Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study

ÖNEŞ, Kadriye; yıldırım, mustafa aziz; gökşenoğlu, gökşen

doi:10.5606/ArchRheumatol.2018.6538

Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study

Mustafa Aziz YILDIRIM, (Department of Physical Medicine and Rehabilitation, İstanbul Physical Medicine And Rehabilitation Training Research Hospital, İstanbul, Turkey)

Kadriye ÖNEŞ, (Department of Physical Medicine and Rehabilitation, İstanbul Physical Medicine And Rehabilitation Training Research Hospital, İstanbul, Turkey)

Gökşen GÖKŞENOĞLU (Department of Physical Medicine and Rehabilitation, İstanbul Physical Medicine And Rehabilitation Training Research Hospital, İstanbul, Turkey)

Archives of Rheumatology

8 2

Yıl: 2018 Cilt: 33 Sayı: 4 Sayfa Aralığı: 418 - 423 Metin Dili: İngilizce DOI: 10.5606/ArchRheumatol.2018.6538 İndeks Tarihi: 21-08-2019

Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study

Öz:

Objectives: This study aims to evaluate the effectiveness of conventional ultrasound (US) therapy in the treatment of myofascial pain syndrome.Patients and methods: Fifty-four patients (23 males, 31 females; mean age 29.8±5.2 years; range, 22 to 46 years) with myofascial pain syndromewere included in this prospective, randomized, single-blind, placebo-controlled study. Patients were randomized into two groups by computerizedmethod as US group (n=27) and placebo group (n=27). Ten sessions of US were applied to the US group and 10 sessions of placebo US were appliedto the placebo group. Treatment effectiveness was evaluated with Visual Analog Scale (VAS), algometer, palpable muscle spasm degree (PMSD), andBeck Depression Inventory (BDI) before and after treatment.Results: Pain values after treatment in both groups decreased significantly (p<0.05) compared to before treatment. In the US group, the decreasein VAS and palpable muscle degree before and after treatment was significantly higher (p<0.05) than in the placebo group. In the US group, thedecrease in PMSD after treatment was significantly higher than the placebo group (p<0.05). The amount of decrease in BDI score before and aftertreatment in the US group did not differ significantly from the placebo group (p>0.05).Conclusion: Our findings show that conventional US therapy is effective in the treatment of myofascial pain syndrome.

Anahtar Kelime:

Konular: Romatoloji

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

1. Raj PP, Paradise LA. Myofascial pain syndrome and its treatment in low back pain. Semin Pain Med 2004;2:167-74.
2. Jaeger B. Myofascial trigger point pain. Alpha Omegan 2013;106:14-22.
3. Hayden RJ, Louis DS, Doro C. Fibromyalgia and myofascial pain syndromes and the workers' compensation environment: an update. Clin Occup Environ Med 2006;5:455-69.
4. Dommerholt, J, Simons, David G. Myofascial pain syndrome-trigger points. J Musculoskeletal Pain 2008;16;211-28.
5. Simons DG, Travell JG, Simons LS. Travell and Simons’ Myofascial Pain and Dysfunction: the Trigger Point Manual. Vol. 1, 2nd ed. Baltimore: Williams & Wilkins; 1999.
6. Cummings TM, White AR. Needling therapies in the management of myofascial trigger point pain: a systematic review. Arch Phys Med Rehabil 2001;82:986-92.
7. Borg-Stein J, Simons DG. Focused review: myofascial pain. Arch Phys Med Rehabil 2002;83:40-7, S48-9.
8. Speed CA. Therapeutic ultrasound in soft tissue lesions. Rheumatology (Oxford) 2001;40:1331-6.
9. Gonçalves MC, Teixeira da Silva EG, Chaves TC, Dach. F, Speciali JG. Static ultrasound and manual therapy in refractory migraine. Case report. Rev Dor. Sao Paulo 2012;13:80-4.
10. Koca I, Tutoglu A, Boyaci A, Ucar M, Yagiz E, Isik M, et al. A comparison of the effectiveness of low-, moderate- and high-dose ultrasound therapy applied in the treatment of myofascial pain syndrome. Mod Rheumatol 2014;24:662-6.
11. Gur A, Koca I, Karagullu H , Altindag O, Madenci E. Comparison of the efficacy of ultrasound and extracorporeal shock wave therapies in patients with myofascial pain syndrome: A randomized controlled study. J Musculoskelet Pain 2013;21:210-6.
12. Xia P, Wang X, Lin Q, Cheng K, Li X. Effectiveness of ultrasound therapy for myofascial pain syndrome: a systematic review and meta-analysis. J Pain Res 2017;10:545-55.
13. Dixon JS, Bird HA. Reproducibility along a 10 cm vertical visual analogue scale. Ann Rheum Dis 1981;40:87-9.
14. Fischer AA. Documentation of myofascial trigger points. Arch Phys Med Rehabil 1988;69:286-91. 15. Hong CZ, Simons DG. Pathophysiologic and electrophysiologic mechanisms of myofascial trigger points. Arch Phys Med Rehabil 1998;79:863-72.
16. Tegin B. Turkish version of Beck Depression Inventory. Unpublished Doctorate Thesis 1980.
17. Kavadar G, Ça¤lar N, Özen Ş, Tütün Ş, Demircio¤lu D. Efficacy of conventional ultrasound therapy on myofascial pain syndrome: a placebo controlled study. Agri 2015;27:190-6.
18. Gam AN, Johannsen F. Ultrasound therapy in musculoskeletal disorders: a meta-analysis. Pain 1995;63:85-91.
19. Srbely JZ, Dickey JP. Randomized controlled study of the antinociceptive effect of ultrasound on trigger point sensitivity: novel applications in myofascial therapy? Clin Rehabil 2007;21:411-7.
20. Ilter L, Dilek B, Batmaz I, Ulu MA, Sariyildiz MA, Nas K, et al. Efficacy of Pulsed and Continuous Therapeutic Ultrasound in Myofascial Pain Syndrome: A Randomized Controlled Study. Am J Phys Med Rehabil 2015;94:547-54.
21. Bertolini GRF, Karvat J, Kakihata CMM, Ribeiro LFC, Brancalhão RMC. Therapeutic ultrasound after sciatic nerve compression of Wistar rats. Neurol Res 2017;39:837-844.
22. Paliwal S, Mitragotri S. Therapeutic opportunities in biological responses of ultrasound. Ultrasonics 2008;48:271-8.
23. Imamura M, Furlan AD, Dryden T, Irvin E. Evidenceinformed management of chronic low back pain with massage. Spine J 2008;8:121-33.

