Lee Jung-Ho, Park Soo-Jin, Na Sang-Su
Department of Physical Therapy, Daegu University Graduate school of Physical Therapy, Daegu University.
J Phys Ther Sci. 2013 Jun;25(6):713-6. doi: 10.1589/jpts.25.713. Epub 2013 Jul 23.
[Purpose] The present study examined the effects of treatment using PNF extension techniques on the pain, pressure pain, and neck and shoulder functions of the upper trapezius muscles of myofascial pain syndrome (MPS) patients. [Subjects] Thirty-two patients with MPS in the upper trapezius muscle were divided into two groups: a PNF group (n=16), and a control group (n=16) [Methods] The PNF group received upper trapezius muscle relaxation therapy and shoulder joint stabilizing exercises. Subjects in the control group received only the general physical therapies for the upper trapezius muscles. Subjects were measured for pain on a visual analog scale (VAS), pressure pain threshold (PPT), the neck disability index (NDI), and the Constant-Murley scale (CMS). [Results] None of the VAS, PPT, and NDI results showed significant differences between the groups, while performing postures, internal rotation, and external rotation among the CMS items showed significant differences between the groups. [Conclusion] Exercise programs that apply PNF techniques can be said to be effective at improving the function of MPS patients.
[目的] 本研究探讨采用本体感觉神经肌肉促进法（PNF）伸展技术治疗对肌筋膜疼痛综合征（MPS）患者上斜方肌疼痛、压痛及颈肩功能的影响。[对象] 32例上斜方肌MPS患者分为两组：PNF组（n = 16）和对照组（n = 16）。[方法] PNF组接受上斜方肌放松治疗及肩关节稳定练习。对照组仅接受上斜方肌的常规物理治疗。对受试者进行视觉模拟评分法（VAS）疼痛、压痛阈值（PPT）、颈部功能障碍指数（NDI）及Constant-Murley量表（CMS）测量。[结果] 两组间VAS、PPT和NDI结果均无显著差异，而CMS项目中的姿势执行、内旋和外旋两组间存在显著差异。[结论] 应用PNF技术的运动方案可有效改善MPS患者的功能。
