Ultrasound-Guided Myofascial Trigger Point Injection Into Brachialis Muscle for Rotator Cuff Disease Patients With Upper Arm Pain: A Pilot Study
´ëÇÑÀçÈ°ÀÇÇÐȸÁö 2014³â 38±Ç 5È£ p.673 ~ p.681
¼¹Ì¸®(Suh Mi-Ri) - Yonsei University College of Medicine Department of Rehabilitation Medicine
Àå¿øÇõ(Chang Won-Hyuk) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Physical and Rehabilitation Medicine
ÃÖÈ¿¼±(Choi Hyo-Seon) - Yonsei University College of Medicine Department of Rehabilitation Medicine
ÀÌ»óö(Lee Sang-Chul) - Yonsei University College of Medicine Department of Rehabilitation Medicine
Abstract
Objective: To assess the efficacy of trigger point injection into brachialis muscle for rotator cuff disease patients with upper arm pain.
Methods: A prospective, randomized, and single-blinded clinical pilot trial was performed at university rehabilitation hospital. Twenty-one patients clinically diagnosed with rotator cuff disease suspected of having brachialis myofascial pain syndrome (MPS) were randomly allocated into two groups. Effect of ultrasound (US)-guided trigger point injection (n=11) and oral non-steroidal anti-inflammatory drug (NSAID) (n=10) was compared by visual analog scale (VAS).
Results: US-guided trigger point injection of brachialis muscle resulted in excellent outcome compared to the oral NSAID group. Mean VAS scores decreased significantly after 2 weeks of treatment compared to the baseline in both groups (7.3 vs. 4.5 in the injection group and 7.4 vs. 5.9 in the oral group). The decrease of the VAS score caused by injection (´VAS=-2.8) was significantly larger than caused by oral NSAID (´VAS=-1.5) (p<0.05).
Conclusion: In patients with rotator cuff disease, US-guided trigger point injection of the brachialis muscle is safe and effective for both diagnosis and treatment when the cause of pain is suspected to be originated from the muscle.
Å°¿öµå
Myofascial pain syndromes, Shoulder pain, Rotator cuff, Ultrasonography
KMID :
0361420140380050673
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)