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高强度激光治疗和干针治疗对上斜方肌激痛点女性患者临床体征的影响:一项单盲随机临床试验。

The effects of high intensity laser therapy and dry needling on clinical signs in females with upper trapezius muscle active trigger points: A single blinded randomized clinical trial.

机构信息

Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

出版信息

J Bodyw Mov Ther. 2024 Oct;40:1381-1387. doi: 10.1016/j.jbmt.2024.07.031. Epub 2024 Jul 14.


DOI:10.1016/j.jbmt.2024.07.031
PMID:39593460
Abstract

OBJECTIVE: One of the main contributors to musculoskeletal pain syndromes are myofascial trigger points (MTrPs), which are characterized by discomfort, tenderness, and restricted range of motion (ROM). In this study, patients with upper trapezius myofascial pain syndrome had their pain intensity, cervical range of motion, and disability evaluated in relation to the effectiveness of high intensity laser therapy and dry needling. METHODS: 32 participants with active upper trapezius myofascial trigger points were split into two groups at random: one group received high intensity laser treatment (n = 16), while the other received dry needling (n = 16). All participants got relevant intervention twice weekly throughout the three weeks of treatment sessions (5 sessions). Before and after the intervention, the cervical range of movements, disability and Pain intensity were all assessed by iPhone inclinometer & goniometer, neck disability index and visual analog scale respectively. RESULTS: The visual analog scale and neck disability index significantly reduced post-intervention in both groups (P < 0.001). Moreover, the cervical range of motions significantly increased in both groups (P < 0.05). However, there was no significant difference in pain intensity, neck disability index and the cervical range of motions between the two groups (P > 0.05). CONCLUSION: Active myofascial trigger points in the upper trapezius muscle may be effectively treated with dry needling or high-intensity laser therapy.

摘要

目的:肌肉骨骼疼痛综合征的主要原因之一是肌筋膜触发点(MTrPs),其特征是不适、压痛和运动范围(ROM)受限。在这项研究中,评估了患有上斜方肌肌筋膜疼痛综合征的患者的疼痛强度、颈椎活动度和残疾与高强度激光治疗和干针的疗效的关系。

方法:32 名患有活动性上斜方肌肌筋膜触发点的参与者被随机分为两组:一组接受高强度激光治疗(n=16),另一组接受干针治疗(n=16)。所有参与者在治疗期间每周接受两次相关干预(共 5 次),持续 3 周。干预前后,使用 iPhone 测斜仪和量角器评估颈椎活动度,使用颈痛残疾指数和视觉模拟量表评估残疾和疼痛强度。

结果:两组干预后视觉模拟量表和颈痛残疾指数均显著降低(P<0.001)。此外,两组的颈椎活动度均显著增加(P<0.05)。然而,两组之间的疼痛强度、颈痛残疾指数和颈椎活动度无显著差异(P>0.05)。

结论:上斜方肌的活动性肌筋膜触发点可以通过干针或高强度激光治疗有效治疗。

相似文献

[1]
The effects of high intensity laser therapy and dry needling on clinical signs in females with upper trapezius muscle active trigger points: A single blinded randomized clinical trial.

J Bodyw Mov Ther. 2024-10

[2]
The effect of upper trapezius trigger points dry needling on postural control in patients with chronic neck pain.

J Bodyw Mov Ther. 2024-10

[3]
Effectiveness of adding dry needling of the upper trapezius muscle to the usual physiotherapy for managing chronic neck pain: A randomized controlled trial with a 7-week follow-up.

Musculoskelet Sci Pract. 2024-11

[4]
A comparative study of sonographic and clinical parameters in patient with upper trapezius muscle trigger point following dry needling and intramuscular electrical stimulation: a randomized control trial.

Chiropr Man Therap. 2025-4-14

[5]
Kinesio taping versus dry needling in the treatment of myofascial pain of the upper trapezius muscle: A randomized, single blind (evaluator), prospective study.

J Back Musculoskelet Rehabil. 2019

[6]
Dry needling versus trigger point compression of the upper trapezius: a randomized clinical trial with two-week and three-month follow-up.

J Man Manip Ther. 2019-7

[7]
The effects of shock wave and dry needling on active trigger points of upper trapezius muscle in patients with non-specific neck pain: A randomized clinical trial.

J Back Musculoskelet Rehabil. 2019

[8]
Comparison of pressure release, phonophoresis and dry needling in treatment of latent myofascial trigger point of upper trapezius muscle.

J Back Musculoskelet Rehabil. 2019

[9]
Effectiveness of Dry Needling with Percutaneous Electrical Nerve Stimulation of High Frequency Versus Low Frequency in Patients with Myofascial Neck Pain.

Pain Physician. 2021-3

[10]
Efficacy of dry needling as an adjunct to manual therapy for patients with chronic mechanical neck pain: a randomised clinical trial.

Acupunct Med. 2020-8

引用本文的文献

[1]
Ultrasound features of myofascial trigger points: a multimodal study integrating preliminary histological findings from the upper trapezius.

Sci Rep. 2025-7-1

[2]
Ultrasound-guided drug injection combined with mini-needle knife therapy for acute lumbar sprain: a prospective interventional study.

Eur J Orthop Surg Traumatol. 2025-3-11

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