Comparative study of shock wave therapy and Laser therapy effect in elimination of symptoms among patients with myofascial pain syndrome in upper trapezius

Taheri, Parisa; Vahdatpour, Babak; Andalib, Somayeh

doi:10.4103/2277-9175.187398

Cited by 29 publications

(11 citation statements)

References 19 publications

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“…The characteristics of the included studies are shown in Supplementary Appendix 2 (Supplemental Digital Content 3, http://links.lww.com/PHM/C68). Of the 27 RCTs included, 12 compared ESWT against a control ESWT, [17][18][19][20][21][22][23][24][25][26][27][28] and 18 compared ESWT, [17][18][19][20][21][22]26,[29][30][31][32][33][34][35][36][37][38][39] with other interventions. Most of the trials included two arms, except for six trials, which were three-armed studies.…”

Section: Qualitative Summary Of the Included Studiesmentioning

confidence: 99%

“…In terms of the participants' gender, 802 (69.49%) were women; of note, six trials did not report this information. [19][20][21][32][33][34] Their ages ranged between 18 and 70 yrs; see Supplementary Appendix 2 (Supplemental Digital Content 3, http://links.lww.com/ PHM/C68). In terms of the treated area, 22 studies were carried out on patients with cervical and shoulder complaints, three studies were conducted on the leg/foot region, 25,27,28 and two trials were conducted on the lumbar spine region.…”

Section: Qualitative Summary Of the Included Studiesmentioning

confidence: 99%

“…In terms of the treated area, 22 studies were carried out on patients with cervical and shoulder complaints, three studies were conducted on the leg/foot region, 25,27,28 and two trials were conducted on the lumbar spine region. 22,30 On the duration of pain, eight studies reported no data on this variable, 19,20,23,28,32,33,38 five studies reported between zero days and 3 mos of pain duration, 18,24,29,33,34 and 14 studies reported that their sample had a duration of pain longer than 3 mos.…”

Section: Qualitative Summary Of the Included Studiesmentioning

confidence: 99%

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Efficacy of Extracorporeal Shockwave Therapy on Pain and Function in Myofascial Pain Syndrome

Avendaño-López

Megía-García

Beltrán-Alacreu

et al. 2023

Am J Phys Med Rehabil

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The aim of the study is to examine the effectiveness of extracorporeal shockwave therapy in reducing pain, improving functionality, joint range of motion, quality of life, fatigue, and health status self-perception in people with myofascial pain syndrome. Methods: PubMed, the Cochrane Library, CINAHL, the Physiotherapy Evidence Database, and SPORTDiscus were systematically searched for only randomized clinical trials published up to June 2, 2022. The main outcome variables were pain, as reported on the visual analog scale and pressure pain threshold, and functionality. A quantitative analysis was conducted using the inverse variance method and the random effects model. Results: Twenty-seven studies were included (N = 595 participants in the extracorporeal shockwave therapy group). The effectiveness of extracorporeal shockwave therapy for relieving pain was superior for the extracorporeal shockwave therapy group compared with the control group on the visual analog scale (MD = −1.7 cm; 95% confidence interval = −2.2 to −1.1) and pressure pain threshold (mean difference = 1.1 kg/cm 2 ; 95% confidence interval = 0.4 to 1.7) and functionality (standardized mean difference = −0.8; 95% confidence interval = −1.6 to −0.04) with high heterogeneity. However, no differences were found between extracorporeal shockwave therapy and other interventions as dry needling, exercises, infiltrations, and lasers interventions. Conclusions: Extracorporeal shockwave therapy is effective in relieving pain and improving functionality in patients with myofascial pain syndrome compared with control and ultrasound therapy.

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Section: Qualitative Summary Of the Included Studiesmentioning

confidence: 99%

Section: Qualitative Summary Of the Included Studiesmentioning

confidence: 99%

Section: Qualitative Summary Of the Included Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of Extracorporeal Shockwave Therapy on Pain and Function in Myofascial Pain Syndrome

Avendaño-López

Megía-García

Beltrán-Alacreu

et al. 2023

Am J Phys Med Rehabil

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“…They started to stretch the muscle slowly and gradually with contralateral neck side flexion and ipsilateral neck rotation for 30 sec and relaxed afterward for 30 sec. The 30-sec intervals were repeated three times consecutively and three times during a day (39).…”

Section: Interventionmentioning

confidence: 99%

Comparison of the Effects of Dry Needling and Low-Level Laser on the Latent Trigger Points of Upper Trapezius

