[Changes in muscle tone after electrotherapy in patients suffering from chronic migraine and cervicalgia].

Q4 Medicine
V M Soskin, M V Naprienko, E N Zhumanova, L V Smekalkina
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引用次数: 0

Abstract

Chronic migraine and cervicalgia have a significant impact on the quality of life of patients. Traditional treatment methods do not always provide long-term improvement, which necessitates the search for alternative methods of therapy. Electrotherapy and botulinum therapy are considered as promising methods for reducing pain and improving the general condition of patients.

Objective: Comparative evaluation of the effectiveness of electrotherapy and botulinum therapy on muscle tone and pain syndrome in patients with chronic migraine and cervicalgia.

Material and methods: The study included 61 patients with chronic migraine and cervicalgia, divided into two groups. Patients of the first group (n=31) received a course of electrotherapy (TENS), patients of the second group (n=30) - botulinum therapy. The pain threshold was assessed by the method of algometry before and one month after treatment in key muscle groups (sternocleidomastoid and trapezius muscles).

Results: Under the influence of electrotherapy and botulinum therapy, a significant reduction in pain syndrome was noted. However, patients who received electrotherapy had a more pronounced decrease in muscle tone and pain in all muscle groups studied, which was confirmed by a significant increase in the pain threshold (by 53-71%) compared to botulinum therapy (by 26-38%).

Conclusion: Electrotherapy and botulinum therapy are effective methods of treating chronic migraine and cervicalgia, but electrotherapy showed more pronounced results in reducing muscle tone and pain. These studies confirm the feasibility of using electrotherapy as a preferred method of treating this category of patients.

[慢性偏头痛和颈痛患者电疗后肌肉张力的变化]。
慢性偏头痛和颈痛对患者的生活质量有显著影响。传统的治疗方法并不总是提供长期的改善,这就需要寻找替代的治疗方法。电疗和肉毒杆菌治疗被认为是减轻疼痛和改善患者一般状况的有前途的方法。目的:比较电疗与肉毒杆菌治疗慢性偏头痛颈痛患者肌张力及疼痛综合征的疗效。材料与方法:将61例慢性偏头痛伴颈痛患者分为两组。第一组患者(n=31)采用一个疗程的电疗(TENS),第二组患者(n=30)采用肉毒杆菌治疗。在治疗前和治疗后1个月,采用痛觉测量法评估关键肌群(胸锁乳突肌和斜方肌)的疼痛阈值。结果:在电疗和肉毒杆菌治疗的作用下,疼痛综合征明显减轻。然而,与肉毒杆菌治疗相比,接受电疗的患者在所有肌肉群中肌肉张力和疼痛的降低更为明显,疼痛阈值显著增加(53-71%)证实了这一点(26-38%)。结论:电疗和肉毒杆菌治疗是治疗慢性偏头痛和颈痛的有效方法,但电疗在减轻肌张力和疼痛方面效果更明显。这些研究证实了使用电疗作为治疗这类患者的首选方法的可行性。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
59
期刊介绍: The journal deals with the study of the mechanism of a physiological and therapeutic effect of physical and health resort factors, methods and results of their employment, as well as with theoretical and practical problems involved in the use of exercise therapy in combined treatment of different diseases. The results of research and experience of using physical and health resort methods in medical practice and organization of physiotherapeutic and sanatorial and health resort service, book reviews on physiotherapy, health resort science and exercise therapy are published. Scientific life of allied specialities, proceedings of congresses, conferences, symposia (including foreign), the activity of republican and local societies, etc., are covered.
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