Comparison of Miniscalpel-needle Release, Acupuncture Needling, and Stretching Exercise to Trigger Point in Myofascial Pain Syndrome
Comparison of Miniscalpel-needle Release, Acupuncture Needling, and Stretching Exercise to Trigger Point in Myofascial Pain Syndrome
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DOI：
10.1097/ajp.0b013e3181b8cdc8
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发表时间：
2010-03-01
影响因子：
2.9
通讯作者：
Yan, Tiebin
中科院分区：
文献类型：
--
作者：
Ma, Chao;Wu, Shaoling;Yan, Tiebin
目的：肌筋膜疼痛综合征（MPS）是慢性肌肉骨骼疼痛最常见的原因之一。已经推荐了几种灭活触发点（TrPs）的方法。我们进行了这项研究，探讨微针（MSN）释放和针灸和自我颈部拉伸运动对上斜方肌肌筋膜TrPs的影响。方法：对43例MPS患者83例TrPs进行治疗，随机分为3组：1组在进行MSN释放的同时进行自我颈部伸展运动；第二组采用针刺治疗，并进行自我颈部伸展运动；第三组，即对照组，只进行自我颈部伸展运动。治疗前、治疗后2周和治疗后3个月，采用主观疼痛强度（PI）（视觉模拟量表）、压痛阈值（PPT）和对侧颈椎弯曲活动范围（ROM）来评估治疗效果。结果：随访2周和3个月时，1组和2组患者的PI、PPT及对侧颈椎屈曲活动度的改善明显大于对照组。随访3个月，与2组比较，1组患者PI降低、PPT升高、对侧颈椎屈曲ROM均有统计学意义。讨论：MSN释放治疗MPS的效果优于针刺治疗或单纯的自我颈部伸展运动。MSN释放也是安全的，在治疗MPS时没有严重的副作用。
Objective: Myofascial pain syndrome (MPS) is one of the most common causes of chronic musculoskeletal pain. Several methods have been recommended for the inactivation of trigger points (TrPs). We carried out this study to investigate the effectiveness of miniscalpel-needle (MSN) release and acupuncture needling and self neck-stretching exercises on myofascial TrPs of the upper trapezius muscle.Methods: Eighty-three TrPs in 43 patients with MPS were treated and randomly assigned to 3 groups: group 1 received MSN release in conjunction with self neck-stretching exercises; group 2 received acupuncture needling treatment and performed self neck-stretching exercises; and group 3, the control group, was assigned self neck-stretching exercises only. The therapeutic effectiveness was evaluated using subjective pain intensity (PI) with a visual analog scale, pressure pain threshold (PPT), and contralateral bending range of motion (ROM) of cervical spine at pretreatment, 2 weeks, and 3 months after treatment.Results: The improvement of PI, PPT, and contralateral bending ROM of cervical spine was significantly greater in group 1 and 2 than that in control group at 2 weeks and 3 months follow-up. Compared with group 2, patients in group 1 had a statistically significant reduction in PI, an increase in PPT, contralateral bending ROM of cervical spine at 3 months follow-up.Discussion: The effectiveness of MSN release for MPS is superior to that of acupuncture needling treatment or self neck-stretching exercises alone. The MSN release is also safe, without severe side effects in treatment of MPS.