Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study

SOLAK, Özlem; DÜNDAR, Ümit; ŞAMLI, Fatma; KAVUNCU, Vural

Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study

Ümit DÜNDAR, (Kocatepe Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Afyonkarahisar, Türkiye)

Özlem SOLAK, (Kocatepe Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Afyonkarahisar, Türkiye)

Fatma ŞAMLI, (Kocatepe Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Afyonkarahisar, Türkiye)

Vural KAVUNCU (Kocatepe Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Afyonkarahisar, Türkiye)

Turkish Journal of Rheumatology(.)Archives of Rheumatology

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Yıl: 2010 Cilt: 25 Sayı: 3 Sayfa Aralığı: 110 - 115 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study

Öz:

Ultrason tedavisi yumuşak doku ağrısının tedavisinde sıklıkla uygulanmaktadır. Bu çalışmanın amacı servikal miyofasiyal ağrı sendromunda (MAS) ultrason tedavisinin etkinliğini araştırmaktır.Yöntem ve Gereçler: Çalışmaya toplam 55 servikal MAS olan hasta dahil edildi. Hastalar rastgele iki tedavi grubuna ayrıldı. Birinci grupta (n=28), ultrason diatermi bilateral her üç tetik noktayı kapsayacak şekilde 8 dakika süre ile günde bir kez olmak üzere üç haftalık periyotta toplam 15 seans verildi. İkinci grupta (n=27), aynı tedavi protokolü uygulandı fakat, uygulama sırasında cihaz kapatıldı. Her iki gruptaki bütün hastalar servikal bölge için günlük izometrik ve germe egzersizleri uyguladılar. Değerlendirme parametreleri çalışmanın başlangıcında, 4. hafta ve 12. haftada ölçüldü. Bütün hastalar görsel anolog skala ile istirahat ve hareket ağrısı açısından değerlendirildi. Aktif hareket açıklığı inklinometre ve gonyometre ile ölçüldü. Disabilite ve yaşam kalitesi ise boyun disabilite indeksi (BDİ) ve Nottingham sağlık profili (NSP) ile değerlendirildi.Bulgular: Her iki grupta 4. ve 12. hafta sonunda başlangıca göre tüm parametrelerde (her iki grupta NSP'nin uyku ve sosyal izolasyon alt parçaları hariç) istatistiksel olarak anlamlı iyileşmeler saptandı (p<0.05). Bununla beraber BDİ ve NSP'nin ağrı ve fizisel yetenekler alt parçalarındaki iyileşmeler birinci grupta daha iyiydi. Ayrıca istirahatte ve harekette değerlendirlen ağrı azalması da birinci grupta daha iyi bulundu.Sonuç: Sonuç olarak çalışmamızın sonuçları servikal MAS'nun tedavisinde ultrason tedavisinin etkiliği olduğunu göstermiştir

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Genel ve Dahili Tıp Ortopedi

Servikal Miyofasiyal Ağrı Sendromunda Ultrason Tedavisinin Etkinliği, Çift Kör, Plasebo-Kontrollü Çalışma

Öz:

Ultrasound therapy is commonly employed in the treatment and management of soft tissue pain. The aim of this study was to investigate the effectiveness of ultrasound therapy in cervical myofascial pain syndrome (MPS). Materials and Methods: A total of 55 patients with cervical MPS were included in this study. The patients were randomly assigned into two groups. In Group 1 (n=28), ultrasound diathermy was administrated over three trigger points bilaterally for 8 minutes (min) once a day for 15 days over a period of three weeks. In Group 2 (n=27), the same treatment protocol was given, but the ultrasound instrument was switched off during applications. All patients in both groups performed daily isometric exercise and stretching exercises for the cervical region. Parameters were measured at baseline, and at weeks 4 and 12. All patients were evaluated with respect to pain (at rest and movement) and assessed by visual analog scale and active range of motion was measured using an inclinometer and a goniometer. Disability and quality of life were evaluated with the Neck Disability Index (NDI) and the Nottingham Health Profile (NHP).Results: In both groups, statistically significant improvements were detected in all outcome measures at weeks 4 and 12 (except sleep and social isolation subgroups of NHP in both groups) compared with baseline (p<0.05). However, improvement in NDI and pain and physical abilities subgroups of NHP was better in Group 1. Pain reduction evaluated with respect to pain at rest and movement was also better in Group 1. Conclusion: The results of our study showed that ultrasound therapy is effective in the management of cervical MPS

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Genel ve Dahili Tıp Ortopedi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	DÜNDAR Ü, SOLAK Ö, ŞAMLI F, KAVUNCU V (2010). Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study. , 110 - 115.
Chicago	DÜNDAR Ümit,SOLAK Özlem,ŞAMLI Fatma,KAVUNCU Vural Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study. (2010): 110 - 115.
MLA	DÜNDAR Ümit,SOLAK Özlem,ŞAMLI Fatma,KAVUNCU Vural Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study. , 2010, ss.110 - 115.
AMA	DÜNDAR Ü,SOLAK Ö,ŞAMLI F,KAVUNCU V Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study. . 2010; 110 - 115.
Vancouver	DÜNDAR Ü,SOLAK Ö,ŞAMLI F,KAVUNCU V Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study. . 2010; 110 - 115.
IEEE	DÜNDAR Ü,SOLAK Ö,ŞAMLI F,KAVUNCU V "Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study." , ss.110 - 115, 2010.
ISNAD	DÜNDAR, Ümit vd. "Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study". (2010), 110-115.

APA	DÜNDAR Ü, SOLAK Ö, ŞAMLI F, KAVUNCU V (2010). Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 25(3), 110 - 115.
Chicago	DÜNDAR Ümit,SOLAK Özlem,ŞAMLI Fatma,KAVUNCU Vural Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study. Turkish Journal of Rheumatology(.)Archives of Rheumatology 25, no.3 (2010): 110 - 115.
MLA	DÜNDAR Ümit,SOLAK Özlem,ŞAMLI Fatma,KAVUNCU Vural Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.25, no.3, 2010, ss.110 - 115.
AMA	DÜNDAR Ü,SOLAK Ö,ŞAMLI F,KAVUNCU V Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2010; 25(3): 110 - 115.
Vancouver	DÜNDAR Ü,SOLAK Ö,ŞAMLI F,KAVUNCU V Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2010; 25(3): 110 - 115.
IEEE	DÜNDAR Ü,SOLAK Ö,ŞAMLI F,KAVUNCU V "Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 25, ss.110 - 115, 2010.
ISNAD	DÜNDAR, Ümit vd. "Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study". Turkish Journal of Rheumatology(.)Archives of Rheumatology 25/3 (2010), 110-115.