Journal of the Korean Academy of Clinical Electrophysiology (대한임상전기생리학회지)

The Korean Academy of Clinical Electrophysiology (대한임상전기생리학회)
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The Effects of ESWT and US on Muscle Power, Pain and Muscle Tension at Trigger Point of the Scapular Inter Angle

견갑골 내측 상부의 발통점에 체외충격파와 초음파 적용시 통증과 피부두께, 근력변화에 미치는 영향

  • Lee, Seung-Hyub (Department of Physical Therapy, Kwangju Health College University) ;
  • Pi, Eo-Ra (Department of Physical Therapy, Kwangju Health College University) ;
  • Jung, Ha-Ney (Department of Physical Therapy, Kwangju Health College University) ;
  • Lee, Ho-Seok (Department of Physical Therapy, Kwangju Health College University) ;
  • Joo, Da-Sol (Department of Physical Therapy, Kwangju Health College University) ;
  • Lee, Seung-Hee (Department of Physical Therapy, Kwangju Health College University) ;
  • Choi, Min-Hee (Department of Physical Therapy, Kwangju Health College University) ;
  • Choi, Hyun-Ji (Department of Physical Therapy, Kwangju Health College University) ;
  • Hong, Young-In (Department of Physical Therapy, Kwangju Health College University) ;
  • Kim, Ji-Eun (Department of Physical Therapy, Kwangju Health College University) ;
  • Han, Sang-Wan (Department of Physical Therapy, Kwangju Health College University)
  • 이승협 (광주보건대학 물리치료과) ;
  • 피어라 (광주보건대학 물리치료과) ;
  • 정하늬 (광주보건대학 물리치료과) ;
  • 이호석 (광주보건대학 물리치료과) ;
  • 주다솔 (광주보건대학 물리치료과) ;
  • 이승희 (광주보건대학 물리치료과) ;
  • 최민희 (광주보건대학 물리치료과) ;
  • 최현지 (광주보건대학 물리치료과) ;
  • 홍영인 (광주보건대학 물리치료과) ;
  • 김지은 (광주보건대학 물리치료과) ;
  • 한상완 (광주보건대학 물리치료과)
  • Received : 2009.10.29
  • Accepted : 2009.11.24
  • Published : 2009.12.30
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Abstract

Purpose : This study aims to investigate into the change in muscle power, pain and muscle tension upon application of extracorporeal shock wave therapy (ESWT) and ultrasound (US) at trigger point (TrP) of the Scapular inter angle. Methods : In total of 24 human subjects that experience pain upon stimulation at the scapular inter angle were recruited. They were divided into three groups: control, ESWT and US group. Each group was subjected to appropriate stimulation three times per week for four weeks except the control group which had no restrictions in lifestyle. The ESWT group was subjected to Extracorporeal Shock Wave Therapy with a 2 $cm^2$ head, 20 times at speed of application of 60 pulses/min and depth of intrusion of 25 mm Whereas the US group was subject to Ultra sound therapy with 1$cm^2$ head, 1 MHz in frequency, 1.5 W/$cm^2$ of strength with five minutes of continuous application. Measurements were performed immediately prior to and at the end of the experiment. Results : There was no statistical significance in the change in muscle tension and muscle power as well as the difference between both groups before and after the experiment. VAS and VRS, all of which indicates changes in pain level, had statistically significant differences between them in pretest posttest comparisons. However, ESWT was superior to US in terms of decreasing muscle tension and pain while increasing muscle power. Conclusion : This study has made it evident that ESWT is far more reasonable to apply to TrP.

Keywords

References

  1. Cole TM, Edgerton VR. Musculoskeletal disorders. In: Cole TM, Edgerton VR, eds. Report of the task force on medical rehabilitation research. Bethesda: National Institutes of Health, 1990:61-70.
  2. 노동부. 연간 산업재해 발생현황. 노동부 안전정책과, 2002.
  3. Immanmura ST, Fischer AA, Immamura M et al. Pain management using myofascial approach when other treatment failed. Phy Med Rehabilclin North Am. 1997;8:179-196.
  4. 이우경. 근막통 증후군에 대한 고찰. 대불대학교 논문집. 1998;4(1):619-632.
  5. Travell JG, Simons DG. Myofascial pain and dysfunction. The trigger point manual, Lippincott Wiliams & Wilkins, 1983.
  6. 조남정, 박장성, 박형기. 체외충격파치료가 주관절 외측상과염 환자의 손목 신전근의 근력과 통증에 미치는 영향. 대한임상전기생리학회지. 2008;6(1):57-68.
  7. Ogden JA, Alvarez RG, Levitt RL et al. Electrohydraulic high-energy shock-wave treatment for chronic plantar fascitis. J Bone Joint Surg. 2004;86(A):2216-2228. https://doi.org/10.2106/00004623-200410000-00013
  8. Theodore GH, Buch M, Amendola A et al. Extracorporeal shock wave therapy for the treatment of plantar fasciitis. Foot Ankle Int. 2004;25:290-297. https://doi.org/10.1177/107110070402500503
  9. Haake M, Thin A, Bette M. Absence of spinal response to extracorporeal shock waves on the endogenous opioid systems in the rat. Ultrasound Med Biol. 2001;387:22-40.
  10. Rockville MD. The Ultrasonic Equipment Standard. US Dept of Health and Human Services, 1985.
  11. Kahn J. Clinical Electrotherapy, 4Th ed. New York: Churchill Livingstone, 1991.
  12. Draper DO, Schulthies S, Sorvisto P et al. Temperature changes in deep muscle of humans during ice and ultrasound therapies: an in vivo study. J Ortheop sports Phys Ther. 1995;21(3):153-157. https://doi.org/10.2519/jospt.1995.21.3.153
  13. Knight CA, Rutledge CR, Cox ME et al. Effect of superficial heat, deep heat, and active exercise warm-up on the extensibility of the plantar flexors. Phys Ther. 2001;81(6):1206-1214.
  14. Reed BV, Ashikaga T, Fleming BC et al. Effects of ultrasound and stretch on knee ligament extensibility. J Orthop Sports Phys Ther. 2000;30(6):341-347. https://doi.org/10.2519/jospt.2000.30.6.341
  15. 방상분. 근막동통 증후군 환자의 발통점 비활성화에 관한 연구. 용인대학교. 석사학위논문. 2005.
  16. 김승열. 응급실에 내원한 근막동통증후군 환자의 임상 양상과 통증유발점 주사의 효과. 대한응급의학회지. 2002;13(4):396-399.
  17. Kiralp MZ, Ari H, Karabekir I et al. Comparison of low intensity laser therapy and trigger point injection in the management of myofascial pain syndrome. The Pain Clinic. 2006;18(1):63-66. https://doi.org/10.1163/156856906775249794
  18. Esenyel M, Aldmir T, Gursoy E et al. Myofascial pain syndrome: efficacy of different therapies. Journal of Back and Musculoskeletal Rehabilitation. 2007;20(1):43-47. https://doi.org/10.3233/BMR-2007-20107
  19. 이석범. ESWT를 이용한 테니스엘보우의 치료. 대한정형외과학회지. 2004;39(2):142-145.
  20. 김병수, 이근배, 최진 등. ESWT를 이용한 만성근위부 족저근막염의 치료. 대한족부족관절학회지. 2006;10(2):163-167.
  21. 최우진. 난치성 족저 근막염의 체외충격파를 이용한 치료. 대한족부족관절학회지. 2007;11(1):51-56.