Comparison of The Effect of High Power Ultrasound and High Intensity Laser Application on Pain and Quality of Life in Myofacial Pain Syndrome

Can Demirel; Ali Gür

Article Details

Comparison of The Effect of High Power Ultrasound and High Intensity Laser Application on Pain and Quality of Life in Myofacial Pain Syndrome

Authors:

Can Demirel | Ali Gür

Publisher:

Dicle University

Main Topics:

Sağlık Kurumları Yönetimi | Tıp Eğitimi | Sağlık Hizmetleri ve Sistemleri (Diğer)

Journal:

Dicle Tıp Dergisi Vol.52 Issue 3, pp.475-485

Document Type:

Article

Publication Date:

9/2025

Document Language:

English

Document ID (Org No.):

2001358316

pISSN:

1300-2945

Keywords:

Abstract:

 Objective: his study aims to compare the effectiveness of high-power ultrasound HPU, a novel treatment in myofacial pain syndromeMPS management, with high-intensity laser therapy HILT on pain, depression, and quality of life. Methods: Sixty patients diagnosed with MPS, who had experienced pain for at least three months and had at least one active trigger pointTP were included in the study. The patients were randomly assigned to two groups. Group 1 received hot pack therapy, transcutaneous electrical nerve stimulation TENS, exercise and HPU, while Group 2 received hot pack therapy, TENS, exercise and HILT. Pain was assessed using the Visual Analog Scale VAS, pressure pain threshold with an algometer and hand grip strength with a dynamometer. Quality of life was evaluated using the Short Form-36 SF-36, psychological status with the Beck Depression Inventory BDI mand cervical health with the Neck Disability Index NDI. All measurements were taken before and after the treatment. Results: No significant differences were found between the groups in terms of baseline demographic data p0.05. Both groups showed significant post-treatment improvements in VAS, BDI, NDI, algometry scores and all SF-36 parameters p0.05. However, no significant changes were observed in hand grip strength p0.05. Furthermore, no statistically significant differences were found between the groups in any of the outcome measures after treatment p0.05. Conclusion: Both HPU and HILT are effective in the treatment of MPS; however, HPU may be preferred more due to its lower cost, greater accessibility and shorter application time.

 Objective: his study aims to compare the effectiveness of high-power ultrasound HPU, a novel treatment in myofacial pain syndromeMPS management, with high-intensity laser therapy HILT on pain, depression, and quality of life. Methods: Sixty patients diagnosed with MPS, who had experienced pain for at least three months and had at least one active trigger pointTP were included in the study. The patients were randomly assigned to two groups. Group 1 received hot pack therapy, transcutaneous electrical nerve stimulation TENS, exercise and HPU, while Group 2 received hot pack therapy, TENS, exercise and HILT. Pain was assessed using the Visual Analog Scale VAS, pressure pain threshold with an algometer and hand grip strength with a dynamometer. Quality of life was evaluated using the Short Form-36 SF-36, psychological status with the Beck Depression Inventory BDI mand cervical health with the Neck Disability Index NDI. All measurements were taken before and after the treatment. Results: No significant differences were found between the groups in terms of baseline demographic data p0.05. Both groups showed significant post-treatment improvements in VAS, BDI, NDI, algometry scores and all SF-36 parameters p0.05. However, no significant changes were observed in hand grip strength p0.05. Furthermore, no statistically significant differences were found between the groups in any of the outcome measures after treatment p0.05. Conclusion: Both HPU and HILT are effective in the treatment of MPS; however, HPU may be preferred more due to its lower cost, greater accessibility and shorter application time.

 Objective: his study aims to compare the effectiveness of high-power ultrasound HPU, a novel treatment in myofacial pain syndromeMPS management, with high-intensity laser therapy HILT on pain, depression, and quality of life. Methods: Sixty patients diagnosed with MPS, who had experienced pain for at least three months and had at least one active trigger pointTP were included in the study. The patients were randomly assigned to two groups. Group 1 received hot pack therapy, transcutaneous electrical nerve stimulation TENS, exercise and HPU, while Group 2 received hot pack therapy, TENS, exercise and HILT. Pain was assessed using the Visual Analog Scale VAS, pressure pain threshold with an algometer and hand grip strength with a dynamometer. Quality of life was evaluated using the Short Form-36 SF-36, psychological status with the Beck Depression Inventory BDI mand cervical health with the Neck Disability Index NDI. All measurements were taken before and after the treatment. Results: No significant differences were found between the groups in terms of baseline demographic data p0.05. Both groups showed significant post-treatment improvements in VAS, BDI, NDI, algometry scores and all SF-36 parameters p0.05. However, no significant changes were observed in hand grip strength p0.05. Furthermore, no statistically significant differences were found between the groups in any of the outcome measures after treatment p0.05. Conclusion: Both HPU and HILT are effective in the treatment of MPS; however, HPU may be preferred more due to its lower cost, greater accessibility and shorter application time.

