Physical Therapy Rehabilitation Science

  • 제13권3호
  • /
  • Pages.294-303
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  • 2024
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  • 2287-7576(pISSN)
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  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
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Comparative Effectiveness of Radial Extracorporeal Shock Wave Therapy on Single and Multipul Trigger Points in Patients with Biceps Tendinopathy

  • Changmin Lee (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Ki Bum Jung (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Yongwoo Lee (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
  • 투고 : 2024.09.08
  • 심사 : 2024.09.20
  • 발행 : 2024.09.30
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초록

Objective: The objective of this study is to evaluate the effects of radial shock wave therapy (RSWT) targeting multiple myofascial trigger points (MTrPs) along myofascial chains on shoulder pain, function, range of motion, and muscle strength in patients with bicipital tendinopathy. While traditional treatments primarily focus on a single MTrP, this study aims to achieve better clinical improvement by simultaneously treating multiple MTrPs along the myofascial chains. Design: A randomized controlled trial. Methods: Twenty-eight patients with bicipital tendinopathy were randomly assigned to either an experimental group (n=14) or a control group (n=14). The experimental group received RSWT targeting multiple MTrPs along myofascial chains, while the control group received RSWT focused on a single MTrP in the biceps brachii. Both groups underwent three treatment sessions over a nine-day period, with one session every three days. Outcomes, including shoulder pain, function, range of motion, and muscle strength, were measured before and after treatment to assess therapeutic effects. Results: Both groups showed significant improvements in shoulder pain, function, range of motion, and muscle strength (p<0.05). However, the experimental group demonstrated significantly greater improvements in all outcome measures compared to the control group (p<0.05). Conclusions: RSWT targeting multiple MTrPs along myofascial chains showed significantly greater effects in relieving shoulder pain, improving function, enhancing range of motion, and strengthening muscles in patients with bicipital tendinopathy compared to treatment targeting a single MTrP. Therefore, this study proposes that a comprehensive treatment strategy considering the entire myofascial pathway may be more effective in the rehabilitation of patients with bicipital tendinopathy.

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참고문헌

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