体位松解法与肌筋膜松解法对大学生斜方上肌和肩胛提肌潜在触发点的影响比较

Dr. Lai Pathak ( PT), Dr. Himanshu Mohan Pathak (PT)
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摘要

背景:许多研究表明肌筋膜疼痛综合征是肌肉骨骼功能障碍的重要来源。此外,在检查触发点时,上斜方肌的患病率最高,为94.79%,其次是颈伸肌72.97%,肩胛提肌63.54%。体位释放技术和肌筋膜释放技术分别用于活动和潜在触发点,并显示出它们对疼痛、功能残疾和运动限制的影响。结合以往文献,本研究的目的是比较体位释放技术和肌筋膜释放技术对大学生斜方上肌和肩胛提肌潜在触发点的影响。方法:选取符合纳入和排除标准的受试者40例,采用分组法随机分为两组。治疗开始前,所有受试者均采用VAS评估疼痛,颈部残疾指数评估颈部残疾,颈椎活动度测量仪评估颈椎活动度。A组给予体位松解技术,配合常规颈椎运动和肩带运动。B组在常规训练的基础上给予肌筋膜松解技术。收集并分析了数据。比较a组和B组疼痛、颈部失能、颈椎活动度的后期评分,差异无统计学意义。比较A组与B组评分的差异,A组仅在颈椎屈曲活动度(p<0.0016)、颈椎右旋(p<0.0002)、左侧屈曲(p<0.0062)方面差异有统计学意义,A组效果优于B组。关键词:肌筋膜触发点、体位松解技术、肌筋膜松解技术、视觉模拟量表、颈部残疾指数
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COMPARISON BETWEEN THE EFFECT OF POSITIONAL RELEASE TECHNIQUE AND MYOFASCIAL RELEASE TECHNIQUE ON UPPER TRAPEZIUS AND LEVATOR SCAPULAE LATENT TRIGGER POINTS IN UNDERGRADUATE STUDENTS
BACKGROUND: Many studies suggest that myofascial pain syndrome is an important source of musculoskeletal dysfunction. Also, on examining the trigger points, highest prevalence was seen in upper trapezius which was 94.79% followed by neck extensors 72.97% and levator scapulae 63.54%. Positional release technique and Myofascial release technique both have been used individually on both active and latent trigger points and have shown their effects on pain, functional disability and movement restriction.  With considering the previous literature, aim of the study is to compare the effect of positional release technique and myofascial release technique on upper trapezius and levator scapulae latent trigger points in undergraduate students. METHODOLOGY: 40 subjects fulfilling the inclusion and exclusion criteria were selected and randomly allocated into two groups via chit method. All the subjects were assessed for pain using VAS, neck disability using Neck Disability Index and cervical range of motion using goniometer before initiating the treatment. Group A was given Positional release technique along with conventional exercises of cervical movements and shoulder girdle exercises. Group B was given Myofascial release technique along with same conventional exercises.  Data was collected and analysed. There was not a statistically significant difference when post scores of Group A and Group B were compared for pain, neck disability and cervical range of motion. On comparing the differences of scores of Group A and group B, statistically significant difference was seen only in cervical flexion range of motion (p<0.0016), cervical right rotation (p<0.0002) and left lateral flexion (p<0.0062) showing better results in Group A than Group B. KEYWORDS: Myofascial trigger points, Positional release technique, Myofascial release technique, Visual analog scale, Neck disability index
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