POTENTIAL FOR RESTORATIVE TREATMENT OF PATIENTS WITH MYOFASCIAL PAIN SYNDROME WITH THE USE OF OSTEOPATHY AND SHOCKWAVE THERAPY

Abstract

Introduction. Complex investigation of rehabilitation treatment possibilities in patients with Myofascial pain syndrome using osteopathy and extracorporeal shock wave therapy (ESWT) remains a very actual problem. Materials and methods. 120 patients with myofascial pain syndrome at the age of 49,65±0,89 years old were investigated. The average duration of the disease - 2,29±0,18 years. Results. Combination of standard therapy with osteopathic treatments and ESWT decreases severity of Myofascial pain syndrome measured with five-point vertebro-neurological symptoms scale after 12 months of observations for 59,2%. Standard therapy together with osteopathic treatment reduces severity of Myofascial pain syndrome for 43,3%. Standard therapy together with ESWT reduces severity of Myofascial pain syndrome for 34,2%. Standard therapy alone reduces severity of Myofascial pain syndrome for 31,6%. Dynamic of Visual analogue scale pain parameters was 77,1%, 62,2%, 52,8% and 30,9%, that was accompanied by The Oswestry Disability Index (ODI) average values decrease by 92,4%, 75,9%, 66,8% and 39,9%, respectively. Severity of Visual analogue scale symptoms were directly proportional to the parameters of IMS (r=0,231) and ODI (r=0,379), whereas the symptoms severity reduction level in this scale has strong correlation with the level of IMS scale dynamics (r=0,85). Conclusion. When forming the rehabilitation treatment Protocol of patients with myofascial pain syndrome using osteopathy and shock wave therapy one should consider that according to the 12-month prospective observation, it is the combination of these methods that shows the most positive effect on the severity of myofascial pain syndrome, measured with VAS scale, five-point vertebro-neurological symptoms evaluation scale and osvestri questionnaire.

Keywords

myofascial pain syndrome / osteopathy / shock wave therapy / restorative treatment

References

[1] Desai M.J., Saini V., Saini S. Myofascial pain syndrome: a treatment review. Pain Ther. 2013; 2(1): 21-36.

[2] Simons D.G. New views of myofascial trigger points: etiology and diagnosis. Arch Phys Med Rehabil. 2008; 89(1): 157-9.

[3] Simons D.G. Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction. J Electromyogr Kinesiol. 2004; 14(1): 95-107.

[4] Егоров И.В. Миофасциальная боль: от Вирхова до наших дней. Неврология, нейропсихиатрия, психосоматика. 2014; 3:75-9.

[5] Парфенов В.А., Бойко А.Н., Костенко Е.В., и др. Неспецифическая боль в нижней части спины. Методические рекомендации. М.: Медицина; 2014.

[6] Gerber L.H., Shah J., Rosenberger W. et al. Dry Needling Alters Trigger Points in the Upper Trapezius Muscle and Reduces Pain in Subjects With Chronic Myofascial Pain. PM R. 2015;7(7):711-8.

[7] Paige N.M, Miake-Lye I.M., Booth M.S. et al. Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis. JAMA. 2017; 317(14): 1451-60.

[8] Rubinstein S.M., van Middelkoop M., Assendelft W.J. et al. Spinal manipulative therapy for chronic low-back pain: an update of a Cochrane review. Spine (Phila Pa 1976). 2011; 36(13): 825-46.

[9] Туровинина Е.Ф., Агафонова М.А., Аверин С.О., и др. Методы физической реабилитации при дегенеративно-дистрофических заболеваниях позвоночника: современные технологии (обзор литературы). Медицинская наука и образование Урала. 2018; 94(2): 182-5.

[10] Дадашева М.Н., Агафонов Б.В., Шевцова Н.Н. Алгоритм терапии миофасциального болевого синдрома. Трудный пациент. 2013; 11: 47-50.

[11] Костенко Е.В. Эффективность комплексной терапии миофасциального болевого синдрома на поясничном уровне: возможности применения экстракорпоральной ударно-волновой терапии и тизанидина. Медицинский алфавит. 2016; 1: 34-40.

[12] Fairbank J.C., Pynsent P.B. The Oswestry Disability Index. Spine. 2000; 25: 2940-52.

[13] Fritz J.M., Irrgang J.J. A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Phys. Ther. 2001; 81: 776-88.

[14] Roland M., Fairbank J. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine. 2000; 25: 3115-24.

[15] Strunk R.G., Hawk C. Effects of chiropractic care on dizziness, neck pain, and balance: a single-group, preexperimental, feasibility study. J Chiropr Med. 2009; 8(4): 156-64.

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