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Therapeutic effects of peripheral repetitive magnetic stimulation on myofascial pain syndrome
Smania N, Corato E, Fiaschi A, Pietropoli P, Aglioti SM, Tinazzi M
Clinical Neurophysiology 2003 Feb;114(2):350-358
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To evaluate short- and medium-term effects of peripheral repetitive magnetic stimulation (rMS) on myofascial pain. METHODS: Eighteen patients who presented with myofascial trigger points (TPs) at the level of the superior trapezius were separated into two groups according to a restricted randomization scheme. Group 1 (n = 9) underwent treatment with rMS that consisted of a total of 10 sessions, each lasting 20 min, in which 4,000 magnetic stimuli were administered in 5s trains at 20 Hz at the TP. Group 2 (n = 9) received a placebo treatment that consisted of the application of a non-functioning ultrasound therapy device to the TP. Patients were evaluated before treatment, at the end of treatment, and again 1 week and 1 month after the conclusion of the treatment. Clinical evaluation included parameters for measuring pain levels (VAS, NPDVAS and algometry), the myofascial TP characteristics and the range of cervical movement (ROM). RESULTS: The rMS group showed a significant improvement in VAS, NPDVAS, algometry, as well as in the characteristics of the TP after conclusion of treatment. Improvements in the ROM were also present in rotation and controlateral bending. This improvement persisted after 1 month. On the other hand, the placebo group did not show any significant improvement in the tests considered. CONCLUSIONS: The results of this study show that peripheral rMS may have positive short- and medium-term therapeutic effects on myofascial pain.

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