1Istanbul Kent University, Faculty of Health Sciences, Physical therapy and rehabilitation, Istanbul, Turkey.
2Lokman Hekim University, Faculty of Medicine, Physical medicine and rehabilitation, Ankara, Turkey.
Georgian Med News. 2024 Jan(346):27-32.
Myofascial pain syndrome (MPS) is the most common in the musculoskeletal disease. Dry needling techniques and ischemic compression are the most common applications. We aimed to compare the efficacy of dry needling and ischemic compression methods on pain, cervical range of motion and disability in myofascial pain syndrome. This is a randomized, controlled study. 98 patients with MPS were randomly assigned into three groups. Group1 received dry needling (n=33), group 2 (n=33) received ischemic compression and group 3 (n=32) received combined with dry needling and ischemic compression inventions. Additionally, all patients were given neck exercise programs including isotonic, isometric, and stretching. The severity of the pain was measured by visual analog scale (VAS). The pressure pain threshold (PPT) and cervical range of motion (ROM) were also recorded. Disability was assessed by the Neck Pain Disability Scale. All assessments were performed before the treatment and one month and three months after the treatment. There were statistically significant improvements in VAS, PPT, cervical ROM, and disability scores after one and three months in all groups compared to pre-treatment results (p<0.05). After three months of follow-up, statistically significant differences were observed in all parameters between the groups (p<0.05) except cervical ROM (p>0.05). Myofascial pain syndrome in patients with ischemic compression and dry needling effective treatment methods are shown separately in our study to be more effective when used together.
肌筋膜疼痛综合征（MPS）是最常见的肌肉骨骼疾病。干针技术和缺血性压迫是最常见的应用方法。我们旨在比较干针和缺血性压迫方法对肌筋膜疼痛综合征疼痛、颈椎活动范围和残疾的疗效。这是一项随机对照研究。98 例 MPS 患者随机分为三组。第 1 组接受干针治疗（n=33），第 2 组（n=33）接受缺血性压迫治疗，第 3 组（n=32）接受干针和缺血性压迫联合治疗。此外，所有患者均接受颈部运动方案，包括等张、等长和伸展运动。疼痛严重程度采用视觉模拟评分法（VAS）测量。压力疼痛阈值（PPT）和颈椎活动范围（ROM）也被记录下来。残疾程度通过颈部疼痛残疾量表进行评估。所有评估均在治疗前和治疗后 1 个月和 3 个月进行。与治疗前相比，所有组在治疗后 1 个月和 3 个月时 VAS、PPT、颈椎 ROM 和残疾评分均有统计学显著改善（p<0.05）。在 3 个月的随访中，各组之间除颈椎 ROM 外（p>0.05），所有参数均存在统计学显著差异（p<0.05）。我们的研究分别显示，缺血性压迫和干针治疗肌筋膜疼痛综合征患者的有效治疗方法，联合使用时效果更为显著。
