Ajimsha M S, Daniel Binsu, Chithra S
Department of Physiotherapy, Hamad Medical Corporation, Doha, Qatar.
Myofascial Therapy and Research Foundation, India.
J Bodyw Mov Ther. 2014 Apr;18(2):273-81. doi: 10.1016/j.jbmt.2013.05.007. Epub 2013 Jun 5.
To investigate whether Myofascial release (MFR) when used as an adjunct to specific back exercises (SBE) reduces pain and disability in chronic low back pain (CLBP) in comparison with a control group receiving a sham Myofascial release (SMFR) and specific back exercises (SBE) among nursing professionals.
Randomized, controlled, single blinded trial.
Nonprofit research foundation clinic in Kerala, India.
Nursing professionals (N = 80) with chronic low back pain (CLBP).
MFR group or control group. The techniques were administered by physiotherapists certified in MFR and consisted of 24 sessions per client over 8 weeks.
The McGill Pain Questionnaire (MPQ) was used to assess subjective pain experience and Quebec Back Pain Disability Scale (QBPDS) was used to assess the disability associated with CLBP. The primary outcome measure was the difference in MPQ and QBPDS scores between week 1 (pretest score), week 8 (posttest score), and follow-up at week 12 after randomization.
The simple main effects analysis showed that the MFR group performed better than the control group in weeks 8 and 12 (P < 0.005). The patients in the MFR group reported a 53.3% reduction in their pain and 29.7% reduction in functional disability as shown in the MPQ and QBPDS scores in week 8, whereas patients in the control group reported a 26.1% and 9.8% reduction in their MPQ and QBPDS scores in week 8, which persisted as a 43.6% reduction of pain and 22.7% reduction of functional disability in the follow-up at week 12 in the MFR group compared to the baseline. The proportion of responders, defined as participants who had at least a 50% reduction in pain between weeks 1 and 8, was 73% in the MFR group and 0% in the control group, which was 0% for functional disability in the MFR and control group.
This study provides evidence that MFR when used as an adjunct to SBE is more effective than a control intervention for CLBP in nursing professionals.
探讨在护理专业人员中，与接受假肌筋膜放松（SMFR）和特定背部锻炼（SBE）的对照组相比，肌筋膜放松（MFR）作为特定背部锻炼（SBE）的辅助手段时，是否能减轻慢性下腰痛（CLBP）患者的疼痛和功能障碍。
随机、对照、单盲试验。
印度喀拉拉邦的非营利性研究基金会诊所。
患有慢性下腰痛（CLBP）的护理专业人员（N = 80）。
MFR组或对照组。这些技术由获得MFR认证的物理治疗师实施，每位患者在8周内接受24次治疗。
使用麦吉尔疼痛问卷（MPQ）评估主观疼痛体验，使用魁北克下腰痛功能障碍量表（QBPDS）评估与CLBP相关的功能障碍。主要观察指标是随机分组后第1周（预测试分数）、第8周（后测试分数）和第12周随访时MPQ和QBPDS分数的差异。
简单主效应分析显示，MFR组在第8周和第12周的表现优于对照组（P < 0.005）。MFR组患者在第8周时，MPQ和QBPDS分数显示疼痛减轻53.3%，功能障碍减轻29.7%，而对照组患者在第8周时MPQ和QBPDS分数分别降低26.1%和9.8%，与基线相比，MFR组在第12周随访时疼痛持续减轻43.6%，功能障碍减轻22.7%。反应者比例定义为在第1周和第8周之间疼痛至少减轻50%的参与者，MFR组为73%，对照组为0%，MFR组和对照组在功能障碍方面的反应者比例均为0%。
本研究提供了证据，表明在护理专业人员中，MFR作为SBE的辅助手段对CLBP的治疗比对照干预更有效。
