Terapijski uticaj dry needling-a na miofascijalni bolni sindrom i kvalitet života/

Abstract

Uvod: Dry needlinga koji se koristi u liječenju sportista za različite dijagnoze i stanja. Povećanje nivoa sportske aktivnosti koje se podrazumijeva u profesionalnom sportu, može značiti uporedni rast pridruženih faktora rizika, kako vanjskih tako i unutrašnjih, za pojavu miofascijalnog bolnog sindroma, hronične boli i smanjenih tjelesnih performansi, koje prati i smanjena kvaliteta života. Ciljevi istraživanja: Utvrditi najčešće trigger point kod miofascijalnog bolnog sindroma i najčešće indikacije za dry needling. Analizirati terapijski efikasnost dry needlinga na bol kod miofascijalnog bolnog sindroma. Analizirati snagu, obim i pokretljivost zahvaćenog mišića nakon tretmana dry needlinga. Analizirati uticaj dry needlinga na kvalitet života kod miofascijalnog bolnog sindroma. Na osnovu rezultata istraživanja ukazati na značaj dry needling i njegov pravilan terapijski protokol kako u opštoj populaciji, tako i kod profesionalnih sportista. Ispitanici i metode istraživanja: Ispitanike u ovom istraživanju predstavljaju pacijenti zdravstvene ustanove Master Fizikal sa dijagnozom miofascijalnog bolnog sindroma. U istraživanje je uključeno ukupno 100 punoljetnih ispitanika oba pola (50 rekreativnih sportista i 50 profesionalnih sportista). Kao instrumenti istraživanja koristili su se sociodemografski upitnik, VAS skala bola, manuelno mišićni test i SF 36 upitnik za ispitivanje kvaliteta života. Mjerenja su obavljena prije terapije i mjesec dana nakon terapije. Rezultati: Prosječna starosna dob ispitanika koji su se rekreativno bavili sportom je iznosila 36.22±9.04 godina, a prosječna starosna dob ispitanika koji se profesionalno bave sportom je iznosila 24.94±6.54 godina. Urađena je analiza manuelnog mišićnog testa u obje ispitivane grupe prije i nakon terapije dry needlingom. U obje ispitivane grupe došlo je do statistički značajnog poboljšanja. Prosječna vrijednost VAS skale u grupi ispitanika koji se bave rekreativno sportom prije terapije je iznosila 6.88±1.63, a nakon terapije 2.98±1.80. Prosječna vrijednost VAS skale boli u grupi ispitanika koji se bave sportom profesionalno prije terapije je iznosila 6.68±1.58, a nakon terapije 3.36±1.75. Svi parametri SF – 36 upitnika su značajno poboljšani nakon terapije. Zaključak: Dry needling kao modalitet liječenja dovodi do smanjenja boli i jačanja snage, obima i pokretljivosti zahvaćenog mišića, sa direktanim uticajem na sportske performanse.

Introduction: Dry needling used in the treatment of athletes for various diagnoses and conditions. An increase in the level of sports activity that is implied in professional sports can mean a parallel increase in associated risk factors, both external and internal, for the occurrence of myofascial pain syndrome, chronic pain and reduced physical performance, which is accompanied by a reduced quality of life. Research objectives: To determine the most common trigger point in myofascial pain syndrome and the most common indications for dry needling. To analyze the therapeutic effectiveness of dry needling on pain in myofascial pain syndrome. Analyze the strength, volume and mobility of the affected muscle after dry needling treatment. To analyze the impact of dry needling on the quality of life in myofascial pain syndrome. Based on the research results, point out the importance of dry needling and its proper therapeutic protocol both in the general population and in professional athletes. Subjects and research methods: The subjects in this study are patients of the Master Fizikal health institution with a diagnosis of myofascial pain syndrome. A total of 100 adults of both sexes (50 recreational athletes and 50 professional athletes) were included in the research. The sociodemographic questionnaire, VAS pain scale, manual muscle test and SF 36 questionnaire for quality of life were used as research instruments. Measurements were taken before therapy and one month after therapy. Results: The average age of the subjects who practiced sports recreationally was 36.22±9.04 years, and the average age of the subjects who practiced sports professionally was 24.94±6.54 years. An analysis of the manual muscle test was performed in both examined groups before and after dry needling therapy. There was a statistically significant improvement in both tested groups. The average value of the VAS scale in the group of subjects engaged in recreational sports before therapy was 6.88±1.63, and after therapy it was 2.98±1.80. The average value of the VAS pain scale in the group of respondents who play sports professionally before therapy was 6.68±1.58, and after therapy it was 3.36±1.75. All parameters of the SF-36 questionnaire were significantly improved after therapy. Conclusion: Dry needling as a treatment modality leads to reduction of pain and strengthening of strength, volume and mobility of the affected muscle, with a direct impact on sports performance.