Clinical and Neurophysiological Criteria for Evaluation of Effectiveness of Osteopatic Treatment of Myofascial Pain

Abstract

Goal of research - the study aims to examine the clinical and neurophysiological criteria for evaluating the effectiveness of osteopathic treatment for patients with myofascial pain.Materials and methods. The authors conducted a complex clinical and instrumental examination of 40 people of working age with myofascial pain syndrome of the humeroscapular region. The control group included 20 presumably healthy volunteers of the same age and sex as the main group of subjects of the study. Each patient was subjected to clinical and neurological examinations, neuro-orthopedic and osteopathic examinations, and psychological testing. The electro-neurophysiological part of the work consisted in the study of somatosensory evoked potentials, and polysynaptic refl ex excitability.Results. The authors determined a correlation between the data of the psychological study, the parameters of the blinking refl ex and somatosensory evoked potentials.Conclusion. The data obtained from the complex clinical and neurophysiological examination allow substantiating the pain syndrome before and after treatment. The data can be used as one of the criteria for diagnosis and effectiveness of the treatment of myofascial, in particular, humeroscapular, pain syndrome.