Trigger Point Treatment with Radial Shock Waves in Musicians with Nonspecific Shoulder-Neck Pain: Data from a Special Physio Outpatient Clinic for Musicians

2011 ◽  
Vol 26 (4) ◽  
pp. 211-218 ◽  
Author(s):  
Malika Damian ◽  
Christoff Zalpour
Keyword(s):  
Shock Wave ◽  
Physical Therapy ◽  
Neck Pain ◽  
Reference Group ◽  
Trigger Point ◽  
Intervention Group ◽  
Shock Wave Therapy ◽  
Pain Disability Index ◽  
Pain Disability ◽  
High Level

Musicians often suffer from disorders of the musculoskeletal system that are related to their instrument playing. Among the most frequent symptoms are complaints in the shoulder-neck area. Radial shock wave therapy is increasingly used in trigger point treatment, but only few high-level studies have examined of shock wave therapy used together with physical therapy in the treatment of musicians. METHODS: This randomized blinded study in musicians (n = 26) with nonspecific shoulder-neck problems was done to examine the effect of shock wave therapy in addition to current physical therapy on the symptoms and quality of life of the musicians as well as their habits of playing musical instruments (intervention group shock wave vs reference group placebo). The effects were documented by a pain VAS and other instruments. A questionnaire designed specifically for musicians (with initial and final questions) recorded intensity and manifestation of pain and handicaps in daily life, especially when practicing and playing. The Shoulder Pain and Disability Index (SPADI) and the Neck Pain Disability Index Questionnaire (NPDIQ) were also used. RESULTS: Both groups reported subjective improvement in pain, but significance was found only for the intervention group for the SPADI and NPDIQ. CONCLUSIONS: Trigger point treatment with radial shock wave used in combination with physical therapy makes the subjects feel temporarily relieved of neck and shoulder pains. The effects of radial shock wave without physical therapy will need to be examined in further studies.

scholarly journals EFFECTIVENESS OF CERVICAL MANUAL MOBILIZATION TECHNIQUES VERSUS STRETCHING EXERCISES FOR PAIN RELIEF IN THE MANAGEMENT OF NECK PAIN

2021 ◽  
Vol 12 (3) ◽  
pp. 261-264
Author(s):  
Nida Waheed ◽  
Muhammad Amir ◽  
Rabia Noureen ◽  
Sumaira Nawaz ◽  
Raza Zaidi Syeda Wajeeha
Keyword(s):  
Neck Pain ◽  
Rating Scale ◽  
Pain Rating ◽  
Pain Disability Index ◽  
Pain Disability ◽  
Strengthening Exercises ◽  
History Of ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale ◽  
Stretching Exercises

Introduction. A huge literature is available regarding the efficacy of various physiotherapy techniques for neck pain (NP), however, comparative study is still in scarcity. Therefore, this study aimed to compare effectiveness of stretching exercises versus manual mobilization techniques in the management of NP. Material and method. A randomized controlled trial parallel-group design study was conducted on the patients suffering from NP. Participants with the history of NP, aged between 19 to 60 years, NP without radiculopathy, and no history of trauma were included in the study. Two outcome measures were used i.e., Numeric pain rating scale (NPRS) and neck pain disability index (NDI) questionnaire. Two groups were equally divided had twenty-five patients each. Group A received cervical stretching with strengthening exercises as home-treatment program and group B received manual mobilization with strengthening exercises as home-treatment program. Six sessions were given on alternate basis and assessed pre- and post-treatment information of all patients. Results and discussions. Independent sample t-test was run to compare the post difference between stretching exercises and manual mobilization at 95% confidence interval (p<0.05). The Post NPRS difference between the groups shows no significant improvement (p=0.32). Similarly no significant difference was found in post NDI Disability (p=0.57). Therefore, both the treatment strategies are equally effective in improving NP and disability. Conclusions. This clinical trial concluded that stretching or manual mobilization is equally effective to reduce pain and disability. Hence, improve the quality of life in neck pain survivors. Keywords: Manual Mobilization Technique, Neck Pain, , Neck Pain Disability Index Questionnaire, Numeric Pain Rating Scale, Range of Motion, Stretching Exercises,

scholarly journals The effects of shock wave therapy applied on hypertrophic burn scars: a randomised controlled trial

