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Effectiveness of extracorporeal shock wave therapy versus standard care in the treatment of neck and upper back myofascial pain: a single blinded randomised clinical trial
- Source :
- Clinical rehabilitation. 35(1)
- Publication Year :
- 2020
-
Abstract
- Objectives: To compare the efficacy of extracorporeal shock wave therapy versus standard care (ultrasound + hot pack + self-stretch-exercises) in treatment of neck and upper back myofascial pain syndrome. Design: Single-blind randomised clinical trial Setting: Outpatients setting. Subjects: Patients with neck and upper back myofascial pain Intervention: Participants were randomly allocated into shock wave group ( n = 24), standard care (ultrasound + hot pack + self-stretch-exercises) group ( n = 24) and control (self-stretch-exercises) group ( n = 24) for four weeks. Main Measures: The primary outcomes were pain intensity (visual analogue scale), pain pressure threshold (algometer) and disability (neck disability index). Measures were performed at baseline (week 0), week 1 and post-intervention (week 4). Results: Shock wave and ultrasound improved visual analogue scale (7.50 ± 1.71 to 5.72 ± 2.20 and 6.22 ± 2.54 to 4.95 ± 2.86, respectively, P = 0.083) and disability index (54.24 ± 15.53 to 39.04 ± 19.58 50.23 ± 19.57 to 32.10 ± 18.34, respectively, P = 0.495) similarly at first week examinations that were significantly higher than control ( P Conclusion: Extracorporeal shock wave therapy was more effective in controlling of the pain intensity compared to ultrasound one month after treatment. However it had no superiority over ultrasound in improving neck disability index at this time point. Trial registration www.irct.ir , IRCT201608154104N5, registered 2016-09-25
- Subjects :
- Adult
Extracorporeal Shockwave Therapy
Male
Pain Threshold
medicine.medical_specialty
Extracorporeal shock wave therapy
Visual Analog Scale
medicine.medical_treatment
Physical Therapy, Sports Therapy and Rehabilitation
Standard care
medicine
Humans
Single-Blind Method
Myofascial Pain Syndromes
Stretching exercises
Pain Measurement
Hot pack
business.industry
Myofascial pain
Rehabilitation
Ultrasound
Torso
Middle Aged
Exercise Therapy
Clinical trial
Treatment Outcome
Extracorporeal shockwave therapy
Physical therapy
Female
business
Subjects
Details
- ISSN :
- 14770873
- Volume :
- 35
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Clinical rehabilitation
- Accession number :
- edsair.doi.dedup.....cb696c9ee16d5f10dc57ab5d9645dff8