Sarah Bohunicky, Lindsey Rutherford, Kara-Lyn Harrison, Quinn Malone, Cheryl M Glazebrook, Trisha D Scribbans
{"title":"胸肌筋膜松解术对姿势、活动范围和肌肉兴奋性的直接影响：一项交叉随机临床试验。","authors":"Sarah Bohunicky, Lindsey Rutherford, Kara-Lyn Harrison, Quinn Malone, Cheryl M Glazebrook, Trisha D Scribbans","doi":"10.1080/10669817.2024.2316414","DOIUrl":null,"url":null,"abstract":"<p><strong>Context: </strong>Forward shoulder posture (FSP) is a risk factor for shoulder pathology. Manual therapists often use myofascial release (MFR) to elongate restricted pectoral fascia to reduce FSP and improve shoulder function; however, the effects of this treatment approach remain anecdotal.</p><p><strong>Objective: </strong>Determine the acute effects of 4-min of MFR, compared to a soft-touch control (CON), to the pectoral fascia on: 1) FSP, 2) shoulder horizontal abduction ROM (HA-ROM), and 3) muscle excitation of the trapezius (upper, middle, lower [UT, MT, LT]) and pectoralis major (PEC).</p><p><strong>Methods: </strong>Fifty-nine right-handed participants (27 ± 9 years, 30 female) with FSP, but otherwise asymptomatic shoulders participated in a randomized crossover clinical trial by attending two experimental sessions: one MFR and one CON treatment, each administered by a Registered Massage Therapist. FSP, HA-ROM, and muscle excitation during a reaching task, were measured before and after each treatment.</p><p><strong>Results: </strong>There was a significant interaction between treatment and time for FSP (<i>p</i> = .018, η<sub>p</sub> = .093) with FSP decreasing from PRE MFR (128 ± 19 mm) to POST MFR (123 ± 19 mm; <i>p</i> < .001, η<sub>p</sub> = .420) and PRE CON (126 ± 19 mm) to POST CON (124 ± 18 mm; <i>p</i> < .001, η<sub>p</sub> = .191) interventions. There were no significant differences in HA-ROM or muscle excitation.</p><p><strong>Conclusion: </strong>Four minutes of MFR or CON to the pectoral fascia acutely reduces FSP.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"495-505"},"PeriodicalIF":1.6000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11421133/pdf/","citationCount":"0","resultStr":"{\"title\":\"Immediate effects of myofascial release to the pectoral fascia on posture, range of motion, and muscle excitation: a crossover randomized clinical trial.\",\"authors\":\"Sarah Bohunicky, Lindsey Rutherford, Kara-Lyn Harrison, Quinn Malone, Cheryl M Glazebrook, Trisha D Scribbans\",\"doi\":\"10.1080/10669817.2024.2316414\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Context: </strong>Forward shoulder posture (FSP) is a risk factor for shoulder pathology. Manual therapists often use myofascial release (MFR) to elongate restricted pectoral fascia to reduce FSP and improve shoulder function; however, the effects of this treatment approach remain anecdotal.</p><p><strong>Objective: </strong>Determine the acute effects of 4-min of MFR, compared to a soft-touch control (CON), to the pectoral fascia on: 1) FSP, 2) shoulder horizontal abduction ROM (HA-ROM), and 3) muscle excitation of the trapezius (upper, middle, lower [UT, MT, LT]) and pectoralis major (PEC).</p><p><strong>Methods: </strong>Fifty-nine right-handed participants (27 ± 9 years, 30 female) with FSP, but otherwise asymptomatic shoulders participated in a randomized crossover clinical trial by attending two experimental sessions: one MFR and one CON treatment, each administered by a Registered Massage Therapist. FSP, HA-ROM, and muscle excitation during a reaching task, were measured before and after each treatment.</p><p><strong>Results: </strong>There was a significant interaction between treatment and time for FSP (<i>p</i> = .018, η<sub>p</sub> = .093) with FSP decreasing from PRE MFR (128 ± 19 mm) to POST MFR (123 ± 19 mm; <i>p</i> < .001, η<sub>p</sub> = .420) and PRE CON (126 ± 19 mm) to POST CON (124 ± 18 mm; <i>p</i> < .001, η<sub>p</sub> = .191) interventions. There were no significant differences in HA-ROM or muscle excitation.</p><p><strong>Conclusion: </strong>Four minutes of MFR or CON to the pectoral fascia acutely reduces FSP.</p>\",\"PeriodicalId\":47319,\"journal\":{\"name\":\"Journal of Manual & Manipulative Therapy\",\"volume\":\" \",\"pages\":\"495-505\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11421133/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Manual & Manipulative Therapy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/10669817.2024.2316414\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/2/16 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Manual & Manipulative Therapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/10669817.2024.2316414","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/2/16 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}
Immediate effects of myofascial release to the pectoral fascia on posture, range of motion, and muscle excitation: a crossover randomized clinical trial.
Context: Forward shoulder posture (FSP) is a risk factor for shoulder pathology. Manual therapists often use myofascial release (MFR) to elongate restricted pectoral fascia to reduce FSP and improve shoulder function; however, the effects of this treatment approach remain anecdotal.
Objective: Determine the acute effects of 4-min of MFR, compared to a soft-touch control (CON), to the pectoral fascia on: 1) FSP, 2) shoulder horizontal abduction ROM (HA-ROM), and 3) muscle excitation of the trapezius (upper, middle, lower [UT, MT, LT]) and pectoralis major (PEC).
Methods: Fifty-nine right-handed participants (27 ± 9 years, 30 female) with FSP, but otherwise asymptomatic shoulders participated in a randomized crossover clinical trial by attending two experimental sessions: one MFR and one CON treatment, each administered by a Registered Massage Therapist. FSP, HA-ROM, and muscle excitation during a reaching task, were measured before and after each treatment.
Results: There was a significant interaction between treatment and time for FSP (p = .018, ηp = .093) with FSP decreasing from PRE MFR (128 ± 19 mm) to POST MFR (123 ± 19 mm; p < .001, ηp = .420) and PRE CON (126 ± 19 mm) to POST CON (124 ± 18 mm; p < .001, ηp = .191) interventions. There were no significant differences in HA-ROM or muscle excitation.
Conclusion: Four minutes of MFR or CON to the pectoral fascia acutely reduces FSP.
期刊介绍：
The Journal of Manual & Manipulative Therapy is an international peer-reviewed journal dedicated to the publication of original research, case reports, and reviews of the literature that contribute to the advancement of knowledge in the field of manual therapy, clinical research, therapeutic practice, and academic training. In addition, each issue features an editorial written by the editor or a guest editor, media reviews, thesis reviews, and abstracts of current literature. Areas of interest include: •Thrust and non-thrust manipulation •Neurodynamic assessment and treatment •Diagnostic accuracy and classification •Manual therapy-related interventions •Clinical decision-making processes •Understanding clinimetrics for the clinician
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