Ilbuldu Ebru, Cakmak Aysegul, Disci Rian, Aydin Resa
Department of Physical Medicine and Rehabilitation, Istanbul Medical Faculty, Istanbul University, 34390 Sehremini, Istanbul, Turkey.
Photomed Laser Surg. 2004 Aug;22(4):306-11. doi: 10.1089/pho.2004.22.306.
We aimed to evaluate the effectiveness of laser therapy in myofascial pain syndrome treatment.
Myofascial pain syndrome is a disease that is characterized by hypersensitive points called trigger points found in one or more muscles and/or connective tissues. It can cause pain, muscle spasm, sensitivity, stiffness, weakness, limitation of range of motion and rarely autonomic dysfunction. Physical therapy modalities and exercise are used in the treatment of this frequently encountered disease.
The placebo controlled, prospective, long-term follow up study was planned with 60 patients who had trigger points in their upper trapezius muscles. The patients were divided into three groups randomly. Stretching exercises were taught to each group and they were asked to exercise at home. Treatment duration was 4 weeks. Placebo laser was applied to group 1, dry needling to group 2 and laser to group 3. He-Ne laser was applied to three trigger points in the upper trapezius muscles on both sides with 632.8 nm. The patients were assessed at before, post-treatment, and 6 months after-treatment for pain, cervical range of motion and functional status.
We observed a significant decrease in pain at rest, at activity, and increase in pain threshold in the laser group compared to other groups. Improvement according to Nottingham Health Profile gave the superiority of the laser treatment. However, those differences among the groups were not observed at 6-month follow up.
Laser therapy could be useful as a treatment modality in myofascial pain syndrome because of its noninvasiveness, ease, and short-term application.
我们旨在评估激光疗法在治疗肌筋膜疼痛综合征中的有效性。
肌筋膜疼痛综合征是一种以在一块或多块肌肉和/或结缔组织中发现的称为触发点的超敏点为特征的疾病。它可引起疼痛、肌肉痉挛、敏感、僵硬、无力、活动范围受限，很少引起自主神经功能障碍。物理治疗方法和运动被用于治疗这种常见疾病。
对60例上斜方肌有触发点的患者进行了安慰剂对照、前瞻性、长期随访研究。患者被随机分为三组。每组都教授了伸展运动，并要求他们在家中进行锻炼。治疗持续时间为4周。第1组应用安慰剂激光，第2组应用干针疗法，第3组应用激光。采用波长为632.8nm的氦氖激光照射双侧上斜方肌的三个触发点。在治疗前、治疗后和治疗后6个月对患者的疼痛、颈椎活动范围和功能状态进行评估。
与其他组相比，我们观察到激光组在静息时、活动时的疼痛显著减轻，疼痛阈值增加。根据诺丁汉健康量表的改善情况显示激光治疗具有优越性。然而，在6个月的随访中未观察到组间差异。
激光疗法因其无创性、简便性和短期应用，可作为肌筋膜疼痛综合征的一种治疗方式。
