title: [Nonspecific symptoms of pain syndromes of cervicobrachial localization and their dynamics under the influence of non - pharmacological treatment].
abstract: BACKGROUND
  The relevance of this study is caused by the wide spread of musculoskeletal pain, particularly among young people of working age and lack of effectiveness of drug treatment.
  
  
  OBJECTIVE
  To study the capability of non-pharmacological treatment in patients with myofascial pain syndrome of cervicobrachial localization considering the influence to nonspecific symptoms of myofascial pain syndrome (autonomic dysfunctions and emotional disorders).
  
  
  METHODS
  We studied 115 patients aged from 18 to 44 years with myofascial pain syndrome of cervicobrachial localization. We used neurological, vertebral- neurological, neuropsychological examination. The severity of pain was assessed by the Visual analog scale for pain (VAS pain). Patients were divided into two groups. The first group of patients (59 individuals) received the complex of manual therapy. The second group of patients (56 individuals) received the complex of manual therapy combined with acupuncture.
  
  
  RESULTS
  Non-pharmacological treatment was effective in patients with myofascial pain syndrome of cervicobrachial localization. Application of manual therapy methods in the treatment of myofascial pain syndrome of cervicobrachial localization leading to the reduction of severity of pain, emotional disorders and autonomic dysfunctions. The combination of manual therapy with acupuncture increases the effectiveness of treatment of myofascial pain syndrome of cervicobrachial localization by reducing the emotional disorders and autonomic dysfunctions.
  
  
  CONCLUSIONS
  Patients with myofascial pain syndrome of cervicobrachial localization need the complex of manual therapy combined with acupuncture. The manual therapy corrects abnormal biomechanical pattern while acupuncture corrects autonomic dysfunctions and emotional disorders.
authors.affiliation: Харківська медична академія післядипломної освіти МОЗ України, м.Харків, Україна
authors.forename: Олександр Анатолійович
authors.initials: ОА
authors.lastname: Ярошевський
mesh_terms: D015670:Acupuncture Therapy / Q000379:methods*; D000328:Adult; D020968:Brachial Plexus Neuritis / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008405:Massage / Q000379:methods*; D009209:Myofascial Pain Syndromes / Q000628:therapy*; D019547:Neck Pain / Q000628:therapy; D010147:Pain Measurement / Q000379:methods; D016896:Treatment Outcome; D014455:Ukraine; D064232:Visual Analog Scale; D055815:Young Adult