Effectiveness of ultrasound therapy for myofascial pain syndrome: a systematic review and meta-analysis

Abstract

ObjectiveThe objective of this review was to assess the therapeutic effect of ultrasound (US) on myofascial pain syndrome (MPS).Date sourcesPubMed, Embase, and Cochrane Library were searched to find relevant studies from January 1966 to May 2016 using keywords. Four investigators performed the data extraction.Study selectionRandomized controlled trials (RCTs) investigating the outcomes of pain and physical function between MPS patients receiving and not receiving US were selected by two researchers independently.Data extractionData were extracted from the RCTs. Risk of bias and study quality were evaluated following the recommendations of Cochrane Collaboration. Standardized mean difference (SMD) and 95% confidence interval (CI) were calculated.Data synthesisA total of 10 studies involving 428 MPS patients were included. US therapy significantly reduced pain intensity (SMD [CI]=−1.41 [−2.15, −0.67], P=0.0002) and increased pain threshold (SMD [CI]=1.08 [0.55, 1.60], P<0.0001), but had no significant effect on cervical range of motion (ROM) of lateral flexion (SMD [CI]=0.40 [−0.19, 0.99], P=0.19), rotation (SMD [CI]=0.10 [−0.33, 0.52], P=0.66), or extension or flexion (SMD [CI]=0.16 [−0.35, 0.68], P=0.53). Heterogeneity between studies was mainly attributed to differences in the follow-up time, parameter of US, course of treatment, and the control group. The overall risk of bias from the included studies was high, and the evidence proving these effect calculations were assessed as low quality.ConclusionOwing to the high risk of bias and the across-trial heterogeneity of the studies, the current evidence is not clear enough to support US as an effective method to treat MPS. Clinical trials with methodological rigorousness and adequate power are needed to confirm it in the future.

Comparative effectiveness of extracorporeal shock wave, ultrasound, low-level laser therapy, noninvasive interactive neurostimulation, and pulsed radiofrequency treatment for treating plantar fasciitis

“…It involves piezoelectric crystals that use high-frequency alternative current to transform electrical energy into mechanical oscillation energy. [ 51 ] The pooled results of the network meta-analysis showed that ultrasound did not demonstrate significantly better outcomes than placebo over the short, intermediate, and medium terms due to the wide 95% CrIs. Thus, ultrasound therapy does not seem to be an optimal choice for reducing plantar fasciitis pain over the 3 time periods.…”

Self-Administered Skills-Based Virtual Reality Intervention for Chronic Pain: Randomized Controlled Pilot Study

“…152 Therapeutic ultrasound (TU) is thought to deliver heat to deep tissues for improved injury healing. 164,165 A 2001 review concluded that there was little evidence that TU is more effective than placebo for pain treatment in a range of musculoskeletal conditions. 166 More recent reviews of specific pain syndromes available through the Cochrane Database of Systematic Reviews reveal similar findings, although there is some evidence for TU in knee osteoarthritis.…”

Heterotopia Glial Nasal: Relato De Caso

“…(BORG-STEIN& IACCARINO, 2014, CAPÓ-JUAN, 2015). O controle e o alívio da dor são necessários para a manutenção do bem estar e da qualidade de vida do indivíduo portador da SDM (BRON ET AL., 2011, BORGSTEIN J et al, 2014, SHAH JP et al, 2015, XIA P. et al, 2017, PANTA, 2017. Por este motivo, o presente estudo teve como foco os pontos gatilhos ativo, que quando manipulados, ampliam características álgicas restringindo movimentos funcionais.…”

“…Várias sinonímias foram utilizadas para essas condições: mialgia, miosite, miofasceíte, miofibrosite, miogelose, fibrosite, reumatismo muscular ou de partes moles e tensão muscular. Acomete músculos, tecido conectivo e fáscias principalmente da região cervical, cintura escapular e lombar(XIA P et al, 2017).Apesar de a SDM ser causa mais comuns de dor e incapacidade em doentes que apresentam algias de origem musculoesquelética, poucos profissionais da área de saúde são treinados e habilitados para análise física. O diagnóstico da síndrome depende exclusivamente da história clínica e dos achados do exame físico(XIA P et al, 2017).…”