Kostenko E V, Zuev D S, Zaitseva T N
Moscow Research and Practical Centre for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Health Department, Moscow, Russia; N.I. Pirogov Russian National Research Medical University, Ministry of Health of the Russian Federation, Moscow, Russia.
Moscow Research and Practical Centre for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Health Department, Moscow, Russia.
Vopr Kurortol Fizioter Lech Fiz Kult. 2018;95(4):62-68. doi: 10.17116/kurort20189504162.
The myofascial pain syndromes (MPS) is ranked among the most frequent clinical manifestations of acute and chronic pain in the lumbar region. The authors of the article undertook the analysis of scientific publications from the Pubmed, Medline, and Scopus databases that appeared during the recent years. The analysis has demonstrate that extracorporeal shock wave therapy (ESWT) can be considered as a method of choice to be used in the framework of the complex programs of the treatment and rehabilitation of the condition of interest. The specific etiopathogenetic features of ESWT are considered in terms of the contemporary views with special reference to their influence on the choice of the treatment strategies and concrete methods for the treatment of the myofascial pain syndromes. It is shown that extracorporeal shock wave therapy makes it possible to enhance the blood flow and circulation and increase the permeability of cell membranes thereby facilitating the activation of the regenerative processes in the structural elements of the vertebral-motor segment undergoing the dystrophic changes. Moreover, ESWT produces the anti-inflammatory effects and causes muscle relaxation. There is strong evidence of the possibility to use such modern modalities of manual needs tlomethods of ESWT and manual therapy in patients with MFBS that requires further research. The expected effects of the combined application of extracorporeal shock wave therapy and manual therapy for the treatment of the patients presenting with myofascial pain syndrome remain to be verified in the further studies.
肌筋膜疼痛综合征（MPS）是腰区急慢性疼痛最常见的临床表现之一。本文作者对近年来发表在PubMed、Medline和Scopus数据库中的科学出版物进行了分析。分析表明，体外冲击波疗法（ESWT）可被视为用于相关疾病治疗和康复综合方案中的一种首选方法。根据当代观点，结合其对肌筋膜疼痛综合征治疗策略选择和具体治疗方法的影响，对ESWT的特定病因发病学特征进行了探讨。结果表明，体外冲击波疗法能够增强血流和循环，增加细胞膜通透性，从而促进发生营养不良性改变的椎-运动节段结构成分的再生过程激活。此外，ESWT具有抗炎作用并能使肌肉松弛。有充分证据表明，对于肌筋膜疼痛综合征患者，可采用ESWT和手法治疗等现代治疗方式，但这需要进一步研究。体外冲击波疗法与手法治疗联合应用于肌筋膜疼痛综合征患者的预期效果仍有待进一步研究验证。
