Objectives: To compare the efficacy of extracorporeal shock wave therapy versus standard care (ultrasound + hot pack + self-stretch-exercises) in treatment of neck and upper back myofascial pain syndrome.
Design: Single-blind randomised clinical trial.
Setting: Outpatients setting.
Subjects: Patients with neck and upper back myofascial pain.
Intervention: Participants were randomly allocated into shock wave group ( = 24), standard care (ultrasound + hot pack + self-stretch-exercises) group ( = 24) and control (self-stretch-exercises) group ( = 24) for four weeks.
Main Measures: The primary outcomes were pain intensity (visual analogue scale), pain pressure threshold (algometer) and disability (neck disability index). Measures were performed at baseline (week 0), week 1 and post-intervention (week 4).
Results: Shock wave and ultrasound improved visual analogue scale (7.50 ± 1.71 to 5.72 ± 2.20 and 6.22 ± 2.54 to 4.95 ± 2.86, respectively, = 0.083) and disability index (54.24 ± 15.53 to 39.04 ± 19.58 50.23 ± 19.57 to 32.10 ± 18.34, respectively, = 0.495) similarly at first week examinations that were significantly higher than control ( < 0.05). In week 4 measurements, additional improvements were achieved concerning visual analogue scale and disability index in the shock wave (-4.00 ± 2.22 and -20.24 ± 16.56, respectively) and ultrasound (-2.18 ± 2.71 and -21.79 ± 10.56, respectively) groups. However, visual analogue scale improved more significantly in shock wave group than ultrasound group in fourth week measurements ( = 0.012).
Conclusion: Extracorporeal shock wave therapy was more effective in controlling of the pain intensity compared to ultrasound one month after treatment. However it had no superiority over ultrasound in improving neck disability index at this time point.Trial registrationwww.irct.ir, IRCT201608154104N5, registered 2016-09-25.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/0269215520947074 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Interaction Renormalization and Validity of Kinetic Equations for Turbulent States.
Phys Rev Lett
December 2024
Weizmann Institute of Science, Rehovot 7610001, Israel.
We consider turbulence of waves interacting weakly via four-wave scattering (sea waves, plasma waves, spin waves, etc.). In the first order in the interaction, a closed kinetic equation has stationary solutions describing turbulent cascades.
View Article and Find Full Text PDFExtracorporeal Shock Wave Therapy for Limb Dysfunction after Stroke: A Systematic Review and Meta-analysis.
Am J Phys Med Rehabil
January 2025
Department of Pain Rehabilitation, Zhejiang Cancer Hospital, Hangzhou 310022, China.
Objective: Recently, extracorporeal shock wave therapy (ESWT) has emerged as a novel and noninvasive approach for alleviating spasticity and pain, improving motor dysfunction after stroke. To determine the effectiveness of ESWT and the effects of shock wave parameters in relieving spasticity, pain, and motor dysfunction following stroke.
Design: We conducted a systematic search of PubMed, EBSCOhost, Embase, Cochrane Library, and Web of Science databases for randomized controlled trials on ESWT for limb dysfunction after stroke from inception until February 1, 2023.
Compound electron acceleration at planetary foreshocks.
Nat Commun
January 2025
NASA Goddard Space Flight Center, Heliophysics Science Division, Greenbelt, MD, USA.
Shock waves, the interface of supersonic and subsonic plasma flows, are the primary region for charged particle acceleration in multiple space plasma systems, including Earth's bow shock, which is readily accessible for in-situ measurements. Spacecraft frequently observe relativistic electron populations within this region, characterized by energy levels surpassing those of solar wind electrons by a factor of 10,000 or more. However, mechanisms of such strong acceleration remain elusive.
View Article and Find Full Text PDFProgressive Evolution of Flow and Heat Transfer Channels in Hot Dry Rock Stimulated by Liquid Nitrogen Cold Shock.
ACS Omega
December 2024
School of Safety Engineering, China University of Mining and Technology, Xuzhou 221116, Jiangsu, China.
Hot dry rock (HDR) is a novel green, low-carbon energy. Its development requires the creation of fracture channels in deep thermal reservoirs. Traditional methods such as hydraulic fracturing have limited effectiveness in reservoir stimulation, so a method of liquid nitrogen cold shock was proposed.
View Article and Find Full Text PDFAchilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision - 2024.
J Orthop Sports Phys Ther
January 2025
Midportion tendinopathy is a common overuse lower extremity injury, with a prevalence of 4% to 7%. Achilles tendinopathy especially affects people who participate in activities that load the Achilles tendon, such as running. The Victorian Institute of Sport Assessment-Achilles (VISA-A) questionnaire has been the go-to patient-reported outcome measure of the perceived impact of Achilles tendinopathy.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!