Avershin V A, Oleĭnikov B V, Pil'kevich R P, Sofel' S A, Kniazhishche A N, Grebenkin S S
Vopr Kurortol Fizioter Lech Fiz Kult. 2009 Jul-Aug(4):44-5.
This paper summarizes experience gained in the Central Military Sanatorium, Sochi, in the field of diagnosis, treatment, and rehabilitation of patients with myofascial pain syndrome affecting the quadratum lumborum muscle. Conditions facilitating development of triggering myofascial structures in these muscles are analysed and methods of their diagnosis are discussed. The proposed compression test allows active trigger structures to be identified in the quadratum lumborum muscle. Detailed description of the method of myofascial meridional reflexotherapy is presented (ischemic compression of condensed trigger structures or points with dry needling, taking account of the breathing act). The authors emphasize the importance of correction of structural disproportions responsible for the formation of myofascial trigger structures.
本文总结了在索契中央军事疗养院治疗腰方肌肌筋膜疼痛综合征患者的诊断、治疗及康复领域所取得的经验。分析了促使这些肌肉中触发肌筋膜结构发展的条件，并讨论了其诊断方法。所提出的按压试验可识别腰方肌中的活跃触发结构。文中详细描述了肌筋膜经向反射疗法的方法（考虑呼吸动作，对浓缩的触发结构或点进行缺血性按压或干针穿刺）。作者强调了纠正导致肌筋膜触发结构形成的结构比例失调的重要性。
