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.
J Bodyw Mov Ther. 2024 Oct;40:1381-1387. doi: 10.1016/j.jbmt.2024.07.031. Epub 2024 Jul 14.
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.
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。
Eur J Orthop Surg Traumatol. 2025-3-11