Aparicio Erika Quintana, Quirante Luis Borrallo, Blanco Cleofás Rodríguez, Sendín Francisco Alburquerque
Policínica FisioTex, Don Benito, Badajoz, Spain.
J Manipulative Physiol Ther. 2009 May;32(4):262-9. doi: 10.1016/j.jmpt.2009.03.006.
The purpose of this study is to identify the effects of the suboccipital muscle inhibition technique in patients with short hamstring syndrome by means of tests designed to evaluate the elasticity of the hamstring muscles and pressure algometry of myofascial trigger points.
Randomized clinical trial (pre and postintervention). The study population comprised young adult students following their studies at the Physiotherapy School at the University of Extremadura (Spain) and footballers from an Extremadura Football Club with short hamstring syndrome. The sample (70 subjects = 47 male and 23 female) was randomly divided into a control group (n = 34) and an intervention group (n = 36). Mean sample age was 23.40 +/- 3.82 years. The control group was subjected to a placebo technique, whereas the intervention group was subjected to the suboccipital muscle inhibition technique. Pre and postintervention evaluation was used for the assessment of hamstring elasticity, and pressure algometry was also used (myofascial trigger points). Statistical analyses were performed using the SPSS 14.5 package (SPSS Inc, Chicago, Ill), comparing the sample between groups (Kolmorogov-Smirnov test, Student t test, 2-way analysis of variance [ANOVA], the chi(2) test).
The distribution of the quantitative variables was normal, and the mean time doing physical activity per week was 2.82 +/- 4.03 hours. Two-way ANOVA afforded statistically significant results for the finger-floor test, straight leg raise test-left, straight leg raise test-right, left popliteal angle test (P values < .001), and right popliteal angle test (P = .005). For pressure algometry, only the right semimembranosus muscle afforded statistically significant differences (P = .021).
According to the finger-floor distance test, the straight leg raise test, and the popliteal angle test, the suboccipital muscle inhibition technique modified the elasticity of the hamstring muscles for this group of subjects. The suboccipital muscle inhibition technique modifies the pressure algometry of the semimembranosus muscle but does not modify that of the semitendinosus muscle or biceps femoris.
本研究旨在通过旨在评估腘绳肌弹性的测试和肌筋膜触发点压力测定法，确定枕下肌抑制技术对腘绳肌综合征患者的影响。
随机临床试验（干预前后）。研究人群包括西班牙埃斯特雷马杜拉大学物理治疗学院的年轻成年学生以及来自埃斯特雷马杜拉足球俱乐部的患有腘绳肌综合征的足球运动员。样本（70名受试者 = 47名男性和23名女性）被随机分为对照组（n = 34）和干预组（n = 36）。样本平均年龄为23.40 +/- 3.82岁。对照组接受安慰剂技术，而干预组接受枕下肌抑制技术。干预前后评估用于评估腘绳肌弹性，同时也使用压力测定法（肌筋膜触发点）。使用SPSS 14.5软件包（SPSS公司，伊利诺伊州芝加哥）进行统计分析，比较组间样本（柯尔莫哥洛夫 - 斯米尔诺夫检验、学生t检验、双向方差分析[ANOVA]、卡方检验）。
定量变量分布正常，每周体育活动平均时间为2.82 +/- 4.03小时。双向方差分析在指地试验、左侧直腿抬高试验、右侧直腿抬高试验、左侧腘窝角试验（P值 <.001）和右侧腘窝角试验（P =.005）中得出具有统计学意义的结果。对于压力测定法，只有右侧半膜肌有统计学意义的差异（P =.021）。
根据指地距离试验、直腿抬高试验和腘窝角试验，枕下肌抑制技术改变了该组受试者腘绳肌的弹性。枕下肌抑制技术改变了半膜肌的压力测定，但未改变半腱肌或股二头肌的压力测定。
