LATENT TETİK NOKTA TEDAVİSİNDE YÜKSEK GÜÇTE AĞRI SINIRINDA ULTRASON VE İSKEMİK KOMPRESYON YÖNTEMLERİNİN ETKİNLİĞİNİN KARŞILAŞTIRILMASI

The aim of our study; was to determine the effects of High Power Pain Threshold Ultrasound Therapy (HPPT-US) and Ischemic Compression used in Latent Trigger Points (LTrPs) treatment on pain, pressure pain threshold (PPT), emotional state, quality of life and disability. 173 cases who have at least 3 LTrPs in upper trapezius, levator scapulae, supraspinatus, infraspinatus, deltoid major, pectoralis major and pectoralis minimus muscles were included in the study. Pain, emotional state, quality of life and disability were assessed before treatment, 1 week and 4 weeks after treatment; PPT evaluations were performed before treatment, immediately after treatment and 1 week and 4 weeks after treatment. The HPPT-US technique was applied to Group 1 in such a way that the dose was increased to the highest level that the case could tolerate and the dose was kept constant after the US head was kept constant. The HPPT-US technique was applied to Group 2 in such a way that the dose was increased to the highest level that the case could tolerate and the dose was reduced after the US head was kept constant. Group 3 received ischemic compression technique. Measurements used were the visual analog scale (VAS) for pain, PPT algometry results, Beck Depression Scale and The State-Trait Anxiety Inventory (STAI TX-1, STAI TX-2) for emotional state, Short Form Health Survey 36 (SF-36) for quality of life, Neck Pain and Disability Index (NPDI) for disability. Significant improvement was found after treatment on pain, PPT and emotional state parameters in Group 1 and Group 2 (p <0.05). In Group 3, significant improvement was found after treatment on pain, PPT, emotional state and disability parameters (p <0.05). When the groups compared by ANOVA it was found that pain and some subparameters of PPT were statistically different in Group 3 compared to Group 2 (p<0,05). Some subparameters of emotional state, disability parameter and some subparameters of PPT were statistically different in Group 3 compared to Group 1 (p<0,05). As a result of this study, both the application of HPPT-US technique and the Ischemic Compression technique were effective in LTrPs treatment. The Ischemic Compression technique was more effective than HPPT-US technique on pain, depression, disability and PPT. The application of HPPT-US technique by keeping the dose constant is more effective than the application of HPPT-US technique by reducing the dose rate on the pain; the application of HPPT-US technique by reducing the dose is more effective than the application of HPPT-US technique by keeping the dose constant on depression level.