Doğan Nesibe, Şengül İlker, Akçay-Yalbuzdağ Şeniz, Kaya Taciser
Department of Physical Medicine and Rehabilitation, İzmir Bozyaka Training and Research Hospital, İzmir, Turkey.
Department of Physical Medicine and Rehabilitation, Medical Faculty of İzmir Katip Çelebi University, İzmir, Turkey.
J Back Musculoskelet Rehabil. 2019;32(5):819-827. doi: 10.3233/BMR-181162.
Although a number of therapeutic interventions for trigger-point inactivation have been studied, it remains controversial which intervention is better.
To compare the effectiveness of the kinesio taping and dry needling methods in patients with trigger-point related myofascial pain syndrome of the upper trapezius muscle.
A total of 42 patients were randomly allocated to the kinesio taping group (n= 23) and dry needling group (n= 19). The patients were assessed for pain, pressure pain threshold (PPT), cervical range of motion (CROM), and function at baseline, at short- and medium-term stages after treatment. To investigate the effects of the interventions over time, two-way repeated measures analysis of variance (ANOVA) was used.
There was a significant improvement in pain intensity at rest and cervical motion, in the PPT readings (p< 0.05), in CROM (p< 0.05), and in function (p< 0.05) in both groups, with no superiority either (p> 0.05).
Kinesio taping may be a choice of trigger point inactivation in patients who do not want to be needled or who show contraindication(s) to treatments other than kinesio taping.
尽管已经对多种触发点失活的治疗干预措施进行了研究,但哪种干预措施更好仍存在争议。
比较肌内效贴扎和干针疗法对上斜方肌触发点相关肌筋膜疼痛综合征患者的疗效。
总共42例患者被随机分配到肌内效贴扎组(n = 23)和干针组(n = 19)。在基线、治疗后的短期和中期阶段,对患者进行疼痛、压痛阈值(PPT)、颈椎活动范围(CROM)和功能评估。为了研究干预措施随时间的效果,采用双向重复测量方差分析(ANOVA)。
两组患者在静息时的疼痛强度、颈椎活动度、PPT读数(p < 0.05)、CROM(p < 0.05)和功能(p < 0.05)方面均有显著改善,且两组之间无优越性差异(p > 0.05)。
对于不想接受针刺或对除肌内效贴扎以外的治疗有禁忌证的患者,肌内效贴扎可能是触发点失活的一种选择。