远程自我肌筋膜释放和拉伸对运动范围和慢性颈部疼痛的影响：一项随机对照试验

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES Pub Date : 2025-07-02 DOI:10.1016/j.jbmt.2025.07.003

Marzieh Behnampour , Amir Hossein Barati , Behrouz Jafari , Mehrdad Bahramian

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引用次数: 0

摘要

背景与目的本研究以下肢肌筋膜链为靶点，探讨远程自我肌筋膜释放（SMR）和拉伸对慢性颈部疼痛和活动范围（ROM）的影响。材料与方法在准实验研究中，32名年龄在30-40岁的慢性颈部疼痛患者随机分为实验组（n = 16）和对照组（n = 16）。实验组接受远程SMR和腓肠肌和足底筋膜拉伸锻炼，每周进行三次，持续六周。对照组不进行干预。颈部ROM（矢状面）用角计测量，疼痛用视觉模拟量表评估，功能残疾用COMI-Neck问卷测量。结果双因素方差分析显示，时间和组对颈痛和ROM有显著的交互作用(p <；0.05)。Bonferroni事后测试显示，实验组疼痛和残疾明显减轻，ROM增加(p <；0.05)，对照组无显著变化(p >；0.05)。这些结果表明，针对下肢筋膜的远程干预可以积极影响颈椎功能。结论smr联合下肢远程伸展运动可有效改善颈ROM，减轻慢性颈痛患者的疼痛和残疾。研究结果支持浅表后防线（SBL）在非侵入性治疗策略中的相关性。本研究注册于https://irct.behdasht.gov.ir/with，注册号为IRCT20200209046422N2。

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The effect of remote self-myofascial release and stretch on range of motion and chronic neck pain: A randomized control trial

Background and aims

This study investigated the effect of remote Self-Myofascial Release (SMR) and stretching on chronic neck pain and range of motion (ROM) by targeting the lower limb myofascial chain.

Materials and methods

In this quasi-experimental study, 32 participants aged 30–40 years with chronic neck pain were randomly assigned to an experimental group (n = 16) or a control group (n = 16). The experimental group received remote SMR and stretching exercises for the gastrocnemius and plantar fascia, performed three times weekly for six weeks. The control group received no intervention. Neck ROM (sagittal plane) was measured using a goniometer, pain was assessed with a visual analog scale, and functional disability was measured using the COMI-Neck questionnaire.

Results

Two-way ANOVA revealed a significant interaction between time and group for neck pain and ROM (p < 0.05). Bonferroni post-hoc tests showed significant reductions in pain and disability and increased ROM in the experimental group (p < 0.05), while no significant changes were observed in the control group (p > 0.05). These results indicate that remote interventions targeting lower limb fascia can positively influence cervical function.

Conclusion

SMR combined with remote stretching exercises for the lower limbs may effectively improve cervical ROM and reduce pain and disability in individuals with chronic neck pain. The findings support the relevance of the Superficial Back Line (SBL) in non-invasive treatment strategies.

Trial registration

This study was registered at https://irct.behdasht.gov.ir/with the registration number IRCT20200209046422N2.

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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