2020 ◽  
Vol 6 ◽  
pp. 205951312097562
Author(s):  
Peter Moortgat ◽  
Mieke Anthonissen ◽  
Ulrike Van Daele ◽  
Tine Vanhullebusch ◽  
Koen Maertens ◽  
...  
Keyword(s):  
Shock Wave ◽  
Water Loss ◽  
Wound Closure ◽  
Intervention Group ◽  
Control Group ◽  
Placebo Control ◽  
Shock Wave Therapy ◽  
Non Invasive ◽  
Extracorporeal Shock Wave ◽  
Scar Assessment

Introduction: A wide variety of non-invasive treatments has been proposed for the management of hypertrophic burn scars. Unfortunately, the reported efficacy has not been consistent, and especially in the first three months after wound closure, fragility of the scarred skin limits the treatment options. Extracorporeal shock wave therapy (ESWT) is a new non-invasive type of mechanotherapy to treat wounds and scars. The aim of the present study was to examine the objective and subjective scar-related effects of ESWT on burn scars in the early remodelling phase. Material and methods: Evaluations included the Patient and Observer Scar Assessment Scale (POSAS) for scar quality, tri-stimulus colorimetry for redness, tewametry for trans-epidermal water loss (TEWL) and cutometry for elasticity. Patients were randomly assigned to one of two groups, the low-energy intervention group or the placebo control group, and were tested at baseline, after one, three and six months. All patients were treated with pressure garments, silicone and moisturisers. Both groups received the ESWT treatment (real or placebo) once a week for 10 weeks. Results: Results for 20 patients in each group after six months are presented. The objective assessments showed a statistically significant effect of ESWT compared with placebo on elasticity ( P = 0.011, η2 P=0.107) but revealed no significant effects on redness and TEWL. Results of the clinical assessments showed no significant interactions between intervention and time for the POSAS Patient and Observer scores. Conclusion: ESWT can give added value to the non-invasive treatment of hypertrophic scars, more specifically to improve elasticity when the treatment was already started in the first three months after wound closure. Lay Summary Pathological scarring is a common problem after a burn injury. A wide variety of non-invasive treatments has been proposed for the management of these scars. Unfortunately, the reported efficacy of these interventions has not been consistent, and especially in the first three months after wound closure, fragility of the scarred skin limits the treatment options. Extracorporeal shock wave therapy (ESWT) is a relatively new non-invasive therapy to treat both wounds and scars. The aim of the present study was to examine the scar-related effects of ESWT on burn scars in the early phase of healing. The scars were subjectively assessed for scar quality by the patient and an observer using the Patient and Observer Scar Assessment Scale (POSAS). Objective assessments included measurements to assess redness, water loss and elasticity. Forty patients were randomly assigned to one of two groups, the low-energy intervention group or the placebo control group (the device simulated the sound of an ESWT treatment but no real shocks were applied), and were tested at four timepoints up to six months. All patients were treated with pressure garments, silicone and moisturisers. Both groups received the ESWT treatment (real or placebo) once a week for 10 weeks. The objective assessments showed a significant improvement of elasticity in the intervention group when compared with placebo but revealed no significant effects on redness and water loss. Results of the clinical assessments showed no differences between the groups for the POSAS Patient and Observer scores. ESWT can give added value to the non-invasive treatment of pathological scars more specifically to improve elasticity in the early phase of healing.

scholarly journals Avaliação radiológica e funcional dos pacientes com fratura da coluna cervical subaxial

2009 ◽  
Vol 8 (4) ◽  
pp. 381-385 ◽  
Author(s):  
Fabiano Ricardo de Tavares Canto ◽  
Paulo Roberto Santos Neto ◽  
Ilton José Carrilho de Castro ◽  
Roberto Sérgio de Tavares Canto ◽  
Hector Abreu dos Santos ◽  
...  
Keyword(s):  
Neck Pain ◽  
Pain Disability Index ◽  
Pain Disability

