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辅助性医学疗法在肌筋膜疼痛障碍管理中的应用。

The use of complementary medical therapies in the management of myofascial pain disorders.

作者信息

Harris R E, Clauw D J

机构信息

Division of Rheumatology, Chronic Pain and Fatigue Research Center, Center for the Advancement of Clinical Research, The University of Michigan, Ann Arbor 48109-0723, USA.

出版信息

Curr Pain Headache Rep. 2002 Oct;6(5):370-4. doi: 10.1007/s11916-002-0078-6.

DOI:10.1007/s11916-002-0078-6
PMID:12357980
Abstract

Complementary medical therapies are commonly used for the treatment and management of myofascial pain. No universally accepted therapy for this condition exists; consequently, patients often seek alternative and complementary therapies. Many complementary treatments are available.This article focuses on acupuncture, biofeedback, ultrasound, lasers, and massage. Although anecdotally claimed as effective, most of these modalities have not been rigorously investigated because of poor research quality. Appropriate controls, sample sizes, and blinding measures are often lacking. Despite these issues, the trend toward efficacy exists and further examination is warranted.

摘要

辅助医学疗法常用于治疗和管理肌筋膜疼痛。目前尚无针对这种情况的普遍接受的疗法;因此,患者经常寻求替代和辅助疗法。有许多辅助治疗方法可供选择。本文重点介绍针灸、生物反馈、超声、激光和按摩。尽管有传闻称这些方法有效,但由于研究质量差,大多数这些方法尚未得到严格研究。通常缺乏适当的对照、样本量和盲法措施。尽管存在这些问题,但疗效的趋势是存在的,值得进一步研究。

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本文引用的文献

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Acupuncture treatment of chronic low-back pain -- a randomized, blinded, placebo-controlled trial with 9-month follow-up.针刺治疗慢性下腰痛——一项为期9个月随访的随机、双盲、安慰剂对照试验。
Pain. 2002 Mar;96(1-2):189-96. doi: 10.1016/s0304-3959(01)00444-4.
2
Acupuncture and sham acupuncture reduce muscle pain in myofascial pain patients.针刺疗法和假针刺疗法可减轻肌筋膜疼痛患者的肌肉疼痛。
J Orofac Pain. 2002 Winter;16(1):71-6.
3
Acupuncture, transcutaneous electrical nerve stimulation, and laser therapy in chronic pain.慢性疼痛的针灸、经皮电刺激神经疗法及激光疗法
肌筋膜疼痛综合征和纤维肌痛的治疗评估。
Curr Pain Headache Rep. 2003 Dec;7(6):433-42. doi: 10.1007/s11916-003-0059-4.
Clin J Pain. 2001 Dec;17(4 Suppl):S105-13. doi: 10.1097/00002508-200112001-00019.
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The neurophysiology of myofascial pain syndrome.肌筋膜疼痛综合征的神经生理学
Curr Pain Headache Rep. 2001 Oct;5(5):432-40. doi: 10.1007/s11916-001-0054-6.
5
Nonpharmacologic approaches to the management of myofascial temporomandibular disorders.肌筋膜性颞下颌关节紊乱病管理的非药物治疗方法
Curr Pain Headache Rep. 2001 Oct;5(5):421-31. doi: 10.1007/s11916-001-0053-7.
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Classification, epidemiology, and natural history of myofascial pain syndrome.肌筋膜疼痛综合征的分类、流行病学及自然史
Curr Pain Headache Rep. 2001 Oct;5(5):412-20. doi: 10.1007/s11916-001-0052-8.
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Interventional approaches to the management of myofascial pain syndrome.
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8
Perceptions about complementary therapies relative to conventional therapies among adults who use both: results from a national survey.同时使用辅助疗法和传统疗法的成年人对这两种疗法的看法:一项全国性调查的结果
Ann Intern Med. 2001 Sep 4;135(5):344-51. doi: 10.7326/0003-4819-135-5-200109040-00011.
9
Needling therapies in the management of myofascial trigger point pain: a systematic review.针刺疗法治疗肌筋膜触发点疼痛的系统评价
Arch Phys Med Rehabil. 2001 Jul;82(7):986-92. doi: 10.1053/apmr.2001.24023.
10
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