title: Therapeutic effects of peripheral repetitive magnetic stimulation on myofascial pain syndrome.
abstract: 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 20min, in which 4000 magnetic stimuli were administered in 5s trains at 20Hz 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.
authors.affiliation: Centro di Rieducazione Funzionale Policlinico G.B. Rossi, Verona, Italy. nicola.smania@univr.it
authors.forename: Nicola
authors.initials: N
authors.lastname: Smania
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Corato
authors.forename: Antonio
authors.initials: A
authors.lastname: Fiaschi
authors.forename: Paola
authors.initials: P
authors.lastname: Pietropoli
authors.forename: Salvatore M
authors.initials: SM
authors.lastname: Aglioti
authors.forename: Michele
authors.initials: M
authors.lastname: Tinazzi
mesh_terms: D000328:Adult; D004599:Electric Stimulation Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008280:Magnetics; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000294:innervation / Q000503:physiopathology; D009209:Myofascial Pain Syndromes / Q000534:rehabilitation / Q000628:therapy*; D009333:Neck; D016059:Range of Motion, Articular