有肌筋膜疼痛综合征和无肌筋膜疼痛综合征的个体中，反复颈椎活动范围过压对斜方肌上部筋膜移位的影响：一项病例对照研究

IF 1.2 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES Pub Date : 2025-02-24 DOI:10.1016/j.jbmt.2025.02.019

Valentin C. Dones III , Chrizelle Joy Del Rosario , Andrea Janelle Co , Sean Jerimiah Agbayani , Patricia Denise Cabrera , Edrin Isabel Dellosa , Daniel Rey Ibo , Ivy Sophia Pagente , Angelika Camille Sua , Clarence Pryce Joshua Almazan , Marie Arallu Capistrano , Kimberly-Anne Enriquez , Jorell Angelo Inarda , Maria Hellena Quebral , John Aldee Rigor , Angelica Supangan

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引用次数: 0

摘要

背景肌筋膜疼痛综合征（MPS）以肌筋膜触发点和相关的筋膜粘连为特征，这些粘连限制了活动能力并引起疼痛，减少了颈椎活动范围（AROM）。本研究考察了反复颈椎AROM后，MPS患者和非MPS患者上斜方肌筋膜移位的差异，并分析了其与诊断、症状偏侧性、年龄、性别、职业和症状慢性性的关系。方法12名研究人员（6名测量浅筋膜和6名测量深筋膜）均采用可靠的方法（K≥0.40），分别分析了3383份浅筋膜和3438份深筋膜超声视频。独立样本t检验比较了有和没有MPS的参与者之间的筋膜运动。多元回归分析确定了筋膜移位的因变量差异与自变量诊断、肩部症状偏侧性、年龄、性别、职业和症状慢性之间的关系。p值为<；0.05表示差异有统计学意义。结果纳入300名参与者（174名MPS: 126名非MPS），年龄中位数（四分位数间距）为36岁（28-43岁）。诊断和肩部症状侧侧性仅解释了活动性颈椎右旋期间浅筋膜移位对数差异的1% （p = 0.71）。因变量仅解释了活动性颈椎左外侧屈曲期间深筋膜移位对数差异的5% （p = 0.39）。结论有限的筋膜移位不是MPS患者的特征。诊断、肩部症状偏侧性、年龄、性别、职业和症状的慢性性并不能解释MPS和非MPS参与者筋膜移位的差异。伦理批准号si -2020-046- r2。方案试验注册号phrr210302 -003264。

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Effects of repeated cervical active range of motion with overpressure on fascial displacement of the upper trapezius muscle among individuals with and without myofascial pain syndrome: A case-control study

Background

Myofascial Pain Syndrome (MPS) is marked by myofascial trigger points and associated fascial adhesions that limit mobility and cause pain, reducing active cervical range of motion (AROM). This study examined differences in upper trapezius fascial displacement between individuals with and without MPS after repeated cervical AROM and analyzed its association with diagnosis, symptom laterality, age, sex, occupation, and symptom chronicity.

Methods

Twelve researchers—six measuring the superficial fascia and six measuring the deep fascia—all with reliable methods (K ≥ 0.40), analyzed 3383 superficial fascia and 3438 deep fascia ultrasound videos, respectively. An independent samples t-test compared fascia movement between participants with and without MPS. Multiple regression analyses determined the relationship between dependent variable differences in fascia displacement and independent variables diagnosis, shoulder symptom laterality, age, sex, occupation, and symptom chronicity. A p-value of <0.05 indicated significant differences.

Results

Three hundred participants (174 MPS: 126 non-MPS) were included with a median age (interquartile range) of 36 (28–43) years old. Diagnosis and shoulder symptom laterality explained only <1% of variations in the logarithmic differences in superficial fascial displacements during active cervical right rotation (p = 0.71). The dependent variables explained only 5% of the variations in logarithmic differences in deep fascial displacements during active cervical left lateral flexion (p = 0.39).

Conclusion

Limited fascial displacement was not a characteristic of MPS participants. Diagnosis, shoulder symptom laterality, age, sex, occupation, and symptom chronicity did not explain the variations in fascial displacements in MPS and non-MPS participants.

Ethics approval number

SI-2020-046-R2.

Protocol trial registration number

PHRR210302-003264.

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来源期刊

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES REHABILITATION-

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