The effect of using shockwave therapy and therapeutic exercises in treating myofascial pain syndrome in men in Tripoli

Abstract

   Thoracic trigger point dysfunction, commonly known as “Myofascial Pain Syndrome,” is considered one of the most prevalent musculoskeletal conditions affecting functional performance and quality of life. This study aimed to investigate the effect of shock wave therapy combined with therapeutic exercises on pain intensity, range of motion, and muscle strength among males with Myofascial Pain Syndrome injuries in Tripoli. The experimental method was applied to a sample of men aged( 30–35) years through an eight-week therapeutic program consisting of three sessions per week, incorporating radial shock wave therapy and structured stretching and strengthening exercises.

Pain intensity was assessed using the Visual Analogue Scale (VAS), while shoulder and cervical range of motion were measured using a goniometer. Muscle strength was evaluated using standardized manual muscle testing.

The results revealed statistically significant improvements between pre- and post-measurements across all variables in favor of the post-treatment scores. Muscle strength increased from a mean of (2.50 to 4.17), accompanied by notable enhancements in both cervical and shoulder range of motion.

 These improvements were supported by a large effect size according to Cohen’s d, indicating a true and clinically meaningful impact of the intervention.

The study concludes that the combined program of shock wave therapy and therapeutic exercises represents an effective and clinically valuable intervention for reducing pain, improving mobility, and enhancing muscle strength among individuals with Myofascial Pain Syndrome dysfunction. Accordingly, the integrated protocol is recommended as a viable therapeutic approach within physical therapy practice.