Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Effectiveness of Extracorporeal Shockwave Therapy Using Meridian Muscle Theory for Myofascial Pain Syndrome Related to Knee Pain: A Case Report

무릎통증과 관련된 근막통증증후군에 대한 경근이론을 이용한 체외충격파 치료 효과: 증례보고

  • Woenhyung Lee (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Wonkwang University) ;
  • Junghan Lee (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Wonkwang University)
  • 이원형 (원광대학교 한의과대학 한방재활의학교실) ;
  • 이정한 (원광대학교 한의과대학 한방재활의학교실)
  • Received : 2024.09.17
  • Accepted : 2024.09.26
  • Published : 2024.10.31
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Abstract

This study aimed to explore the effectiveness of extracorporeal shock wave therapy (ESWT) based on the meridian muscle theory in alleviating knee pain caused by myofascial pain syndrome. Three patients diagnosed with myofascial pain syndrome affecting the rectus femoris (RF) and tensor fasciae latae (TFL) muscles received six ESWT sessions over two weeks. The treatment targeted the meridian muscles of the stomach and gallbladder in the lower extremities. The evaluation metrics included range of motion (ROM), numeric rating scale (NRS), pain pressure thresholds (PPT), and Lysholm knee score. Results showed a reduction in NRS from 4.3 to 1.7, an increase in Lysholm score from 70.3 to 78.7, and improved PPT values from 2.4 to 5.3 and 2.6 to 5.2 in the RF and TFL, respectively. No significant changes in ROM or adverse effects were observed. These findings suggest that ESWT based on the meridian muscle theory may effectively reduce anterior knee pain; however, further research is needed to confirm these results.

Keywords

Acknowledgement

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: RS-2000-KH142004).

References

  1. Henry R, Cahill CM, Wood G, Hroch J, Wilson R, Cupido T, Vandenkerkhof E. Myofascial pain in patients waitlisted for total knee arthroplasty. Pain Research and Management. 2012;17(5):321-7.
  2. Rozenfeld E, Finestone AS, Moran U, Damri E, Kalichman L. The prevalence of myofascial trigger points in hip and thigh areas in anterior knee pain patients. Journal of Bodywork and Movement Therapies. 2020;24(1):31-8.
  3. Wu T, Li S, Ren J, Wang D, Ai Y. Efficacy of extracorporeal shock waves in the treatment of myofascial pain syndrome: a systematic review and meta-analysis of controlled clinical studies. Annals of Translational Medicine. 2022;10(4):165.
  4. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bulletin of the World Health Organization. 2003;81(9):646-56.
  5. Travell JG, Simons DG, Simons LS. Myofascial pain and dysfunction: the trigger point manual. 2nd ed. Baltimore:Williams & Wilkins. 1999.
  6. Sim WB, Kim YD, An YN, Kim KS, Shon IC. A study on the interrelation between the twelve-meridian muscle and muscles. The Korean Journal of Acupuncture. 2003;20(2):137-53.
  7. Paoletta M, Moretti A, Liguori S, Toro G, Gimigliano F, Iolascon G. Efficacy and effectiveness of extracorporeal shockwave therapy in patients with myofascial pain or fibromyalgia: a scoping review. Medicina. 2022;58(8):1014.
  8. Magee DJ, Sueki D. Orthopedic physical assessment atlas and video: selected special tests and movements. Seoul:Elsevier Korea. 2012:350.
  9. Hartrick CT, Kovan JP, Shapiro S. The numeric rating scale for clinical pain measurement: a ratio measure? Pain Practice. 2003;3(4):310-6.
  10. Park G, Kim CW, Park SB, Kim MJ, Jang SH. Reliability and usefulness of the pressure pain threshold measurement in patients with myofascial pain. Annals of Rehabilitation Medicine. 2011;35(3):412-7.
  11. Bengtsson J, Mollborg J, Werner S. A study for testing the sensitivity and reliability of the Lysholm knee scoring scale. Knee Surgery, Sports Traumatology, Arthroscopy. 1996;4(1):27-31.
  12. Velazquez Saornil J, Sanchez Mila Z, Campon Chekroun A, Barragan Casas JM, Frutos Llanes R, Rodriguez Sanz D. Effectiveness of dry needling and ischaemic trigger point compression of the levator scapulae in patients with chronic neck pain: a short-term randomized clinical trial. Journal of Clinical Medicine. 2023;12(19):6136.
  13. Borg-Stein J, Iaccarino MA. Myofascial pain syndrome treatments. Physical Medicine and Rehabilitation Clinics of North America. 2014;25(2):357-74.
  14. Vazquez-Delgado E, Cascos-Romero J, Gay-Escoda C. Myofascial pain associated to trigger points: a literature review. Part 2: differential diagnosis and treatment. Medicina Oral, Patologia Oral y Cirugia Bucal. 2010;15(4):e639-43.
  15. Yoo JI, Oh MK, Chun SW, Lee SU, Lee CH. The effect of focused extracorporeal shock wave therapy on myofascial pain syndrome of trapezius: a systematic review and meta-analysis. Medicine. 2020;99(7):e19085.
  16. Lee SM, Jeong HY, Keum KS. A study on the Kyung Keun Pyun of the Young Chu. Journal of the Society of Korean Medicine Diagnostics. 1999;3(1):294-332.
  17. Kim CS, Nam YK, Quanyu P, Yang SB, Kim JH, Kwon OS. Comparative literature review of floating acupuncture: compared to meridian muscle, myofascial pain syndrome and wrist-ankle acupuncture. The Korean Journal of Acupuncture. 2023;40(2):33-43.
  18. Lee JK, Song YK, Lim HH. Literature review on the myofascial meridian treatment. Journal of Chuna Manual Medicine for Spine & Nerves. 2006;1(2):31-9.
  19. Liu T, Shindel AW, Lin G, Lue TF. Cellular signaling pathways modulated by low-intensity extracorporeal shock wave therapy. International Journal of Impotence Research. 2019;31(3):170-6.
  20. Jeon JH, Jung YJ, Lee JY, Choi JS, Mun JH, Park WY, Seo CH, Jang KU. The effect of extracorporeal shock wave therapy on myofascial pain syndrome. Annals of Rehabilitation Medicine. 2012;36(5):665-74.
  21. Gerwin RD. Classification, epidemiology, and natural history of myofascial pain syndrome. Current Pain and Headache Reports. 2001;5(5):412-20.