident: 14 doi: 10.1016/j.mjafi.2012.01.007 – ident: 6 |
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| Title | Effects of the Combined Treatment of Extracorporeal Shock Wave Therapy (ESWT) and Stabilization Exercises on Pain and Functions of Patients with Myofascial Pain Syndrome |
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