Evaluation of Shear Wave Elastography on the Changes of Muscle Elasticity at MTrPs in Patients with Myofascial Pain Syndrome and Its Application in Traditional Chinese Medicine Manipulation
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Evaluation of Shear Wave Elastography on the Changes of Muscle Elasticity at MTrPs in Patients with Myofascial Pain Syndrome and Its Application in Traditional Chinese Medicine Manipulation
Journal of Clinical Ultrasound in MedicineVol. 23, Issue 7, (2021)
作者机构:
陆军军医大学大坪医院康复医学科
作者简介:
基金信息:
DOI:
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Published:2021,
Published Online:26 July 2021,
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Evaluation of Shear Wave Elastography on the Changes of Muscle Elasticity at MTrPs in Patients with Myofascial Pain Syndrome and Its Application in Traditional Chinese Medicine Manipulation. [J]. Journal of Clinical Ultrasound in Medicine 23(7).(2021)
DOI:
Evaluation of Shear Wave Elastography on the Changes of Muscle Elasticity at MTrPs in Patients with Myofascial Pain Syndrome and Its Application in Traditional Chinese Medicine Manipulation. [J]. Journal of Clinical Ultrasound in Medicine 23(7).(2021)DOI:
Evaluation of Shear Wave Elastography on the Changes of Muscle Elasticity at MTrPs in Patients with Myofascial Pain Syndrome and Its Application in Traditional Chinese Medicine Manipulation
Objective: Exploring the evaluation of shear wave elastography on the changes of muscle elasticity at MTrPs in patients with myofascial pain syndrome and its application in traditional Chinese medicine manipulation. Methods: A retrospective analysis of 60 patients with myofascial pain syndrome in the observation group and 60 healthy persons in the control group who were admitted from June 2018 to April 2020
all underwent real-time shear wave elastography detection
and real-time analysis by ROC curve The diagnostic value of shear wave elastography
and the comparison of Young"s modulus (E)
tissue shear wave velocity (SWV)
upper trapezius muscle thickness
and visual analog scale (VAS) scores between the two groups. At the same time
patients in the observation group were divided into two groups according to the treatment methods
namely the conventional group (30 groups) and the auxiliary group (30 groups). The pain relief rate and simplified McGill pain (simplified SF-MPQ) score of the two were compared.. Results: The E
SWV
upper trapezius thickness
and VAS scores of the observation group were higher than those of the control group (P<0.05). After ROC curve analysis
SWE"s AUC is 0.948
sensitivity is 95.24
specificity is 94.44
and it has a certain accuracy. When comparing the effects of the two groups at the same time
the pain relief rate of 1 course
2 courses
and 3 courses of the auxiliary group was significantly higher than that of the conventional group
and the VAS score
PPI score
and PRI score of 15 days after treatment were lower than those of the conventional group (P< 0.05). Conclusion: Shear wave elastography has high specificity and sensitivity in assessing and diagnosing changes in muscle elasticity at MTrPs in patients with myofascial pain syndrome. It is assisted in the treatment of traditional Chinese medicine to better relieve pain.
Evaluation of the therapeutic effect of acupuncture and moxibustion on interscapular myofascial pain syndrome by ultrasonic shear wave elastography and analysis of the pain mechanism
Application of shear wave ultrasonic elastography and sEMG in the evaluation of the therapeutic effect of neck shoulder myofascial pain syndrome
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