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Myofascial pain syndrome (MPS) is a common musculoskeletal pain
disorder, the prevalence has been increasing dramatically in
recent years. Clinically, those persons suffered from cer-
vical MPS have a very high recurrence rate. The purposes of
this research are to evaluate quantitatively and to investigate
objectively several physical therapy modalities on immediate
effect of treating active TrPs in order to provide an appro-
priate home therapy that is effective, convenient and cost-
effective. This research focuses on the improved degree of
important clinical indexes for IThC、 IToC、 IVC and IRC,
using the different medicine modalities on patients with MPS
in upper trapezius.The results have showed that: 1) in ischemic
the treatment pressure of middle value between pain threshold
and tolerance has significant improvement in pain reduction
and ROM compared to that of pain threshold value (P<0.05)；2)
in ischemic compression, the 90 seconds treatment duration has
significant improvement in IThC, IToC, IVC and IRC compared to
the treatment durations of 30 and 60 seconds (P<0.05)； 3) B3,
B5 and B6 groups have significantly higher IThC,IToC,IVC values
compared to control group (B1) (p<0.05). This study concludes
and suggests that an ischemic compression treatment with quan-
titative pressure and duration, which is combined with pre-
treatment of hot pack and active ROM exercise and post-
treatment of TENS, provides the most effective home therapy in
cervical MPS.
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