Journal of back and musculoskeletal rehabilitation
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J Back Musculoskelet Rehabil · Jan 2020
Randomized Controlled Trial Comparative StudyComparison of ultrasound-guided platelet-rich plasma, prolotherapy, and corticosteroid injections in rotator cuff lesions.
Injections are a good alternative to conventional treatment-resistant cases with rotator cuff (RC) lesions before operation. Currently, different injection methods are used in RC lesions. ⋯ In patients with RC lesions, corticosteroid injection provides short-term relief for pain, function, and quality of life, while PRP injection works for long-term wellbeing. For all types of applied injections, improvement in pain, function and quality of life were observed.
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J Back Musculoskelet Rehabil · Jan 2020
Randomized Controlled TrialEffects of oscillatory mobilization as compared to sustained stretch mobilization in the management of cervical radiculopathy: A randomized controlled trial.
Cervical radiculopathy is a relatively common musculoskeletal disorder resulting in a significant social and occupational impact. Manual therapy is thought to provide relief in cervical radiculopathy; however, evidence is lacking regarding the comparison of different manual therapy concepts. ⋯ Both oscillatory and sustained stretch mobilization techniques are found to be effective in the management of cervical radiculopathy in terms of pain, range and disability. However, oscillatory mobilization is found to be superior in terms of functional ability and range of motion.
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J Back Musculoskelet Rehabil · Jan 2019
Randomized Controlled TrialThe effect of dry needling on the active trigger point of upper trapezius muscle: Eliciting local twitch response on long-term clinical outcomes.
Pain from myofascial trigger points is often treated by dry needling (DN). Empirical evidence suggests eliciting a local twitch response (LTR) during needling is essential. Muscle damage after eliciting LTR can increase the risk of tissue fibrosis in some cases. ⋯ DN without eliciting LTR has superiority over the DN along with eliciting LTR while the treatment aimed to receive long-term effects.
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J Back Musculoskelet Rehabil · Jan 2019
Randomized Controlled Trial Comparative StudyComparison of pressure release, phonophoresis and dry needling in treatment of latent myofascial trigger point of upper trapezius muscle.
Latent myofascial trigger point (LMTP) is a small hypersensitive area in skeletal muscles that becomes painful under compression or stimulation. LMTPs are relevant for various musculoskeletal disorders. Although several treatments have been introduced to treat LMTP, the most efficient one is yet to be found. ⋯ Considering the significant, positive effects of all three methods, dry needling and phonophoresis seem to be more effective than pressure release.
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J Back Musculoskelet Rehabil · Jan 2019
Randomized Controlled Trial Comparative StudyKinesio taping versus dry needling in the treatment of myofascial pain of the upper trapezius muscle: A randomized, single blind (evaluator), prospective study.
Although a number of therapeutic interventions for trigger-point inactivation have been studied, it remains controversial which intervention is better. ⋯ Kinesio taping may be a choice of trigger point inactivation in patients who do not want to be needled or who show contraindication(s) to treatments other than kinesio taping.