干针对腘绳肌活动范围的影响:一个有批判性评价的课题。

IF 1.3 4区 医学 Q3 REHABILITATION
Journal of Sport Rehabilitation Pub Date : 2023-09-28 Print Date: 2024-02-01 DOI:10.1123/jsr.2023-0167
Amy L Curry, Suhyun Jang, Michael P Monahan, Matthew J Rivera
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引用次数: 0

摘要

临床场景:文献中对腘绳肌活动范围及其对损伤风险的影响进行了大量讨论。腘绳肌损伤可能是由腘绳肌腱紧绷、柔韧性差或ROM降低引起的,许多人认为可以通过各种干预策略来预防。在活跃人群中,如果不治疗最小的腘绳肌ROM,整个运动链可能会出现进一步损伤、疼痛和并发症的风险。一种应用于身体不同部位以帮助改善功能同时缓解疼痛的治疗干预措施是干针(DN)。这种干预包括将针头应用于结构,以诱导可能有益于神经反应的愈合和整体刺激的反应。在这篇综述中,目的是确定DN对腘绳肌ROM的影响和证据。临床问题:DN对腘绳肌ROM有什么影响?关键发现总结:在总共11篇文章中,1项单盲随机对照试验和2项双盲随机对照实验被纳入这一关键评价主题。所有3篇文章都有不确定的证据来隔离DN干预的应用。没有足够的证据来确定DN是否独立改善了腘绳肌ROM;然而,结合运动和拉伸计划等干预措施,ROM有所改善。临床底线是:DN不会显著增加或减少腘绳肌的ROM。当与锻炼和伸展计划相结合时,DN可以增加ROM。推荐强度:B级是由推荐强度分类法推荐的,用于不一致或质量有限的以患者为导向的证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effects of Dry Needling on Hamstring Range of Motion: A Critically Appraised Topic.

Clinical scenario: Hamstring range of motion (ROM) and the influence it has on injury risk is among great discussion in the literature. Hamstring injury may result from hamstring tightness, poor flexibility, or decreased ROM, and many argue that this can be prevented through various intervention strategies. In active populations, risk of further injury, pain, and complications throughout the kinetic chain can occur if minimal hamstring ROM is left untreated. One therapeutic intervention that has been applied to varying parts of the body to help improve function while relieving pain is dry needling (DN). This intervention includes the application of needles to structures to induce responses that might benefit healing and overall stimulation of a neurological response. In this review, the intent is to identify evidence and the effects of DN on hamstring ROM.

Clinical question: What are the effects of DN on hamstring ROM?

Summary of key findings: Among total 11 articles, 1 single-blinded randomized controlled trial and 2 double-blinded randomized controlled trials were included in this critically appraised topic. All 3 articles had inconclusive evidence to isolate the application of the DN intervention. There was insufficient evidence to identify if DN independently improved hamstring ROM; however, in combination with interventions such as exercise and stretch plans, there were improvements on ROM.

Clinical bottom line: DN does not significantly increase or decrease the ROM of the hamstrings. When combined with exercise and stretch plans, DN could increase ROM.

Strength of recommendation: The grade of B is recommended by the Strength of Recommendation Taxonomy for inconsistent or limited-quality patient-oriented evidence.

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来源期刊
Journal of Sport Rehabilitation
Journal of Sport Rehabilitation 医学-康复医学
CiteScore
3.20
自引率
5.90%
发文量
143
审稿时长
>12 weeks
期刊介绍: The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant. JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
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