OBJETIVO: Avaliar 17 pacientes portadores de fratura luxação da coluna cervical (C3 a C7), que foram tratados em um período de dois anos. Os pacientes foram avaliados com parâmetros radiológicos, clínicos e funcionais. MÉTODOS: A indicação do tratamento utilizado em cada paciente foi baseada em seu quadro clínico e neurológico. Todos os pacientes foram tratados pela mesma técnica cirúrgica. O seguimento pós-operatório mínimo foi de seis meses. RESULTADOS: Dez pacientes não apresentavam nenhum comprometimento neurológico e sete pacientes apresentavam algum grau de acometimento neurológico. Na avaliação radiográfica do seguimento ambulatorial, todos os pacientes apresentaram sinais de consolidação da artrodese. Todos ficaram relacionados entre os níveis excelente e regular, de acordo com os critérios de Odom. Treze pacientes apresentaram 20% de limitação pelo questionário Neck Pain Disability Index. Encontrou-se uma complicação de falha no implante para artrodese anterior com um ano e meio de evolução. CONCLUSÃO: O tratamento da fratura-luxação da coluna cervical iniciado o mais rápido possível, pela técnica de descompressão do nível lesado e redução aberta cirúrgica anterior, é um método efetivo, com menor morbidade e com um baixo grau de complicações.

scholarly journals Clinical Assessment and Pedobarographic Analysis after Radial Shock Wave Therapy of Ankle Plantar Flexor Spasticity in Stroke

2021 ◽  
Vol 20 (3) ◽  
pp. 586-593
Author(s):  
Ömer Dikici ◽  
Özlem Solak ◽  
Alper Murat Ulaşlı ◽  
Selma Eroğlu ◽  
Hasan Toktaş ◽  
...  
Keyword(s):  
Shock Wave ◽  
Treatment Success ◽  
Medical Science ◽  
Intervention Group ◽  
Plantar Flexor ◽  
Shock Wave Therapy ◽  
Stroke Patients ◽  
Sham Treatment ◽  
Modified Ashworth Scale ◽  
Ashworth Scale

Objective: Radial shock wave therapy (RSWT) has increasingly been utilized in the treatment of spasticity recently. The purpose of the current study is to assess the effectiveness of RSWT in the treatment of ankle plantar flexor muscles spasticity of stroke patients by pedobarography and clinical evaluation. Materials and Methods: A total of 23 stroke patients were enrolled into the study. Patients received an initial sham treatment of RSWT, followed by three separate interventional sessions received one week apart. Treatment success was assessed using the Modified Ashworth Scale (MAS), ankle passive range of motion (pROM) measurement and pedobarography. Results and Discussion: No significant change was observed in clinical and pedobarographic values following sham RSWT. In the intervention group, however, MAS decreased from3.34±0.7 to 2.39±0.89 after a single RSWT session and to 2.04±0.92 first week and to 2.52±0.89 fourth week after three RSWT sessions. As a result of the study, heel peak pressure and total plantar contact area were improved. In particular, three RSWT sessions were more effective than single RSWT session. Conclusions: We observed a significant improvement in plantar flexor spasticity in stroke patients after both a single and three RSWT sessions and this improvement persisted during the four-week study period. Bangladesh Journal of Medical Science Vol.20(3) 2021 p.586-593

scholarly journals Pain Neuroscience Education Combined with Therapeutic Exercises Provides Added Benefit in the Treatment of Chronic Neck Pain

2021 ◽  
Vol 18 (16) ◽  
pp. 8848
Author(s):  
Norollah Javdaneh ◽  
Atle Hole Saeterbakken ◽  
Arash Shams ◽  
Amir Hossein Barati
Keyword(s):  
Neck Pain ◽  
Self Efficacy ◽  
Pain Catastrophizing ◽  
Chronic Neck Pain ◽  
Fear Avoidance ◽  
Fear Avoidance Beliefs ◽  
Pain Disability Index ◽  
Pain Disability ◽  
Therapeutic Exercises ◽  
Neuroscience Education

