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근막통증 증후군 환자에게 체외충격파와 근막이완술 병행 치료가 통증, 움직임, 기능에 미치는 영향

Effects of Extracorporeal Shock Wave Therapy with Myofascial Release Techniques on Pain, Movement, and Function in Patients with Myofascial Pain Syndrome

PNF and Movement 2020년 18권 2호 p.245 ~ 254
최원재, 남은정, 김현중, 이승원,
소속 상세정보
최원재 ( Choi Won-Jae ) - Sahmyook University Institute of SMART Rehabilitation
남은정 ( Nam Eun-Jung ) - Sahmyook University Graduate School Department of Physical Therapy
김현중 ( Kim Hyun-Joong ) - Sahmyook University Graduate School Department of Physical Therapy
이승원 ( Lee Seung-Won ) - Sahmyook University Department of Physical Therapy

Abstract


Purpose: The study investigated the effects of extracorporeal shock wave therapy with myofascial release techniques (ESWT+MFR) on pain, movement, and function in patients with myofascial pain syndrome.

Methods: Forty participants with upper trapezius trigger points were recruited and randomly allocated to two groups: an experimental group (n = 20) and a control group (n = 20). The experimental group performed the ESWT+MFR, and the control group performed only myofascial release techniques. Each group was treated for 15 minutes, twice a week for four weeks. Pain was assessed using a visual analogue scale and a pressure pain threshold measure. Movement was assessed by cervical range of motion, and cervical and shoulder function were assessed on the Constant-Murley Scale and the Neck Disability Index before and after treatment.

Results: The results indicate statistically significant improvements in the two groups on all parameters after intervention as compared to baseline (p < 0.05). As compared to the control group, the experimental group showed statistically significant improvements on the visual analogue scale and pressure pain threshold, cervical range of motion (except rotation), and on the Neck Disability Index (p < 0.05).

Conclusion: The ESWT+MFR is more effective than myofascial release techniques for pain, movement, and function in patients with myofascial pain syndrome and would be clinically useful for physical therapists treating myofascial pain syndrome.

키워드

Extracorporeal shock wave therapy; Myofascial release; Myofascial pain syndrome; Pain; Function

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