Martín-Pintado-Zugasti Aitor, Pecos-Martin Daniel, Rodríguez-Fernández Ángel Luis, Alguacil-Diego Isabel María, Portillo-Aceituno Alicia, Gallego-Izquierdo Tomás, Fernandez-Carnero Josue
Department of Physical Therapy, CEU-San Pablo University, Carretera Boadilla del Monte, Km 5,300, Urbanización Montepríncipe, 28668 Boadilla del Monte, Madrid, Spain.
Physiotherapy Department, School of Physiotherapy, Alcalá de Henares University, Alcalá de Henares, Madrid, Spain.
PM R. 2015 Oct;7(10):1026-1034. doi: 10.1016/j.pmrj.2015.03.021. Epub 2015 Mar 31.
To investigate the effect of ischemic compression (IC) versus placebo and control on reducing postneedling soreness of 1 latent myofascial trigger point and on improving cervical range of motion (CROM) in asymptomatic subjects.
A randomized, double-blind, placebo-controlled trial with 72-hour follow-up.
A university community.
Asymptomatic volunteers (N = 90: 40 men and 50 women) aged 18 to 39 years (mean ± standard deviation [SD]: 22 ± 3 years).
All subjects received a dry needling application over the upper trapezius muscle. Participants were then randomly divided into 3 groups: a treatment group who received IC over the needled trapezius muscle, a placebo group who received sham IC, and a control group who did not receive any treatment after needling.
Visual analog scale (VAS; during needling, at posttreatment and 6, 12, 24, 48, and 72 hours) and CROM (at preneedling, postneedling, and 24 and 72 hours).
Subjects in the IC group showed significantly lower postneedling soreness than the placebo and the control group subjects immediately after treatment (mean ± standard deviation [SD]: IC, 20.1 ± 4.8; placebo, 36.7 ± 4.8; control, 34.8 ± 3.6) and at 48 hours (mean ± SD: IC, 0.6 ± 1; placebo, 4.8 ± 1; control, 3.8 ± 0.7). In addition, subjects in the dry needling+IC group showed significantly lower postneedling soreness duration (P = .026). All subjects significantly improved CROM in contralateral lateroflexion and both homolateral and contralateral rotations, but only the improvements found in the IC group reached the minimal detectable change.
IC can potentially be added immediately after dry needling of myofascial trigger point in the upper trapezius muscle because it has the effect of reducing postneedling soreness intensity and duration. The combination of dry needling and IC seems to improve CROM in homolateral and contralateral cervical rotation movements.
探讨缺血性按压（IC）与安慰剂及对照相比，对减轻无症状受试者1个潜在肌筋膜触发点针刺后疼痛以及改善颈椎活动范围（CROM）的效果。
一项随访72小时的随机、双盲、安慰剂对照试验。
一个大学社区。
年龄在18至39岁（平均±标准差[SD]：22±3岁）的无症状志愿者（N = 90：40名男性和50名女性）。
所有受试者均接受对上斜方肌进行的干针治疗。然后将参与者随机分为3组：治疗组在针刺的斜方肌上接受IC治疗，安慰剂组接受假IC治疗，对照组在针刺后不接受任何治疗。
视觉模拟量表（VAS；针刺期间、治疗后以及6、12、24、48和72小时）和CROM（针刺前、针刺后以及24和72小时）。
IC组受试者在治疗后即刻（平均±标准差[SD]：IC，20.1±4.8；安慰剂，36.7±4.8；对照，34.8±3.6）和48小时（平均±SD：IC，0.6±1；安慰剂，4.8±1；对照，3.8±0.7）的针刺后疼痛明显低于安慰剂组和对照组受试者。此外，干针+IC组受试者的针刺后疼痛持续时间明显更短（P = 0.026）。所有受试者的对侧侧屈以及同侧和对侧旋转的CROM均有显著改善，但只有IC组的改善达到了最小可检测变化。
在上斜方肌肌筋膜触发点进行干针治疗后可立即进行IC治疗，因为它具有减轻针刺后疼痛强度和持续时间的作用。干针与IC联合使用似乎可改善同侧和对侧颈椎旋转运动的CROM。
