Correlated variables and changes in fascial stiffness and pelvic mobility following the myofascial induction method utilizing the crossed hands technique

IF 1.2 Q3 REHABILITATION
Maria Alejandra Sánchez Vera , Margareth Lorena Alfonso-Mora , Luis Mauricio Agudelo Otálora , Luis Alfredo Paipa Galeano , Miguel Angel Uribe-Laverde , Erika Juliana Latorre Quimbayo , Adriana Lucía Castellanos Garrido , Robert Schleip , Andrzej Pilat
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引用次数: 0

Abstract

Background

Myofascial Induction Therapy (MIT) is a physiotherapeutic (PT) intervention addressing musculoskeletal disorders. Standardizing MIT as a manual PT intervention ensures consistency and replicability.

Aim

To describe correlated variables and changes in fascial stiffness and pelvic mobility after applying the Crossed Hands Technique based on MIT.

Methods

A quasi-experimental study involved 15 PTs trained in myofascial induction and 15 healthy individuals. Environmental (ambient temperature, stretcher height, width), patient (subscapular fatty fold, BMI, height, chest length, lumbopelvic mobility, fascial stiffness), and PT variables (pressure, traction, hand temperature, kinematic changes) were assessed during lumbodorsal hands-cross at 1-min intervals for 5 min. Pelvic mobility was measured using kinovea photogrammetry and dorsolumbar stiffness using a durometer. Descriptive analysis and correlations were applied.

Results

PTs had a mean 5.3 years of MIT experience. The average force was 5.5 N, traction force 0.39 N. Post-technique, individuals showed 4° increased pelvic mobility, minimal stiffness changes at T7 and L4 levels. Kinematic variables for the PTs revealed an average shoulder flexion of 40° and bilateral elbow flexion of 18°. Following the application of the technique, individuals who received MIT experienced a 4° increase in pelvic mobility, with only minor changes in stiffness observed at both the T7 and L4 levels.

Conclusions

The Crossed Hands Technique involves key variables like force and traction, varying over time. Clinical outcomes are influenced by patient and environmental factors. Notably, the physiotherapist's hand temperature, right shoulder internal rotation, right foot abduction, and fourth finger opening show significant correlations with tissue stiffness changes.

利用双手交叉技术进行肌筋膜诱导法后筋膜僵硬度和骨盆活动度的相关变量和变化
背景肌筋膜诱导疗法(MIT)是一种针对肌肉骨骼疾病的物理治疗(PT)干预方法。方法一项准实验研究涉及 15 名接受过肌筋膜诱导培训的理疗师和 15 名健康人。在5分钟的腰背双手交叉过程中,每隔1分钟对环境(环境温度、担架高度、宽度)、患者(肩胛下脂肪皱褶、体重指数、身高、胸长、腰椎活动度、筋膜僵硬度)和PT变量(压力、牵引力、手部温度、运动学变化)进行评估。骨盆活动度使用 kinovea 摄影测量法进行测量,腰背僵硬度使用硬度计进行测量。对结果进行了描述性分析和相关性分析。技术实施后,患者骨盆活动度增加了 4°,T7 和 L4 水平的僵硬度变化极小。训练者的运动变量显示,平均肩关节屈曲 40°,双侧肘关节屈曲 18°。在应用该技术后,接受 MIT 的患者骨盆活动度增加了 4°,T7 和 L4 水平的僵硬度仅有轻微变化。临床结果受患者和环境因素的影响。值得注意的是,物理治疗师的手温、右肩内旋、右脚外展和第四指张开度与组织僵硬度变化有显著相关性。
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来源期刊
CiteScore
2.80
自引率
0.00%
发文量
133
审稿时长
321 days
期刊介绍: The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina
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