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J Back Musculoskelet Rehabil ; 37(4): 1049-1058, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38427466

RESUMO

BACKGROUND: Currently, the use of radiofrequency diathermy for the treatment of neck pain is booming. OBJECTIVE: This study aimed to evaluate the clinical efficacy of Digital Capacitive Diathermy (DCD®) on stiffness, pain, cervical range of motion, and cervical disability and to compare it with ultrasound (US) in patients with latent myofascial trigger point (MTrP) in the upper trapezius. METHODS: Nineteen participants with latent MTrPs in the upper trapezius were included in the assessor-masked, randomized, clinical crossover trial. Subjects were exposed to both interventions: US and DCD® and treatment effectiveness was measured by myotonometric variables, pressure pain threshold (PPT), visual analog scale (VAS), cervical side-bending flexion ranges, and the neck disability index scale (NDI). RESULTS: There were no significant differences between US and DCD® interventions regarding changes in outcome measures. The US group achieved a statistically significant difference of 2.16 to 1.13 points (p= 0.005; r= 0.646) for the VAS. The DCD® intervention showed a statistically significant improvement of 1.11 points for the NDI at 1-week following intervention (95% CI 0.14-2.07; p= 0.27; d= 0.217). CONCLUSION: Our findings suggest that DCD® and US can both be considered effective modalities for the treatment of latent MTrPs, having a longer duration of action with DCD® therapy.


Assuntos
Estudos Cross-Over , Diatermia , Síndromes da Dor Miofascial , Músculos Superficiais do Dorso , Humanos , Feminino , Masculino , Adulto , Síndromes da Dor Miofascial/terapia , Diatermia/métodos , Terapia por Ultrassom/métodos , Cervicalgia/terapia , Pessoa de Meia-Idade , Resultado do Tratamento , Medição da Dor , Amplitude de Movimento Articular/fisiologia , Pontos-Gatilho
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