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治疗性超声对活动范围和拉伸疼痛的影响。

Effects of therapeutic ultrasound on range of motion and stretch pain.

作者信息

Morishita Katsuyuki, Karasuno Hiroshi, Yokoi Yuka, Morozumi Kazunori, Ogihara Hisayoshi, Ito Toshikazu, Hanaoka Masaaki, Fujiwara Takayuki, Fujimoto Tetsuya, Abe Koji

机构信息

Koriyama Institute of Health Sciences, Japan ; Interdisciplinary Graduate School of Science and Technology, Shinshu University, Japan.

Koriyama Institute of Health Sciences, Japan.

出版信息

J Phys Ther Sci. 2014 May;26(5):711-5. doi: 10.1589/jpts.26.711. Epub 2014 May 29.

Abstract

[Purpose] This study aimed to clarify the effects of therapeutic ultrasound on range of motion and stretch pain and the relationships between the effects. [Subjects] The subjects were 15 healthy males. [Methods] Subjects performed all three interventions: (1) ultrasound (US group), (2) without powered ultrasound (placebo group), and (3) rest (control group). Ultrasound was applied at 3 MHz with an intensity of 1.0 W/cm(2) and a 100% duty cycle for 10 minutes. The evaluation indices were active and passive range of motion (ROM), stretch pain (visual analog scale; VAS), and skin surface temperature (SST). The experimental protocol lasted a total of 40 minutes; this was comprised of 10 minutes before the intervention, 10 minutes during the intervention (US, placebo, and control), and 20 minutes after the intervention. [Results] ROM and SST were significantly higher in the US group than in the placebo and control groups for the 20 minutes after ultrasound, though there was no change in stretch pain. [Conclusion] The effects of ultrasound on ROM and SST were maintained for 20 minutes after the intervention. The SST increased with ultrasound and decreased afterwards. Additionally, the SST tended to return to baseline levels within 20 minutes after ultrasound exposure. Therefore, these effects were caused by a combination of thermal and mechanical effects of the ultrasound.

摘要

[目的] 本研究旨在阐明治疗性超声对关节活动范围和拉伸疼痛的影响以及这些影响之间的关系。[对象] 对象为15名健康男性。[方法] 对象进行了所有三种干预:(1) 超声(超声组),(2) 无功率超声(安慰剂组),以及(3) 休息(对照组)。以3 MHz的频率、1.0 W/cm(2) 的强度和100% 的占空比施加超声10分钟。评估指标为主动和被动关节活动范围(ROM)、拉伸疼痛(视觉模拟评分法;VAS)和皮肤表面温度(SST)。实验方案共持续40分钟;包括干预前10分钟、干预期间10分钟(超声、安慰剂和对照)以及干预后20分钟。[结果] 超声后20分钟,超声组的ROM和SST显著高于安慰剂组和对照组,不过拉伸疼痛没有变化。[结论] 超声对ROM和SST的影响在干预后持续20分钟。SST随超声升高,之后下降。此外,SST在超声暴露后20分钟内倾向于恢复到基线水平。因此,这些影响是由超声的热效应和机械效应共同导致的。

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