APA	yıldırım m, ÖNEŞ K, gökşenoğlu g (2018). Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study. , 418 - 423. 10.5606/ArchRheumatol.2018.6538
Chicago	yıldırım mustafa aziz,ÖNEŞ Kadriye,gökşenoğlu gökşen Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study. (2018): 418 - 423. 10.5606/ArchRheumatol.2018.6538
MLA	yıldırım mustafa aziz,ÖNEŞ Kadriye,gökşenoğlu gökşen Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study. , 2018, ss.418 - 423. 10.5606/ArchRheumatol.2018.6538
AMA	yıldırım m,ÖNEŞ K,gökşenoğlu g Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study. . 2018; 418 - 423. 10.5606/ArchRheumatol.2018.6538
Vancouver	yıldırım m,ÖNEŞ K,gökşenoğlu g Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study. . 2018; 418 - 423. 10.5606/ArchRheumatol.2018.6538
IEEE	yıldırım m,ÖNEŞ K,gökşenoğlu g "Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study." , ss.418 - 423, 2018. 10.5606/ArchRheumatol.2018.6538
ISNAD	yıldırım, mustafa aziz vd. "Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study". (2018), 418-423. https://doi.org/10.5606/ArchRheumatol.2018.6538

APA	yıldırım m, ÖNEŞ K, gökşenoğlu g (2018). Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study. Archives of Rheumatology, 33(4), 418 - 423. 10.5606/ArchRheumatol.2018.6538
Chicago	yıldırım mustafa aziz,ÖNEŞ Kadriye,gökşenoğlu gökşen Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study. Archives of Rheumatology 33, no.4 (2018): 418 - 423. 10.5606/ArchRheumatol.2018.6538
MLA	yıldırım mustafa aziz,ÖNEŞ Kadriye,gökşenoğlu gökşen Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study. Archives of Rheumatology, vol.33, no.4, 2018, ss.418 - 423. 10.5606/ArchRheumatol.2018.6538
AMA	yıldırım m,ÖNEŞ K,gökşenoğlu g Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study. Archives of Rheumatology. 2018; 33(4): 418 - 423. 10.5606/ArchRheumatol.2018.6538
Vancouver	yıldırım m,ÖNEŞ K,gökşenoğlu g Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study. Archives of Rheumatology. 2018; 33(4): 418 - 423. 10.5606/ArchRheumatol.2018.6538
IEEE	yıldırım m,ÖNEŞ K,gökşenoğlu g "Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study." Archives of Rheumatology, 33, ss.418 - 423, 2018. 10.5606/ArchRheumatol.2018.6538
ISNAD	yıldırım, mustafa aziz vd. "Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study". Archives of Rheumatology 33/4 (2018), 418-423. https://doi.org/10.5606/ArchRheumatol.2018.6538