Grieve Rob, Cranston Amy, Henderson Andrew, John Rachel, Malone George, Mayall Christopher
Department of Allied Health Professions, Faculty of Health and Life Sciences, Glenside Campus, University of the West of England (UWE), Blackberry Hill, Bristol BS16 1DD, United Kingdom.
J Bodyw Mov Ther. 2013 Oct;17(4):453-61. doi: 10.1016/j.jbmt.2013.02.001. Epub 2013 Apr 21.
OBJECTIVES: To investigate the immediate effect on restricted active ankle joint dorsiflexion range of motion (ROM), after a single intervention of myofascial trigger point (MTrP) therapy on latent triceps surae MTrPs in recreational runners. DESIGN: A crossover randomised controlled trial. PARTICIPANTS: Twenty-two recreational runners (11 men and 11 women; mean age 24.57; ±8.7 years) with a restricted active ankle joint dorsiflexion and presence of latent MTrPs. INTERVENTION: Participants were screened for a restriction in active ankle dorsiflexion in either knee flexion (soleus) or knee extension (gastrocnemius) and the presence of latent MTrPs. Participants were randomly allocated a week apart to both the intervention (combined pressure release and 10 s passive stretch) and the control condition. RESULTS: A clinically meaningful (large effect size) and statistically significant increase in ankle ROM in the intervention compared to the control group was achieved, for the soleus (p = 0.004) and the gastrocnemius (p = 0.026). CONCLUSION: Apart from the statistical significance (p < 0.05), these results are clinically relevant due to the immediate increase in ankle dorsiflexion. These results must be viewed in caution due to the carry-over effect in the RCT crossover design and the combined MTrP therapy approach.
目的:探讨对休闲跑步者比目鱼肌潜在肌筋膜触发点进行单次肌筋膜触发点(MTrP)治疗后,对踝关节主动背屈活动度(ROM)受限的即时影响。 设计:一项交叉随机对照试验。 参与者:22名休闲跑步者(11名男性和11名女性;平均年龄24.57岁;±8.7岁),存在踝关节主动背屈受限且有潜在MTrP。 干预:对参与者进行筛查,以确定在屈膝(比目鱼肌)或伸膝(腓肠肌)时是否存在踝关节主动背屈受限以及是否存在潜在MTrP。参与者被随机分配,间隔一周分别接受干预(联合压力释放和10秒被动拉伸)和对照处理。 结果:与对照组相比,干预组比目鱼肌(p = 0.004)和腓肠肌(p = 0.026)的踝关节ROM在临床上有意义(效应量较大)且在统计学上有显著增加。 结论:除了统计学意义(p < 0.05)外,由于踝关节背屈立即增加,这些结果具有临床相关性。由于随机对照试验交叉设计中的遗留效应和联合MTrP治疗方法,必须谨慎看待这些结果。
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