Original scientific paper
The application of therapeutic ultrasound on the vertebral circulation in the cervical region in patients who presented with neck pain
Valentina MATIJEVIĆ
orcid.org/0000-0003-0096-2034
; Klinički bolnički centar „Sestre milosrdnice“, Klinika za reumatologiju, fizikalnu medicinu i rehabilitaciju, Vinogradska ulica 29, Zagreb
Simeon GRAZIO
orcid.org/0000-0003-3407-0317
; Klinički bolnički centar „Sestre milosrdnice“, Klinika za reumatologiju, fizikalnu medicinu i rehabilitaciju, Vinogradska ulica 29, Zagreb
Ana ŠEČIĆ
; Klinički bolnički centar „Sestre milosrdnice“, Klinika za reumatologiju, fizikalnu medicinu i rehabilitaciju, Vinogradska ulica 29, Zagreb
Željka KOLAK
orcid.org/0009-0000-1932-5946
; Opća bolnica Vinkovci, Odjel za fizikalnu medicine i rehabilitaciju, Zvonarska 57, Vinkovci
Abstract
The aim of this study was to determine the efficacy of therapeutic ultrasound on vertebral circulation in patients with neck pain. Therapeutic ultrasound in clinical assessment will lead to reduction in pain in the neck, and can change hemodynamics in the extracranial vertebral arteries, which can be one of the mechanisms to reduce pain and muscle spasms. The mechanism of pain reduction by improving the blood flow is based on a known fact that the better elimination residual Products of metabolism leads to decreased stimulation of nociceptors.
The study included 100 patients with neck pain (69 women and 31 men; mean age 55 years). Subjects were divided into test and control group. The test group received therapeutic ultrasound applied by mobile technology (1 MHz, 0.5 W/cm2, 5 min.) at the paravertebral cervical region. In control group, during the application of therapeutic ultrasound, device was turned off. Intervention was conducted 15 times within 3 weeks. Both groups of patients underwent a medical gymnastics program and received transcutaneous electrical nerve stimulation of paravertebra cervical region.
The results showed that there was no statistically significant difference between the test and control groups in the rate of the blood flow in the vertebral arteries after 15 treatments, neither after a month of performed physical therapy. The lowest flow rates in the vertebral arteries, within both groups, were registered before treatment. It has been established that variation in blood flow in vertebral arteries does not diminish neck pain.
Keywords
therapeutic ultrasound; vertebral circulation; neck pain
Hrčak ID:
116863
URI
Publication date:
28.2.2014.
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