 Amaç: Miyofasiyal ağrı sendromu MAS tedavisinde yeni bir yöntem olan yüksek güçlü ultrason YGU ile yüksek yoğunluklu lazer YYL tedavisinin ağrı, depresyon ve yaşam kalitesi üzerindeki etkinliğini karşılaştırmayı amaçlamaktadır. Yöntemler: MAS tanısı almış, en az üç aydır ağrı şikayeti bulunan ve en az bir aktif tetik noktaTN olan 60 hasta çalışmaya dahil edildi. Hastalar rastgele iki gruba ayrıldı Birinci gruba; hotpack, transkutanöz elektriksel sinir stimülasyonu TENS, egzersiz ve YGU tedavisi uygulanırken; ikinci gruba hotpack, TENS, egzersiz ve YYL tedavisi uygulandı. Ağrı düzeyi Görsel Analog Skala VAS ile, basınç-ağrı eşiği algometre ile, el kavrama gücü ise el dinamometresi ile değerlendirilmiştir. Yaşam kalitesi Short Form-36 SF-36 anketiyle, psikolojik durum Beck Depresyon Ölçeği BDÖ ile ve boyun sağlığı Boyun Özür Göstergesi BÖG ile değerlendirildi. Tüm ölçümler tedavi öncesi ve sonrası yapıldı. Bulgular: Gruplar arasında başlangıç demografik veriler açısından anlamlı fark bulunmadıp0.05. Her iki grupta da tedavi sonrasında VAS, BDÖ, BÖG, algometre ve tüm SF-36 parametrelerinde anlamlı iyileşme gözlendip0.05. Ancak el kavrama gücünde anlamlı bir değişiklik izlenmedi p0.05. Ayrıca, tedavi sonrası değerlendirmelerde gruplar arasında herhangi bir ölçümde istatistiksel olarak anlamlı fark bulunmadı p0.05. Sonuç: Hem YGU hem de YYL, MAS tedavisinde etkilidir; ancak YGU, daha düşük maliyeti, daha kolay erişilebilirliği ve daha kısa uygulama süresi nedeniyle daha çok tercih edilebilir.

Article Details

Comparison of The Effect of High Power Ultrasound and High Intensity Laser Application on Pain and Quality of Life in Myofacial Pain Syndrome

Authors:

Can Demirel | Ali Gür

Publisher:

Dicle University

Main Topics:

Sağlık Kurumları Yönetimi | Tıp Eğitimi | Sağlık Hizmetleri ve Sistemleri (Diğer)

Journal:

Dicle Tıp Dergisi Vol.52 Issue 3, pp.475-485

Document Type:

Article

Publication Date:

9/2025

Document Language:

English

Document ID (Org No.):

2001358316

pISSN:

1300-2945

Laser

Myofascial pain syndrome

UltrasoundLazer

Miyofasiyal ağrı sendromu

Ultrason

Issues

Article Details

Comparison of The Effect of High Power Ultrasound and High Intensity Laser Application on Pain and Quality of Life in Myofacial Pain Syndrome

Authors: Can Demirel | Ali Gür

Publisher: Dicle University

Main Topics: Sağlık Kurumları Yönetimi | Tıp Eğitimi | Sağlık Hizmetleri ve Sistemleri (Diğer)

Journal: Dicle Tıp Dergisi Vol.52 Issue 3, pp.475-485

Document Type: Article

Publication Date: 9/2025

Document Language: English

Document ID (Org No.): 2001358316

pISSN: 1300-2945

Laser

Myofascial pain syndrome

UltrasoundLazer

Miyofasiyal ağrı sendromu

Ultrason

Issues

Authors:

Can Demirel | Ali Gür

Publisher:

Dicle University

Main Topics:

Sağlık Kurumları Yönetimi | Tıp Eğitimi | Sağlık Hizmetleri ve Sistemleri (Diğer)

Journal:

Dicle Tıp Dergisi Vol.52 Issue 3, pp.475-485

Document Type:

Article

Publication Date:

9/2025

Document Language:

English

Document ID (Org No.):

2001358316

pISSN:

1300-2945