Background: Chronic neck pain is common in the adult general population. Although the etiology of chronic neck pain is under debate, it is clear that chronic neck pain is multifactorial, with both physical and psychosocial contributors. Objective: To determine whether adding pain neuroscience education (PNE) to therapeutic exercises improved their pain–disability index, pain catastrophizing, fear–avoidance beliefs, and pain self-efficacy in subjects with chronic nonspecific neck pain. Methods: This study was a three-arm randomized control trial. Seventy-two patients with chronic nonspecific neck pain were allocated to three groups: therapeutic exercises alone (n = 24), combined (therapeutic exercises + PNE; (n = 24), and a control group (n = 24). Each program took place three times a week, lasting for six weeks. The disability index, pain catastrophizing, fear–avoidance beliefs, and pain self-efficacy measured by the Neck Pain and Disability Scale (NPAD), Pain Catastrophizing Scale (PCS), Fear–Avoidance Beliefs Questionnaire (FABQ), and Pain Self-Efficacy Questionnaire (PSEQ), respectively. Participants were assessed before and after the six-week intervention, and there was no further follow-up. Results: For the outcomes NPAD, PSC, and FABQ, combined intervention demonstrated more significant improvements than therapeutic exercises alone (p ≤ 0.05), whereas no differences were observed between the two intervention groups for PSEQ (p = 0.99). In addition, significant differences were favoring experimental groups versus control for all outcomes (p ≤ 0.001). Conclusion: Therapeutic exercises combined with pain neuroscience education reduced the pain–disability index, pain catastrophizing, and fear–avoidance beliefs more than therapeutic exercises alone in patients with chronic neck pain. For pain self-efficacy, there was no statistically significant difference between the two intervention groups; however, the combined group had a more significant effect than therapeutic exercises alone. Further studies with longer periods and follow-up are required.

scholarly journals Extracorporeal Shock Wave Therapy for Lateral Epicondylitis, Lonely or in Combination with Topical Corticosteroid; Which Approach is Superior?

2020 ◽  
Vol 9 ◽  
pp. 1791
Author(s):  
Babak Vahdatpour ◽  
Parisa Taheri ◽  
Fatemeh Abasi
Keyword(s):  
Shock Wave ◽  
Topical Corticosteroid ◽  
Tennis Elbow ◽  
Intervention Group ◽  
Lateral Epicondylitis ◽  
Extracorporeal Shock Wave Therapy ◽  
Control Group ◽  
Topical Steroids ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

Background: Lateral epicondylitis (LE) is a common musculoskeletal disorder. Although varieties of modalities have been proposed for its treatment, the outcomes are uncertain, and the responses would diminish early by the time passage. The current study was aimed to assess the efficacy of extracorporeal shock wave therapy (ESWT) merely and in combination with topical corticosteroid for the treatment of LE. Materials and Methods: In the current double-blinded randomized clinical trial, 70 patients with the diagnosis of LE were randomly allocated to two intervention groups of ESWT merely (control group) (n=35) or ESWT plus topical corticosteroid (intervention group) (n=35). The ESWT was performed weekly for three weeks. Topical clobetasol was utilized within 30 minutes before ESWT for the intervention group, while Vaseline gel was used in a similar pattern for controls. Pain based on a visual analog scale (VAS), handgrip strength (HGS) and the Patient-Rated Tennis Elbow Evaluation (PRTEE) were assessed for the patients before the intervention, following the intervention cessation, and within two months post-intervention. Results: Statistically significant improvement was found following both interventions in terms of pain, HGS, and function (P-value0.05). Conclusion: The findings of our study are in favor of ESWT use either merely or in combination with topical steroids for the treatment of LE, while the comparison of the two techniques revealed insignificant differences. [GMJ.2020;9:e1791]

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