Andreas Konrad, Masatoshi Nakamura, Mahta Sardroodian, Nazanin Aboozari, Saman Hadjizadeh Anvar, David G Behm
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引用次数: 0
摘要
目的:拉伸后活动范围增加的主要机制之一是增加疼痛/拉伸耐受性。然而,目前还不清楚伸展运动是否能减轻肌肉骨骼疼痛患者的疼痛。因此,本系统综述的目的是研究慢性拉伸训练是否可以减轻肌肉骨骼疼痛患者的疼痛。方法:在我们的搜索中,我们纳入了三个数据库(PubMed, Scopus和Web of Science),在删除重复后,筛选了797篇论文。六篇论文符合本综述的条件。纳入标准是对照或随机对照试验,涉及任何类型的慢性拉伸训练,参与者经历肌肉骨骼疼痛,并报告至少一个疼痛输出参数(例如视觉模拟量表)。结果:在回顾的六项研究中,四项研究关注拉伸干预对患者疼痛的影响,而另外两项研究调查了拉伸期间疼痛的患病率。干预持续4周到6个月,涉及静态或动态拉伸技术,共有658名参与者。六项研究中有五项报告了观察期后疼痛评分或疼痛发生率或严重程度的显著降低。结论:拉伸可以通过增加运动范围和降低肌肉僵硬度来减轻疼痛,从而缓解神经压力和降低肌肉纺锤体活动。尽管结果好坏参半,但总的来说,证据支持拉伸是缓解肌肉骨骼疼痛的有效干预措施。
The effects of chronic stretch training on musculoskeletal pain.
Purpose: One of the primary mechanisms for the increase in range of motion following stretching is an increase in pain/stretch tolerance. However, it remains unclear whether stretching can reduce pain in patients suffering from musculoskeletal pain. Therefore, the purpose of this systematic review was to investigate whether chronic stretch training can decrease pain in patients suffering from musculoskeletal pain.
Methods: In our search, we included three databases (PubMed, Scopus, and Web of Science) and after removing duplicates, screened 797 papers. Six papers were found to be eligible for this review. The inclusion criteria were controlled or randomized controlled trials that involved any type of chronic stretch training with participants experiencing musculoskeletal pain and where at least one pain output parameter was reported (e.g. visual analogue scale).
Results: Of the six studies reviewed, four focused on the effects of stretching interventions on pain in patients, while the other two examined pain prevalence during the stretching period. The interventions lasted between 4 weeks and 6 months and involved either static or dynamic stretching techniques with in total 658 participants. Five of the six studies reported a significant decrease in pain scores or a reduction in the prevalence or severity of pain following the observation period.
Conclusion: The findings indicate that stretching can alleviate pain by enhancing range of motion and reducing muscle stiffness, which may ease nerve pressure and lower muscle spindle activity. Although results were somewhat mixed, the evidence overall supports stretching as an effective intervention for relieving musculoskeletal pain.
期刊介绍:
The European Journal of Applied Physiology (EJAP) aims to promote mechanistic advances in human integrative and translational physiology. Physiology is viewed broadly, having overlapping context with related disciplines such as biomechanics, biochemistry, endocrinology, ergonomics, immunology, motor control, and nutrition. EJAP welcomes studies dealing with physical exercise, training and performance. Studies addressing physiological mechanisms are preferred over descriptive studies. Papers dealing with animal models or pathophysiological conditions are not excluded from consideration, but must be clearly relevant to human physiology.