International Medical Journal, Vol. 20., Iss. 1, 2014, P. 17−20.
DYNAMICS OF EMOTIONAL AND AUTONOMIC PARAMETERS IN PATIENTS WITH MYOFASCIAL PAIN SYNDROME OF CERVICOBRACHIAL LOCALIZATION UNDER THE INFLUENCE OF NON-PHARMACOLOGICAL TREATMENT
Kharkiv Medical Academy of Postgraduate Education
The capabilities of non−pharmacological therapy influence on vegetative functional of the patients with cervicobrachial myofascial pain syndromes were determined. The study involved 87 patients with cervicobrachial myofascial pain syndromes presented with disorders of biomechanical pattern as well as vegetative dysfunction syndrome and emotional disorders. The degree of the pain syndrome was determined using visual analogue scale, vegetative signs were objectified using A.M. Wein questionnaire as well as by mean of investigation of the state of vegetative tone, reactivity and life support. To assess the level of trait anxiety Spilberberg−Khanin scale as well as HAM (health, activity, mood) test were used. Group 1 (49 patients) was administered a complex of manual therapy (5 sessions every other day). Group 2 (38 patients) was administered a specially developed therapeutic program including corporal and auricular acupuncture in addition to manual therapy. Correction of myofascial pain syndromes with manual therapy resulted in reduction of the degree of the pain syndrome and emotional vegetative disorders. Treatment of vegetative disorders using acupuncture improved the efficacy of treatment for myofascial pain syndrome. Thus, the results of the treatment proved the efficacy of non−pharmacological therapy in patients with cervicobrachial myofascial pain syndromes and demonstrated the necessity to combine manual therapy and acupuncture in this group of patients.
Key words: myofascial pain syndromes of cervicobrachial location, vegetative dysfunction, non−medica−mnetal therapy.