The effects of connective tissue manipulation on balance and proprioception among university students: Randomized controlled study

IF 1.7 Q2 Medicine

Advances in integrative medicine Pub Date : 2024-12-31 DOI:10.1016/j.aimed.2024.12.010

Çiçek Günday , Feyza Şule Badıllı Hantal

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引用次数: 0

Abstract

Background and Purpose

Manual therapy approaches (MTA) could stimulate the proprioceptors of the fascia. Connective tissue manipulation (CTM) is an MTA that could affect musculocutaneous and nervous systems together. Thus, it could be a more promising technique than other MTA to stimulate the fascial proprioceptors. This single-blind randomized-controlled study aimed to investigate the effects of CTM applied to the lumbar, thoracal, and cervical regions on balance and proprioception.

Materials and Methods

40 university students were randomly divided into exercise (16 females, 4 males; mean age: 20.87 ± 3.15) and exercise+CTM (14 females, 6 males; mean age: 22.55 ± 2.39) groups. Both groups performed home exercises to improve balance, flexibility and strength for 2 sessions a week for 6 weeks. Additionally, CTM was applied in exercise+CTM group for 6 weeks, twice-a-week. Before/after assessments were done with Biodex Balance System, Cervical Range of Motion Tester, and StabilizerTM Pressure Biofeedback Unit.

Results

Exercise group showed a significant improvement in proprioception only for cervical flexion to the right with (p = 0.021) and without (p = 0.002) vision while balance was improved especially on dynamic platforms (p < 0.05). Exercise+CTM group showed an improvement in without-vision cervical proprioception in flexion (p = 0.001), flexion to the right (p = 0.003) and left (p = 0.010) and lumbar proprioception (p ≤ 0.001). Balance scores were improved in both static and dynamic platforms (p < 0.05). Improvements in proprioception of cervical flexion with (p = 0.017) and without vision (p = 0.044), and posterior pelvic tilt (p ≤ 0.001) differed between the groups after the study. Unilateral balance scores on static platform (left foot p = 0.016, right foot p = 0.001), and right-foot-stance and bilateral-stance balance scores on dynamic platform (p = 0.008 and p = 0.048 respectively) were improved more in exercise+CTM group.

Conclusion

CTM with exercise improves cervical/lumbar proprioception and balance, especially static balance in comparison to exercise only. Future studies should be done with different populations such as patients with neurological conditions or athletes.

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结缔组织操作对大学生平衡和本体感觉的影响：随机对照研究

背景与目的手工疗法（MTA）可以刺激筋膜本体感受器。结缔组织操纵术（CTM）是一种可以同时影响肌肉、皮肤和神经系统的MTA。因此，它可能是一种比其他MTA更有前途的技术来刺激筋膜本体感受器。这项单盲随机对照研究旨在探讨CTM应用于腰椎、胸椎和颈椎区域对平衡和本体感觉的影响。材料与方法40名大学生随机分为运动组(女16名，男4名；平均年龄：20.87 ± 3.15)和运动+CTM(女性14人，男性6人；平均年龄：22.55 ± 2.39)组。两组都进行了家庭锻炼，以提高平衡、柔韧性和力量，每周两次，持续6周。在此基础上，运动+中药组应用中药，疗程6周，每周2次。评估前后使用Biodex平衡系统、颈椎活动度测试仪和StabilizerTM压力生物反馈装置进行评估。结果运动组仅在有视力（p = 0.021）和无视力（p = 0.002）的颈椎向右屈曲时本体感觉有明显改善（p 和lt； 0.05），平衡性有明显改善（p 和lt； 0.05）。运动+CTM组在屈曲（p = 0.001）、右屈（p = 0.003）、左屈（p = 0.010）和腰椎本体感觉（p ≤ 0.001）方面改善无视力颈椎本体感觉（p = 0.001）。静态和动态平台的平衡评分均有提高（p <； 0.05）。在颈椎屈曲（p = 0.017）和无视力（p = 0.044）和骨盆后倾（p ≤ 0.001）的本体感觉改善方面，两组之间存在差异。运动+CTM组静态平台单侧平衡得分（左脚p = 0.016，右脚p = 0.001），动态平台右脚站姿和双侧站姿平衡得分（p = 0.008,p = 0.048）提高幅度更大。结论与单纯运动相比，中西医结合运动能改善颈椎/腰椎本体感觉和平衡，尤其是静态平衡。未来的研究应该在不同的人群中进行，比如神经系统疾病患者或运动员。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

15 weeks

期刊介绍： Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.