잠시만 기다려 주세요. 로딩중입니다.

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

Annals of Rehabilitation Medicine 2020년 44권 5호 p.393 ~ 401
Kamel Fatma Alzahraa Hassan, Basha Maged, Alsharidah Ashwag, Hewidy Islam Mohamed, Ezzat Mohamed, Aboelnour Nancy Hassan,
소속 상세정보
 ( Kamel Fatma Alzahraa Hassan ) - Qassim University College of Medical Rehabilitation Department of Physical Therapy
 ( Basha Maged ) - Qassim University College of Medical Rehabilitation Department of Physical Therapy
 ( Alsharidah Ashwag ) - Qassim University College of Medicine Department of Physiology
 ( Hewidy Islam Mohamed ) - New York Medical College Department of Physical Therapy
 ( Ezzat Mohamed ) - Cairo University Faculty of Physical Therapy Department of Physical Therapy for Orthopedics
 ( Aboelnour Nancy Hassan ) - Cairo University Faculty of Physical Therapy Department of Physical Therapy for Surgery

Abstract


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<0.001).

Conclusion: As a confirmation of the efficacy of ESWT in cervical myofascial pain control following neck dissection, we observed better results with no side effects in the ESWT group (Clinical Trial Registry No. PACTR202002648274347).

키워드

Myofascial pain syndromes; Neck dissections; Extracorporeal shock wave therapy; Visual analog scales; Pressure algometry

원문 및 링크아웃 정보

등재저널 정보