Efficacy of EMLA cream phonophoresis comparison with ultrasound therapy on myofascial pain syndrome of the trapezius: a single-blind, randomized clinical study

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dc.contributor.authorUstun, Nilgun
dc.contributor.authorArslan, Fatma
dc.contributor.authorMansuroglu, Ayhan
dc.contributor.authorInanoglu, Deniz
dc.contributor.authorYagiz, Abdullah Erman
dc.contributor.authorGuler, Hayal
dc.contributor.authorTurhanoglu, Ayse Dicle
dc.date.accessioned2024-09-18T20:33:03Z
dc.date.available2024-09-18T20:33:03Z
dc.date.issued2014
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractThe aim of this study is to investigate whether eutectic mixture of local anesthetics (EMLA) cream phonophoresis superior to conventional US over the trigger points (TPs) in terms of improvements of pain, range of motion and disability in myofascial pain syndrome (MPS). Fifty patients (42 female, 8 male) diagnosed with MPS were included in the study. Patients were randomly assigned into two treatment groups including phonophoresis (PH) group (n = 25) and ultrasound (US) group (n = 25). PH group received EMLA cream phonophoresis (2.5 % lidocaine, 2.5 % prilocaine); US group received conventional ultrasound therapy over the all active TPs on trapezius muscle for 10 min a day for 15 sessions. Outcome measures were performed before the treatment course and at the end of a 15-session course of treatment. Student T, Mann-Whitney U, chi-square and Wilcoxon tests were used for statistical analysis. At the end of the therapy, there was statistically significant decrease in both PH group and US group in terms of number of trigger point (NTP) (p = 0.001, p = 0.029), pain intensity on movement (p = 0.001 vs. 0.002) and right/left cervical lateral ROMs (p = 0.001/p = 0.001, p = 0.009/p = 0.020) relative to baseline. The NTP decrease in PH group was significantly higher than that in US group (1.84 +/- A 1.46 vs. 0.72 +/- A 1.45; p = 0.01). Pain intensity at rest (p = 0.001) and NPDI scores (p = 0.001) were statistically improvement in only PH group. EMLA cream phonophoresis is more effective than conventional ultrasound therapy in terms of pain and associated neck disability, and it seems the complementary treatment option for MPS.en_US
dc.identifier.doi10.1007/s00296-013-2881-2
dc.identifier.endpage457en_US
dc.identifier.issn0172-8172
dc.identifier.issn1437-160X
dc.identifier.issue4en_US
dc.identifier.pmid24149990en_US
dc.identifier.scopus2-s2.0-84897038570en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage453en_US
dc.identifier.urihttps://doi.org/10.1007/s00296-013-2881-2
dc.identifier.urihttps://hdl.handle.net/20.500.12483/11283
dc.identifier.volume34en_US
dc.identifier.wosWOS:000333080300002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofRheumatology Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMyofascial pain syndromeen_US
dc.subjectEMLA creamen_US
dc.subjectPhonophoresisen_US
dc.subjectUltrasounden_US
dc.titleEfficacy of EMLA cream phonophoresis comparison with ultrasound therapy on myofascial pain syndrome of the trapezius: a single-blind, randomized clinical studyen_US
dc.typeArticleen_US

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