Selkow Noelle M, Grindstaff Terry L, Cross Kevin M, Pugh Kelli, Hertel Jay, Saliba Susan
J Man Manip Ther. 2009;17(1):E14-8. doi: 10.1179/jmt.2009.17.1.14E.
Muscle energy technique (MET) is a form of manual therapy frequently used to correct lumbopelvic pain (LPP), herein the patient voluntarily contracts specific muscles against the resistance of the clinician. Studies on MET regarding magnitude and duration of effectiveness are limited. This study was a randomized controlled trial in which 20 subjects with self-reported LPP were randomized into two groups (MET or control) after magnitude of pain was determined. MET of the hamstrings and iliopsoas consisted of four 5-second hold/relax periods, while the control group received a sham treatment. Tests for current and worst pain, and pain with provocation were administered at baseline, immediately following intervention and 24 hours after intervention. Separate 2x3 ANOVAs were used to assess results as change scores. Visual analog score (VAS) for worst pain reported in the past 24 hours decreased for the MET group (4.3mm+/-19.9, p=.03) and increased for the sham (control) group (17.1mm+/-21.2, p=.03). Subjects receiving MET demonstrated a decrease in VAS worst pain over the past 24 hours, thereby suggesting that MET may be useful to decrease LPP over 24 hours.
肌肉能量技术(MET)是一种手动疗法,常用于纠正腰骨盆疼痛(LPP),在此过程中患者自愿对抗临床医生的阻力收缩特定肌肉。关于MET有效性的程度和持续时间的研究有限。本研究是一项随机对照试验,在确定疼痛程度后,将20名自述有LPP的受试者随机分为两组(MET组或对照组)。对腘绳肌和髂腰肌进行的MET包括四个5秒的保持/放松期,而对照组接受假治疗。在基线、干预后立即和干预后24小时进行当前疼痛、最严重疼痛和激发性疼痛测试。使用单独的2×3方差分析将结果评估为变化分数。MET组在过去24小时内报告的最严重疼痛的视觉模拟评分(VAS)下降(4.3mm±19.9,p = 0.03),而假治疗(对照)组增加(17.1mm±21.2,p = 0.03)。接受MET治疗的受试者在过去24小时内VAS最严重疼痛有所下降,因此表明MET可能有助于在24小时内减轻LPP。
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