Acar Başak, Yılmaz Oznur Tunca
Physiotherapy and Rehabilitation Department Ankara, Baskent University Hospital, Ankara, Turkey.
J Back Musculoskelet Rehabil. 2012;25(4):261-7. doi: 10.3233/BMR-2012-0334.
The purpose of this study was to investigate the effects of electrotherapy and exercise on pain intensity and mobility of connective tissue in patients with myofascial pain syndrome (MPS) in their cervical region.
60 patients were divided into 3 groups using a random allocation programme method. A hotpack was applied, and ultrasound was carried out on the patients in the treatment group who were also given exercise training. Exercise training was only given to the exercise group while the control group was given two weeks rest. The demographic characteristics, autonomic symptoms, and other MPS-associated symptoms of patients were recorded. The Short-Form McGill Pain Questionnaire was used to evaluate the intensity and quality of pain, and a skin-roll test was used to evaluate connective tissue mobility.
There was a statistically significant difference between treatment and control group on the sensory pain, total pain, and Visual Analog Scale measurements (p< 0.05). There was a decrease in connective tissue sensitivity measurements in the treatment and control groups. The connective tissue tension measurements were also decreased after treatment in the treatment and exercise groups.
We concluded that combined treatment was more effective to decrease pain intensity, and increase connective tissue mobility.
本研究旨在调查电疗法和运动对颈部肌筋膜疼痛综合征（MPS）患者疼痛强度和结缔组织活动度的影响。
采用随机分配程序法将60例患者分为3组。对治疗组患者应用热敷袋并进行超声治疗，同时给予运动训练。仅对运动组给予运动训练，而对照组给予两周休息。记录患者的人口统计学特征、自主症状和其他与MPS相关的症状。使用简短麦吉尔疼痛问卷评估疼痛强度和性质，使用皮肤滚动试验评估结缔组织活动度。
治疗组和对照组在感觉疼痛、总疼痛和视觉模拟量表测量方面存在统计学显著差异（p<0.05）。治疗组和对照组的结缔组织敏感性测量值均有所下降。治疗组和运动组治疗后结缔组织张力测量值也有所下降。
我们得出结论，联合治疗在降低疼痛强度和增加结缔组织活动度方面更有效。
