Evidence map›Paper›PMID 40745538›Full record

Trial reportBMC musculoskeletal disorders2025

Immediate efficacy of low-intensity focused ultrasound versus planar ultrasound in patients with myofascial pain syndrome of upper trapezius: a randomized controlled clinical trial.

Yongjia Chen, Yannan Sun, Xize Li, Yijun Lin, Peijue He, Qian Wang

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Effects of cassava wax immersion on pain, pressure pain threshold, and upper extremity function among patients with trigger finger.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yongjia ChenRehabilitation Medicine Center, Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
Yannan SunDepartment of Psychological and Brain Sciences, George Washington University, Washington, DC, USA.
Xize LiRehabilitation Medicine Center, Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
Yijun LinRehabilitation Medicine Center, Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
Peijue HeRehabilitation Medicine Center, Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
Qian WangRehabilitation Medicine Center, Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China. wangqianwind@163.com.

Funding

West China Hospital, Sichuan University 024HXFH013
6 · The paper itself

Abstract

backgroundMyofascial pain syndrome (MPS), a chronic musculoskeletal disorder characterized by myofascial trigger points (MTrPs), causes localized pain and dysfunction. The objective is to compare the immediate therapeutic effects of low-intensity focused ultrasound (LIFU) versus low-intensity planar ultrasound (LIPU) on pain and function in upper trapezius MPS.

methodThis study was designed as a single-blind, randomized controlled trial. The patients (20 ≤ aged ≤ 70) diagnosed with MPS of the upper trapezius were randomly allocated to either LIFU (study group; n = 20; 9 men, 11 women) or LIPU (control group; n = 20; 15 men, 5 women) treatments (1.5 W/cm

resultsPain intensity, as measured by the VAS, decreased significantly immediately after treatment in both the LIFU group (median difference [MD] = -2.0 cm; 95% confidence interval [CI]: -2.5 to -1.5 cm; p = 0.002) and the LIPU group (MD = -1.0 cm; 95% CI: -1.5 to -0.5 cm; p = 0.001), with these reductions maintained at 72 h post-treatment. Both SF-MPQ and NDI scores showed significant improvements following treatment in both groups. A significant reduction in RMS parameters was observed in the LIPU group immediately after treatment (MD = -15.3 µV; 95% CI: -20.0 to -10.5 µV; p = 0.028). No significant differences were observed between the groups in terms of pain alleviation, functional improvement, and alterations in neuromuscular electrophysiological activity (p > 0.05); however, moderate to large effect sizes suggest possible clinical relevance. No adverse events were reported.

conclusionBoth LIFU and LIPU can be considered effective therapeutic options, offering immediate symptom relief in patients with upper trapezius MPS.

trial registrationThe protocol was registered at the Chinese Clinical Trial Register (ChiCTR2500097431) as a clinical trial on 19/02/2025 http://www.chictr.org.cn/ .

Indexed as

Myofascial Pain SyndromesSuperficial Back MusclesUltrasonic TherapyAdultFemaleHumansMaleMiddle AgedPain MeasurementSingle-Blind MethodTreatment OutcomeYoung AdultLow-intensity focused ultrasoundLow-intensity planar ultrasoundMyofascial pain syndromeMyofascial trigger pointsSurface electromyographyUpper trapezius

Identifiers

PMID40745538
PMCPMC12312598

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.