Comparison of the effectiveness of instrument-assisted soft tissue mobilization and extracorporeal shock wave therapy in myofascial pain syndrome

Comparison of IASTM and ESWT in Myofascial Pain Syndrome

Background/Aim:

To compare the effectiveness of instrument-assisted soft tissue mobilization (IASTM) and extracorporeal shock wave therapy (ESWT) in treating myofascial pain syndrome (MPS) and to determine their superiority over conservative treatment (CT).

Materials and Methods:

42 female MPS patients were randomly assigned to CT, CT+IASTM, or CT+ESWT groups. Treatment lasted 3 weeks, with different session frequencies. Pain intensity, pressure pain threshold, cervical range of motion, and other parameters were measured before and after treatment.

Results:

The CT+IASTM group showed greater improvements in pain intensity, pressure pain threshold, and range of motion compared to the other groups. No significant differences were found in other outcome measures.

Conclusions:

All three treatments can alleviate the negative effects of MPS. IASTM treatment is particularly beneficial for patients with range of motion limitations and low pressure pain thresholds.

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