Abstract：
Myofascial pain syndrome (MPS) is the most common in the musculoskeletal disease. Dry needling techniques and ischemic compression are the most common applications. We aimed to compare the efficacy of dry needling and ischemic compression methods on pain, cervical range of motion and disability in myofascial pain syndrome. This is a randomized, controlled study. 98 patients with MPS were randomly assigned into three groups. Group1 received dry needling (n=33), group 2 (n=33) received ischemic compression and group 3 (n=32) received combined with dry needling and ischemic compression inventions. Additionally, all patients were given neck exercise programs including isotonic, isometric, and stretching. The severity of the pain was measured by visual analog scale (VAS). The pressure pain threshold (PPT) and cervical range of motion (ROM) were also recorded. Disability was assessed by the Neck Pain Disability Scale. All assessments were performed before the treatment and one month and three months after the treatment. There were statistically significant improvements in VAS, PPT, cervical ROM, and disability scores after one and three months in all groups compared to pre-treatment results (p<0.05). After three months of follow-up, statistically significant differences were observed in all parameters between the groups (p<0.05) except cervical ROM (p>0.05). Myofascial pain syndrome in patients with ischemic compression and dry needling effective treatment methods are shown separately in our study to be more effective when used together.
摘要：
肌筋膜疼痛综合征（MPS）是最常见的肌肉骨骼疾病。干针技术和缺血性压迫是最常见的应用。我们旨在比较干刺和缺血压迫方法对疼痛的疗效，肌筋膜疼痛综合征的颈椎活动度和残疾。这是一个随机的，对照研究。98例MPS患者随机分为三组。第1组接受了干针刺（n=33），第2组(n=33)接收缺血压迫,第3组(n=32)接收结合干针法和缺血压迫发明。此外,所有患者都接受了颈部锻炼计划，包括等渗，等距，和伸展。通过视觉模拟量表(VAS)测量疼痛的严重程度。还记录了压力疼痛阈值（PPT）和颈椎活动范围（ROM）。通过颈部疼痛残疾量表评估残疾。所有评估均在治疗前和治疗后1个月和3个月进行。VAS有统计学上的显着改善，PPT,宫颈ROM，与治疗前的结果相比，所有组的1个月和3个月后的残疾评分（p<0.05）。经过三个月的随访，除宫颈ROM（p>0.05）外，两组之间的所有参数均具有统计学意义（p<0.05）。在我们的研究中分别显示了缺血性压迫和干刺患者的肌筋膜疼痛综合征的有效治疗方法，当一起使用时更有效。
