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Auteur Quan Wei |
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Effect of Therapeutic Ultrasound for Neck Pain: A Systematic Review and Meta-Analysis / Wanyi Qing in Archives of Physical Medicine and Rehabilitation, Vol. 102, n° 11 (2021)
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Titre : Effect of Therapeutic Ultrasound for Neck Pain: A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Wanyi Qing ; Xian Shi ; Qing Zhang ; Lihong Peng ; Chengqi He, Che ; Quan Wei Année de publication : 2021 Article en page(s) : p. 2219-2230 Note générale : https://doi.org/10.1016/j.apmr.2021.02.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Cervicalgie ; Méta-analyse ; Ondes ultrasonores ; Réadaptation ; Syndromes de la douleur myofascialeRésumé : Objective
To evaluate the effects and safety of therapeutic ultrasound in patients with neck pain.
Data Sources
The PubMed, EMBASE, CENTRAL, and Physiotherapy Evidence databases were searched for articles published before December 1, 2020.
Study Selection
Randomized controlled trials that compared the effects of therapeutic ultrasound on neck pain were included in this review. The included studies compared therapeutic ultrasound plus other treatments with the other treatments alone or compared therapeutic ultrasound with sham or no treatment. Outcome measures involved the effects on pain, disability, and quality of life. Other treatments included all nonultrasonic therapies (eg, various exercises, massage, electrotherapy).
Data Extraction
Data on the study population, therapeutic ultrasound intervention, combined intervention, outcome measures, and follow-up were extracted.
Data Synthesis
Twelve randomized controlled trials (705 patients) fulfilled the inclusion criteria. Seven studies compared therapeutic ultrasound plus other treatments vs the other treatments alone (449 patients). Therapeutic ultrasound yielded additional benefits for pain, but there was high heterogeneity and we could not draw a clear conclusion. Ultrasound did not have a better effect on disability or quality of life when it was combined with other treatments. Five studies compared therapeutic ultrasound with sham or no treatment (256 patients), and the pooled data showed that therapeutic ultrasound significantly reduced pain intensity. No adverse events of therapeutic ultrasound were reported in the included studies.
Conclusions
Therapeutic ultrasound may reduce the intensity of pain more than sham or no treatment, and it is a safe treatment. Whether therapeutic ultrasound in combination with other conventional treatments produced additional benefits on pain intensity, disability, or quality of life is not clear. The randomized trials included in this review had different levels of quality and high heterogeneity. A large trial using a valid methodology is warranted.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=285903
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 11 (2021) . - p. 2219-2230[article]Efficacy of Extracorporeal Shockwave Therapy on Pain and Function in Myofascial Pain Syndrome of the Trapezius: A Systematic Review and Meta-Analysis / Qing Zhang in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 8 (2020)
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Titre : Efficacy of Extracorporeal Shockwave Therapy on Pain and Function in Myofascial Pain Syndrome of the Trapezius: A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Qing Zhang ; Chenying Fu ; Liyi Huang ; Feng Xiong ; Lihong Peng ; Zejun Liang ; Li Chen ; Cheng-Qi He ; Quan Wei Année de publication : 2020 Article en page(s) : p. 1437-1446 Note générale : https://doi.org/10.1016/j.apmr.2020.02.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Muscles superficiels du dos ; Syndromes de la douleur myofasciale ; Traitement par ondes de choc extracorporellesRésumé : Objective
To evaluate the effect of extracorporeal shockwave therapy (ESWT) on pain and function in myofascial pain syndrome (MPS) of the trapezius.
Data Sources
PubMed, EMBASE, Web of Science, Physiotherapy Evidence Database, and The Cochrane Central Register of Controlled Trials were systematically searched from the time of their inception to September 2019.
Study Selection
Randomized controlled trials comparing the effects of ESWT on MPS of the trapezius were included in this review.
Data Extraction
Data related to study participants, intervention, follow-up period, measure time, and outcomes were extracted. The Physiotherapy Evidence Database scale and the Cochrane Collaboration Tool for Assessing Risk of Bias were used to assess study quality and risk of bias.
Data Synthesis
In total, 10 articles (n=477 patients) met our criteria and were included in this study. The overall effectiveness was calculated using a meta-analysis method. The meta-analysis revealed that ESWT exhibited significant improvement in pain reduction compared with sham ESWT or ultrasound treatment, but no significant effect when compared with conventional treatments (dry needling, trigger point injection, laser therapy) as for pain intensity and neck disability index.
Conclusions
ESWT appears to benefit patients with MPS of the trapezius by alleviating pain. ESWT may not be an ideal therapeutic method to replace conventional therapies but could serve as an adjunct therapeutic method to those treatments.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259850
in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 8 (2020) . - p. 1437-1446[article]