Myofascial Pain Clinical Trial
Official title:
Comparison of the Effect of Radial Shock Wave and Acupuncture in the Treatment of Myofascial Pain Syndrome
Verified date | February 2016 |
Source | Shin Kong Wu Ho-Su Memorial Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | Taiwan: Department of Health |
Study type | Interventional |
Myofascial pain syndrome is common in Rehabilitation clinic. The pain occurs asymmetrically
in isolated or regional muscles, and is associated with acute muscle strain or chronic
muscle overuse. Myofascial pain is characteristics with localized muscle tenderness,
palpable intramuscular taut band, typical referred pain, and local twitch response.
Treatment of myofascial pain syndrome includes physical therapy, stretch exercise, dry
needle insertion and trigger point injection. Acupuncture originated from ancient Chinese
medicine which involves the insertion of fine needle to stimulate specific points of the
body along the 12 meridians. The mechanism of pain relief may be initiated by activation of
both spinal segmental and supraspinal centers. Acupuncture is commonly used for pain relief.
Recently, radial shock wave has been shown to be effective in the treatment of chronic
musculoskeletal pain, including calcific tendinitis, epicondylitis, and plantar fasciitis.
The energy and pressure produced by radial shock wave is focused on the treated
musculoskeletal tissue. The mechanism of action has been hypothesized that the energy could
result in analgesic effect and stimulation of angiogenesis and healing response and then
relief of the symptoms. The effectiveness of radial shock wave on treatment of myofascial
pain was reported by Jeon and colleagues in 2012.
The aim of this study is to compare the efficacy of acupuncture and radial shock wave
therapy in patients with myofascial pain syndrome.
Status | Completed |
Enrollment | 68 |
Est. completion date | December 2015 |
Est. primary completion date | December 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 20 Years to 80 Years |
Eligibility |
Inclusion Criteria:Physical examination showed - unilateral upper back pain, - palpable intramuscular taut band, - normal neurological examination - presence of trigger points Exclusion Criteria: - bilateral neck pain - pregnancy - coagulopathy - patients with pacemaker - open wound at treatment area - cervical spine fracture or previous operation around neck - cervical myelopathy - rheumatoid arthritis - severe systemic disease |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Taiwan | Shin Kong Wu Ho-Su Memorial Hospital | Taipei, | Taipei city |
Lead Sponsor | Collaborator |
---|---|
Shin Kong Wu Ho-Su Memorial Hospital |
Taiwan,
Jeon JH, Jung YJ, Lee JY, Choi JS, Mun JH, Park WY, Seo CH, Jang KU. The effect of extracorporeal shock wave therapy on myofascial pain syndrome. Ann Rehabil Med. 2012 Oct;36(5):665-74. doi: 10.5535/arm.2012.36.5.665. Epub 2012 Oct 31. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | VAS for pain | horizontal lines of 100 mm, with 0 indicating no pain on the left and 100 indicating very severe pain on the right | up to 1 week before treatment, on the day treatment is completed, 1 month after treatment completed | No |
Primary | Pain threshold | A pressure algometer, the pressure threshold meter, was applied onto the affected and unaffected sides of upper trapezius, with the metal rod perpendicular to the surface of the skin. The pressure of compression was increased gradually until the subject began to feel pain or any discomfort. Three repetitive measurements at an interval of 20-60 s were performed. The average values of the three readings were used for data analysis of the pain threshold measurement. | up to 1 week before treatment, on the day treatment is completed, 1 month after treatment completed | No |
Secondary | neck disability index | It consists of 10 items referring to various activities (personal care, lifting, driving, work, sleeping, concentrating, reading, recreation) and pain (pain intensity, headache) with six possible answers for each item, only one answer to be chosen by the patient for each item. Scores for each item ranged from 0 (no pain and functional limitation) to 5 (worst pain and maximal limitation), resulting in a total score of 0 (not disabled) to 50 (totally disabled). | up to 1 week before treatment, on the day treatment is completed, 1 month after treatment completed | No |
Secondary | cervical active range of motion | neck flexion, extension, rotation and side bending | up to 1 week before treatment, on the day treatment is completed, 1 month after treatment completed | No |
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