Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography

Emine Eda Kurt, (Ahi Evran Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kırşehir, Türkiye)
Yeliz Dadalı, (Ahi Evran Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Kırşehir, Türkiye)
Fatmanur Aybala Koçak, (Ahi Evran Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kırşehir, Türkiye)
Hatice Rana Erdem, (Ahi Evran Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kırşehir, Türkiye)
Figen Tuncay, (Ahi Evran Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kırşehir, Türkiye)
Turgut Tursem Tokmak (Ahi Evran Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Kırşehir, Türkiye)
Cukurova Medical Journal
1 0
Yıl: 2019 Cilt: 44 Sayı: 3 Sayfa Aralığı: 923 - 931 Metin Dili: İngilizce DOI: 10.17826/cumj.469425 İndeks Tarihi: 02-12-2020

Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography

Öz:
Purpose: Ultrasound elastography (UE) is a recentlydeveloped technique and is used to determine themechanical properties of tissues. We aimed to assess theusefulness of axial-strain UE for pre and post treatmentevaluation of patients with active myofascial triggerpoints(MTrPs) of the upper trapezius.Materials and Methods: The study included 49 patients(66 MTrPs) with myofascial pain syndrome. Patients wererandomized into two treatment groups, group 1 (triggerpoint injection with stretching exercises) and group 2(trigger point injection). The groups were evaluated withUE before, 2 and 14 days post-treatment. Disability, pain,and pressure pain threshold (PPT) were also assessed.Results: All clinical parameters were strongly correlatedwith strain ratio (SR) value at baseline, 2 and 14 days posttreatment. Both groups demonstrated significantimprovements with respect to Neck Pain and DisabilityScale , VAS, and PPT scores post-treatment. However,group 1 had better scores than group 2 in 14 days posttreatment.Conclusion: Our study demonstrated that SR values forMTrPs in the upper trapezius correlated with clinicalparameters at baseline and after treatment. According tothese results, axial-strain UE, which is non-invasive andsemiquantitative method may be usefull to evaluation andmonitor improvement in patients with active MTrPs.
Anahtar Kelime:

Aktif miyofasiyal tetik noktaların ultrason elastografi ile tedavisi sonrası semptomların düzelmesinin monitörizasyonu

Öz:
Amaç: Ultrason elastografi (UE), dokuların mekanik özelliklerini belirlemek için son zamanlarda geliştirilen bir yöntemdir. Bu çalışmada trapeziusun üst liflerindeki aktif miyofasyal tetik noktaları (MTrP) olan hastaların tedavi öncesi ve sonrası monitorizasyonunda aksiyel-strain UE'nin yararlılığını değerlendirmeyi amaçladık. Gereç ve Yöntem: Çalışmaya miyofasiyal ağrı sendromlu 49 hasta (66 MTrP) dahil edildi. Hastalar iki tedavi grubuna, grup 1 (germe egzersizleri ile tetiknokta enjeksiyonu) ve grup 2 (tetik noktaenjeksiyonu) olarak randomize edildi. Gruplar tedaviden önce, 2 ve 14 gün sonra UE ile, ayrıca dizabilite, ağrı ve basınç ağrı eşiği (PPT) açısından değerlendirildi. Bulgular: Her iki grupta tüm klinik parametreler, başlangıçta, tedavi sonrası 2 ve 14 gün sonra gerinim oranı (Strain ratio –SR) değeri ile kuvvetle ilişkiliydi. Ayrıca Grup 1, tedaviden sonraki 14 gün içinde grup 2'den daha iyi skorlara sahip olsa da her iki grupta dizabilite, ağrı ve tedavi sonrası PPT skorları açısından anlamlı iyileşmeler tespit edildi. Sonuç: Çalışmamızda üst trapezius liflerinde MTrPs için SR değerlerinin başlangıçta ve tedavi sonrası klinik parametrelerle korele olduğu gösterilmiştir. Bu sonuçlara göre, aktif MTrPs 'li hastalarda değerlendirme ve iyileşmeyi izlemek için noninvaziv ve yarı-kantitatif bir yöntem olan aksiyel strain UE yararlı bir yöntem olabilir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Kurt E, DADALI Y, Koçak F, Erdem H, TUNCAY F, Tokmak T (2019). Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography. , 923 - 931. 10.17826/cumj.469425
Chicago Kurt Emine Eda,DADALI Yeliz,Koçak Fatmanur Aybala,Erdem Hatice Rana,TUNCAY FİGEN,Tokmak Turgut Tursem Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography. (2019): 923 - 931. 10.17826/cumj.469425
MLA Kurt Emine Eda,DADALI Yeliz,Koçak Fatmanur Aybala,Erdem Hatice Rana,TUNCAY FİGEN,Tokmak Turgut Tursem Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography. , 2019, ss.923 - 931. 10.17826/cumj.469425
AMA Kurt E,DADALI Y,Koçak F,Erdem H,TUNCAY F,Tokmak T Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography. . 2019; 923 - 931. 10.17826/cumj.469425
Vancouver Kurt E,DADALI Y,Koçak F,Erdem H,TUNCAY F,Tokmak T Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography. . 2019; 923 - 931. 10.17826/cumj.469425
IEEE Kurt E,DADALI Y,Koçak F,Erdem H,TUNCAY F,Tokmak T "Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography." , ss.923 - 931, 2019. 10.17826/cumj.469425
ISNAD Kurt, Emine Eda vd. "Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography". (2019), 923-931. https://doi.org/10.17826/cumj.469425
APA Kurt E, DADALI Y, Koçak F, Erdem H, TUNCAY F, Tokmak T (2019). Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography. Cukurova Medical Journal, 44(3), 923 - 931. 10.17826/cumj.469425
Chicago Kurt Emine Eda,DADALI Yeliz,Koçak Fatmanur Aybala,Erdem Hatice Rana,TUNCAY FİGEN,Tokmak Turgut Tursem Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography. Cukurova Medical Journal 44, no.3 (2019): 923 - 931. 10.17826/cumj.469425
MLA Kurt Emine Eda,DADALI Yeliz,Koçak Fatmanur Aybala,Erdem Hatice Rana,TUNCAY FİGEN,Tokmak Turgut Tursem Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography. Cukurova Medical Journal, vol.44, no.3, 2019, ss.923 - 931. 10.17826/cumj.469425
AMA Kurt E,DADALI Y,Koçak F,Erdem H,TUNCAY F,Tokmak T Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography. Cukurova Medical Journal. 2019; 44(3): 923 - 931. 10.17826/cumj.469425
Vancouver Kurt E,DADALI Y,Koçak F,Erdem H,TUNCAY F,Tokmak T Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography. Cukurova Medical Journal. 2019; 44(3): 923 - 931. 10.17826/cumj.469425
IEEE Kurt E,DADALI Y,Koçak F,Erdem H,TUNCAY F,Tokmak T "Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography." Cukurova Medical Journal, 44, ss.923 - 931, 2019. 10.17826/cumj.469425
ISNAD Kurt, Emine Eda vd. "Monitoring symptom improvements after the treatment of active myofascial trigger points with ultrasound elastography". Cukurova Medical Journal 44/3 (2019), 923-931. https://doi.org/10.17826/cumj.469425
Sayfa Oluşturulma Tarihi
24-04-2024 20:10

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