Akbaba Yildiz Analay, Mutlu Ebru Kaya, Altun Suleyman, Turkmen Ezgi, Birinci Tansu, Celik Derya
Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Clinics of Orthopedics and Traumatology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
J Back Musculoskelet Rehabil. 2019;32(3):519-527. doi: 10.3233/BMR-181306.
Studies have emphasized the importance of the presence of myofascial trigger points (MTrPs) in patients with rotator cuff pathologies and the high frequency of MTrPs in rotator cuff muscles.
Evaluate the effectiveness of the treatment of active MTrPs in patients with rotator cuff pathologies.
Fifty-three patients with rotator cuff tear were randomized into two groups. All patients received the same standard conservative treatment twice a week for 6 weeks. Patients in Group 1 additionally received ischemic compression (IC) of MTrPs. Pain, range of motion (ROM), function, and anxiety and depression were assessed. MTrPs in rotator cuff muscles were assessed manually, and the number of MTrPs on the shoulder complex was counted.
There were no significant differences between the groups in terms of changes in resting/activity/night pain, ROM, function, or anxiety and depression (p> 0.05). Pain scores improved only in Group 1. However, the total number of MTrPs was significantly decreased in Group 1 (p= 0.001).
A six-week course of IC helps treat active MTrPs. A standard conservative treatment program reduced pain and increased function; the addition of MTrP treatment did not improve clinical outcomes in patients with rotator cuff pathologies.
研究强调了肌筋膜触发点（MTrPs）在肩袖病变患者中的重要性以及肩袖肌肉中MTrPs的高发生率。
评估治疗肩袖病变患者活动性MTrPs的有效性。
53例肩袖撕裂患者被随机分为两组。所有患者每周接受两次相同的标准保守治疗，共6周。第1组患者还接受了MTrPs的缺血性按压（IC）。评估疼痛、活动范围（ROM）、功能以及焦虑和抑郁情况。手动评估肩袖肌肉中的MTrPs，并计算肩部复合体上MTrPs的数量。
两组在静息/活动/夜间疼痛、ROM、功能或焦虑和抑郁的变化方面无显著差异（p>0.05）。仅第1组的疼痛评分有所改善。然而，第1组的MTrPs总数显著减少（p=0.001）。
为期六周的IC疗程有助于治疗活动性MTrPs。标准的保守治疗方案减轻了疼痛并改善了功能；添加MTrP治疗并未改善肩袖病变患者的临床结局。
