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題 名 | Additional Ultrasound Therapy after Myofacial Trigger Point Injection for the Management of Postinjection Soreness=板機點注射後以超音波處理注射後酸感對療效的影響 |
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作 者 | 胡明偉; 洪章仁; | 書刊名 | 復健醫學會雜誌 |
卷 期 | 26:3 1998.09[民87.09] |
頁 次 | 頁111-118 |
分類號 | 416.64 |
關鍵詞 | 肌膜痛; 板機點; 痛閥值; 關節活動度; 注射後酸感; Myofascial pain; Trigger point; Pain threshold; Range of motion; Postinjection soreness; |
語 文 | 英文(English) |
中文摘要 | 注射後酸感是板機點注射常見的副作用,本研究目的乃探討注射後以超音波處理 酸感對療效的影響。 本院自 1995 至 1997 年 162 例肌膜痛症候群病患與 46 例健康成人 列入研究。 上斜方菱肌活性板機點的痛閥值 (pain threshold) 是以壓力計 (algometer) 測量, Index of Threshold Change (ITC) 定義為治療前後痛閥值比,關節活動度 (Range of Motion, ROM) 為量角器測量頸椎主動側屈 X 光所得, Index of ROM change (IRC) 定 義為治療前後 ROM 比。 三個控制組中正常組 46 例,病患未治療 40 例,安慰治療 38 例 。 本研究用較粗的 23 號針頭,84 例接受注射,43 例 (53%) 殘留強烈酸感轉以超音波治 療 (合併治療組 ),41 例繼續注射 (注射組 ),治療為期兩週。 結果:注射組與合併治療 組的 ITC,IRC 平均值較三個控制組都具統計差異 (P<0.05)。 合併治療組 ITC 與 IRC 平 均值統計上大於注射組 (P<0.05)。 我們發現注射組與合併組均能增加上斜方肌板機點痛閥 值與關節活動度,合併組更優於注射組。酸感經超音波治療後 48 小時內均消失。本研究注 射後酸感比率偏高,推測是粗針頭造成厲害的肌纖維與微血管損傷所致,超音波有助於注射 後血腫吸收並抑制炎性反應,建議對有注射後酸感患者採超音波合併治療。 |
英文摘要 | Objective:The purpose of this study was to investigate the effectiveness of trigger point injection (TPI) and combined treatment on an active myofascial trigger point (MrP). Design:A controlled clinical trial Setting: Our study was performed in a rehabilitation outpatient clinic. Participants:One hundred and sixty-two patients with active MrPs in the upper trapezius were investigated over a two year period, from 1995 to 1996. Forty-six healthy adults were included as the control group. Control study:The healthy subjects were assigned into three different groups which included healthy subjects without treatment (control group), patients without treatment (patient group) and patients accepting zero-intensity ultrasound treatment (placebo group). Therapeutic study:Eighty-four patients were treated by TPI. Among these, 43 patients had strong postinjection soreness (PIS) and thus were also treated by ultrasound (combined treatment). Main Outcome Measures:The pain threshold (PT) of a MrP, on the upper trapezius muscle, was measured by an algometer. The "Index of threshold change" (ITC) was defined as the ratio of post-treatment to pre-treatment PT. The range of motion (ROM) of side flexion of the cervical spine (X-ray) was measured by an go-niometer. The "Index of ROM change" (IRC) was defined as the ratio of post-treatment to pre-treatment ROM. ITC and IRC were used to measure the outcome of the different methods. Results:Both therapeutic groups revealed significant increases (P<0.05) in ITC and IRC, (Table 2 and 3). The combined treatment group had greater increases in ITC and IRC (P<0.05) than the other groups. PIS disappeared about 48 hrs after additional ultrasound therapy. Conclusion:Both kinds of treatment could relieve myofascial pain caused by MrPs. The combined treatment was the most beneficial method in this study, especially for patients with strong PIS. |
本系統中英文摘要資訊取自各篇刊載內容。