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논문 기본 정보

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학술저널
저자정보
Dina Al-Amir Mohamed (Department of Basic Science, Faculty of Physical Therapy, Beni-Suef University, Beni-Suef, Egypt) Ragia Mohamed Kamal (Department of Basic Science, Faculty of Physical Therapy, Cairo University, Giza, Egypt) Manal Mohamed Gaber (Department of Neurophysiology, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt) Yasser M. Aneis (Department of Basic Science, Faculty of Physical Therapy, Cairo University, Giza, Egypt)
저널정보
대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제45권 제4호
발행연도
2021.8
수록면
284 - 293 (10page)
DOI
10.5535/arm.21018

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Objective To investigate the combined effect of extracorporeal shockwave therapy (ESWT) and integrated neuromuscular inhibition (INI) on myofascial trigger points in the upper trapezius. Methods Sixty subjects aged 18?24 years old with active myofascial trigger points in the upper trapezius were studied. Participants were assigned randomly to either group A who received ESWT one session/week, group B who received INI three sessions/week, or group C who received ESWT in addition to INI. All groups completed 4 weeks of intervention. The following main outcome measures were evaluated at baseline and after 4 weeks of intervention: pain intensity, functional disability, pressure pain threshold (PPT), sympathetic skin response (SSR), and neuromuscular junction response (NMJR). Results Within-group analysis revealed a significant decline in visual analog scale (VAS), Arabic neck disability index (ANDI), and NMJR and incline in PPT and SSR latency post-intervention (p<0.001). Multiple comparison analysis showed a substantial difference between the groups, while the major changes favored group C (p<0.05). Conclusion Combined treatment with ESWT and INI for treating myofascial trigger points in the upper trapezius is more effective than using only one of the two approaches in terms of clinical, functional, and neurophysiological aspects.

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