Comparative study of shockwave therapy and low-level laser therapy effects in patients with myofascial pain syndrome of the trapezius
Király M, Bender T, Hodosi K
Rheumatology international · 36 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2018-08-30 · Rheumatol Int · vol. 38 · número 11 · págs. 2045–2052
- Editorial
- Springer Science+Business Media
- Citado
- 58 citas · más que el 86% de estudios similares · 2.1× el promedio de su campo
- Referencias
- 22 trabajos
- Acceso
- De pago
- Áreas de investigación
- Myofascial pain diagnosis and treatment · Tendon Structure and Treatment · Temporomandibular Joint Disorders
- Palabras clave
- myofascial pain syndrome, trapezius, shock wave therapy, low-level laser therapy, neck pain, quality of life, pain tolerance, rest pain, Neck Disability Index, SF-36, non-pharmacological pain management, treatment comparison, physiotherapy, massage, manual therapy, kinesiotherapy
- MeSH
- humans, facial neuralgia, pain measurement, disability evaluation, treatment outcome, remission induction, pain threshold, time factors, quality of life, adult, aged, middle aged, hungary, female, male, superficial back muscles, surveys and questionnaires, low-level light therapy, extracorporeal shockwave therapy
3 autores
- Márta Király🇭🇺Petz Aladár Megyei Oktató Kórház
- Tamás Bender · autor de correspondencia
- Katalin Hodosi🇭🇺University of Debrecen
Resumen
El texto original del estudio, en el idioma en que se publicó.
The objective of the study was to compare the effects of shockwave therapy and laser therapy on pain, neck functionality, and quality of life in patients with myofascial pain syndrome of the trapezius. 61 patients (> 18 years) were randomly allocated to two treatment groups: (1) 31 patients received soft laser therapy once daily in a 3-week period for a total of 15 sessions, (2) 30 patients received shockwave therapy once in a week for 3 weeks, totalling 3 treatments. Resting pain and pain tolerance were assessed by a 100 mm visual analogue scale; functional status and quality of life were measured by specific questionnaires (Neck Disability Index, SF-36) before and after the 3-week therapy and at the 15th week follow-up visit. All measured parameters improved significantly in both groups at week 3 and week 15. Comparing the two groups, patients receiving shockwave therapy demonstrated significantly better changes in pain tolerance (mean between-group differences at visit 1-0 = 14.911, 95% CI = 2.641-27.182, mean between-group differences at visit 2-0 = 17.190, 95% CI = 4.326-30.055 in the left trapezius), neck functionality (mean between-group differences at visit 1- 0 = 0.660, 95% CI = - 1.933 to 3.253, mean between-group differences at visit 2-0 = 1.072, 95% CI = - 2.110 to 4.254), and in all domains using SF-36 QoL questionnaire. The only parameter in which the laser group showed significantly higher benefits was at week 15 for resting pain (mean between-group differences at visit 2-0 = - 1.345, 95% CI = - 14.600 to 11.910). The results of our study point to a conclusion that both laser and shockwave therapy are effective in myofascial pain syndrome, though we found shockwave therapy to be somewhat more beneficial. Clinical trial registration number NCT03436459 ( https://clinicaltrials.gov/ct2/show/NCT03436459 ).
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