Seifolahi

Rezaeian

Mosallanezhad

et al. 2021

ircmj

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Background and Aims: Myofascial pain syndrome (MPS) is one of the most frequent causes of chronic musculoskeletal pain which is characterized by myofascial trigger points (MTrPs). Hence, it is of crucial importance to identify practical approaches for the treatment of these points. Upper trapezius muscle (UT) is highly susceptible to the development of MTrPs that are commonly resulted from overuse and micro-trauma. In this regard, the present study aimed to compare the effects of dry needling (DN) and low-level laser therapy (LLLT) regarding the reduction of pain and muscle thickness and improvement of the range of motion (ROM) and pressure pain threshold (PPT) in patients with latent MTrPs (LTrPs) in their UT muscles. Materials and Methods: In total, 60 patients with LTrPs in UT muscle participated in this randomized clinical trial. The subjects were randomly divided into two treatment groups of DN and LLLT. The PPT was evaluated by visual analog scale (VAS) and algometer while ROM and muscle thickness were assessed using goniometer and ultrasonography, respectively. It should be noted that the variables were evaluated before the first and after the sixth sessions. Finally, the collected data were analyzed using independent and paired t-tests. Results: Based on the results, the VAS and muscle thickness significantly reduced, while the PPT and cervical ROM increased in both groups after treatment (P<0.001). The independent t-test revealed a statistically significant improvement in the DN group in terms of PPT (9.9-14.17, P=0.009) and ROM (37.33-42.67, p=0.005), compared to the LLLT group. Nevertheless, no significant difference was found between the two groups regarding VAS and muscle thickness variables (P>0.05). Conclusion: The DN and LLLT effectively improved symptoms in the UT muscles of patients with LTrPs. However, the DN was more effective in the improvement of ROM and PPT variables.

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“…Trigger point might be implemented in every muscle or muscular group, but they are often observed in muscles under vigorous stress, or the muscles do not undergo full periods of contraction and relaxation. The trapezius, levator scapula, and infraspinatus muscles are involved in the upper body ( 3 ). However, the above symptoms, such as those seen in fibromyalgia, are associated with sleep disturbances, and in fact, myofascial pain syndrome and fibromyalgia are two ends of the disease spectrum ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Effect of Bicarbonate, Hyaluronidase, and Lidocaine Injection on Myofascial Pain Syndrome

et al. 2020

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Background: Myofascial pain syndrome is a chronic syndrome that occurred in a local or focal part of the body. The basis for myofascial pain syndrome is the presence of myofascial trigger point or points, producing pain in clinical examinations. Objectives: This study aimed to compare the effect of injection of bicarbonate, hyaluronidase, and lidocaine on myofascial pain syndrome. Methods: The patients were randomly allocated to three groups of bicarbonate, hyaluronidase, and lidocaine. The injection was done at two painful regions of trapezius muscle with a sonography guide for each patient. The values of visual analogue scale (VAS), pre-injection range of motion (ROM), immediately after injection, second and fourth week were measured. Results: The analysis showed that there were no significant differences between the three groups for age, gender, BMI, and height (P > 0.05). Repeated measures one-way ANOVA (week * group) 4 * 3 was used to compare the effect of bicarbonate, hyaluronidase, and lidocaine on VAS and range of motion (ROM) before injection, immediately after injection, second and fourth week. The results showed that the main effect of group and week is significant for VAS (P < 0.05). This study showed that the values of VAS were significantly different between the three groups during the fourth weeks of the study. Moreover, the patients experienced more pain decline in the hyaluronidase group during weeks before injection, after injection, second and fourth week, which indicated the permanent effect of this medication on pain decline. Conclusions: Injection of lidocaine leads to a significant reduction in pain immediately after injection; however, the decline was not permanent and disappeared in the following four weeks. But VAS reduction in hyaluronidase group more than bicarbonate and lidocaine groups.

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Comparative study of shock wave therapy and Laser therapy effect in elimination of symptoms among patients with myofascial pain syndrome in upper trapezius

Cited by 29 publications

References 19 publications

Efficacy of Extracorporeal Shockwave Therapy on Pain and Function in Myofascial Pain Syndrome

Efficacy of Extracorporeal Shockwave Therapy on Pain and Function in Myofascial Pain Syndrome

Comparison of the Effects of Dry Needling and Low-Level Laser on the Latent Trigger Points of Upper Trapezius

Comparison of the Effect of Bicarbonate, Hyaluronidase, and Lidocaine Injection on Myofascial Pain Syndrome

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