Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome

Candeniz, Seyda; Citaker, Seyit; Maraş, Gökhan; Yavuzer, Hatice Esra; YILDIRIM, Hasan; günendi, zafer

doi:10.55730/1300-0144.5753

Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome

Şeyda CANDENİZ, (Ankara Üniversitesi, Kızılcahamam Sağlık Hizmetleri Meslek Yüksekokulu, Terapi ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Seyit ÇITAKER, (Gazi Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Gökhan MARAŞ, (Gazi Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Hatice Esra YAVUZER, (Kızılcahamam Devlet Hastanesi, Fiziksel Tıp ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Hasan YILDIRIM, (Karamanoğlu Mehmetbey Üniversitesi, Kamil Özdağ Fen Fakültesi, Matematik Bölümü, Karaman, Türkiye)

Zafer GÜNENDİ (Gazi Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye)

Turkish Journal of Medical Sciences

11 1

Yıl: 2023 Cilt: 53 Sayı: 6 Sayfa Aralığı: 1825 - 1839 Metin Dili: İngilizce DOI: 10.55730/1300-0144.5753 İndeks Tarihi: 18-01-2024

Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome

Öz:

Background/aim: To compare the effectiveness of instrument-assisted soft tissue mobilization (IASTM) and extracorporeal shock wave therapy (ESWT) used in myofascial pain syndrome (MPS) and to determine whether they are superior to conservative treatment (CT). Materials and methods: A total of 42 female patients (aged 18–60 years) diagnosed with MPS were enrolled and randomly assigned to either the CT (n = 14), CT+IASTM (n = 14), or CT+ESWT group (n = 14). All of the groups received treatment for 3 weeks (CT: 5 sessions per week, 15 sessions in total, ESWT and IASTM: 2 sessions per week, 6 sessions in total). Neck stretching exercises were given to all of the patients as a home program. The pain intensity of the patients was determined using the visual analog scale (VAS). The pressure pain threshold (PPT) was measured with an algometer. Cervical joint range of motion (ROM) was measured with a cervical ROM (CROM) device. Pain, cervical disability, quality of life, and sleep disturbances were evaluated with the Neck Outcome Score (NOOS). Depression and anxiety parameters were evaluated with the Hospital Anxiety and Depression Scale (HADS). Evaluations were made before treatment and 3 days after the last treatment session. Results: The CT+IASTM group was more successful than the other groups in terms of pain intensity, PPT, and improvements in the ROM parameters (p < 0.05). No significant difference was found between the NOOS and HADS scores of the groups when the posttreatment changes were compared to pretreatment (p > 0.05). Conclusions: All 3 of these treatments can be used to alleviate the negative effects of MPS. IASTM treatment can be preferred primarily in the creation of combined treatment programs for patients with ROM limitations and low PPTs.

Anahtar Kelime: Myofascial pain syndrome instrument-assisted soft tissue mobilization extracorporeal shock wave therapy pain range of motion pressure pain threshold

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Candeniz S, Citaker S, Maraş G, Yavuzer H, YILDIRIM H, günendi z (2023). Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome. , 1825 - 1839. 10.55730/1300-0144.5753
Chicago	Candeniz Seyda,Citaker Seyit,Maraş Gökhan,Yavuzer Hatice Esra,YILDIRIM Hasan,günendi zafer Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome. (2023): 1825 - 1839. 10.55730/1300-0144.5753
MLA	Candeniz Seyda,Citaker Seyit,Maraş Gökhan,Yavuzer Hatice Esra,YILDIRIM Hasan,günendi zafer Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome. , 2023, ss.1825 - 1839. 10.55730/1300-0144.5753
AMA	Candeniz S,Citaker S,Maraş G,Yavuzer H,YILDIRIM H,günendi z Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome. . 2023; 1825 - 1839. 10.55730/1300-0144.5753
Vancouver	Candeniz S,Citaker S,Maraş G,Yavuzer H,YILDIRIM H,günendi z Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome. . 2023; 1825 - 1839. 10.55730/1300-0144.5753
IEEE	Candeniz S,Citaker S,Maraş G,Yavuzer H,YILDIRIM H,günendi z "Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome." , ss.1825 - 1839, 2023. 10.55730/1300-0144.5753
ISNAD	Candeniz, Seyda vd. "Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome". (2023), 1825-1839. https://doi.org/10.55730/1300-0144.5753

APA	Candeniz S, Citaker S, Maraş G, Yavuzer H, YILDIRIM H, günendi z (2023). Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome. Turkish Journal of Medical Sciences, 53(6), 1825 - 1839. 10.55730/1300-0144.5753
Chicago	Candeniz Seyda,Citaker Seyit,Maraş Gökhan,Yavuzer Hatice Esra,YILDIRIM Hasan,günendi zafer Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome. Turkish Journal of Medical Sciences 53, no.6 (2023): 1825 - 1839. 10.55730/1300-0144.5753
MLA	Candeniz Seyda,Citaker Seyit,Maraş Gökhan,Yavuzer Hatice Esra,YILDIRIM Hasan,günendi zafer Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome. Turkish Journal of Medical Sciences, vol.53, no.6, 2023, ss.1825 - 1839. 10.55730/1300-0144.5753
AMA	Candeniz S,Citaker S,Maraş G,Yavuzer H,YILDIRIM H,günendi z Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome. Turkish Journal of Medical Sciences. 2023; 53(6): 1825 - 1839. 10.55730/1300-0144.5753
Vancouver	Candeniz S,Citaker S,Maraş G,Yavuzer H,YILDIRIM H,günendi z Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome. Turkish Journal of Medical Sciences. 2023; 53(6): 1825 - 1839. 10.55730/1300-0144.5753
IEEE	Candeniz S,Citaker S,Maraş G,Yavuzer H,YILDIRIM H,günendi z "Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome." Turkish Journal of Medical Sciences, 53, ss.1825 - 1839, 2023. 10.55730/1300-0144.5753
ISNAD	Candeniz, Seyda vd. "Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome". Turkish Journal of Medical Sciences 53/6 (2023), 1825-1839. https://doi.org/10.55730/1300-0144.5753