Volume 24, Issue 3 (Autumn 2023)
jrehab 2023, 24(3): 418-435 |
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Hadizadeh M, Rahimi A, Javaherian M, Velayati M, Naderi F, Dommerholt J. The Effects of Intramuscular Electrical Stimulation on Clinical and Sonographic Parameters in the People With Trigger Points: A Case Series Study. jrehab 2023; 24 (3) :418-435
URL: http://rehabilitationj.uswr.ac.ir/article-1-3202-en.html
URL: http://rehabilitationj.uswr.ac.ir/article-1-3202-en.html
Monavar Hadizadeh1 
, Abbas Rahimi * 2, Mohammad Javaherian3 , Meysam Velayati4 , Farokh Naderi5 , Jan Dommerholt6
, Abbas Rahimi * 2, Mohammad Javaherian3 , Meysam Velayati4 , Farokh Naderi5 , Jan Dommerholt6
1- Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Hadizade.mahsa1992@yahoo.com
2- Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,a_rahimi@sbmu.ac.ir
3- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran., javaherian_m@razi.tums.ac.ir
4- Department of Radiology, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Drmeysam.v@gmail.com
5- Department of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran., Dr.naderi@yahoo.com
6- Bethesda Physiocare, Bethesda, United States., jan@myopain4u.com
2- Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,
3- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran., javaherian_m@razi.tums.ac.ir
4- Department of Radiology, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Drmeysam.v@gmail.com
5- Department of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran., Dr.naderi@yahoo.com
6- Bethesda Physiocare, Bethesda, United States., jan@myopain4u.com
Abstract: (5497 Views)
Objective Myofascial pain syndrome (MPS) is a clinical disorder with a prevalence of 85%. It is characterized by the presence of trigger points, and all people experience it at least once in their lives. Different physiotherapy and medical methods are used to manage MPS. Intramuscular electrical stimulation (IMES) is a relatively new treatment option for MPS. This study aims to examine the effect of IMES on clinical and ultrasound imaging parameters related to trigger points in patients with MPS.
Materials & Methods This is a case series clinical trial. Twelve participants with trigger points in their upper trapezius muscles participated in this study. They were treated three times per week with IMES. Before and after the intervention, pain and cervical spine range of motion (ROM) were measured with the visual analog scale and goniometry. Ultrasonic parameters (longitudinal diameter and the area of trigger points, and the thickness of the upper trapezius muscle) were assessed with B-mode ultrasound imaging technique. The pre-test and post-test values were compared using the paired t-test. The significance level was set at 0.05.
Results After three sessions of IMES, pain and cervical spine ROM improved significantly (P<0.05). All ultrasound imaging parameters, including trigger points’ longitudinal diameter and area and upper trapezius muscle thickness, decreased significantly compared to baseline (P<0.05).
Conclusion IMES seems to have promising effects on clinical and ultrasound imaging parameters of patients with MPS. Further studies with larger sample sizes are recommended to investigate the long-term effects of IMES with the inclusion of a matched control group.
Materials & Methods This is a case series clinical trial. Twelve participants with trigger points in their upper trapezius muscles participated in this study. They were treated three times per week with IMES. Before and after the intervention, pain and cervical spine range of motion (ROM) were measured with the visual analog scale and goniometry. Ultrasonic parameters (longitudinal diameter and the area of trigger points, and the thickness of the upper trapezius muscle) were assessed with B-mode ultrasound imaging technique. The pre-test and post-test values were compared using the paired t-test. The significance level was set at 0.05.
Results After three sessions of IMES, pain and cervical spine ROM improved significantly (P<0.05). All ultrasound imaging parameters, including trigger points’ longitudinal diameter and area and upper trapezius muscle thickness, decreased significantly compared to baseline (P<0.05).
Conclusion IMES seems to have promising effects on clinical and ultrasound imaging parameters of patients with MPS. Further studies with larger sample sizes are recommended to investigate the long-term effects of IMES with the inclusion of a matched control group.
Keywords: Trigger point, Myofascial pain syndrome, Intramuscular electrical stimulation, Ultrasound imaging
Type of Study: Original |
Subject:
Physical Therapy
Received: 12/10/2022 | Accepted: 14/02/2023 | Published: 1/10/2023
Received: 12/10/2022 | Accepted: 14/02/2023 | Published: 1/10/2023
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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