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[颈部肌筋膜疼痛综合征。物理治疗的叙述性综述]

[Cervical myofascial pain syndrome. Narrative review of physiotherapeutic treatment].

作者信息

Capó-Juan M A

机构信息

Servicio de valoración y atención precoz, Consejería de Familia y Servicios Sociales, Palma de Mallorca, 07006, Spain.

出版信息

An Sist Sanit Navar. 2015 Jan-Apr;38(1):105-15. doi: 10.23938/ASSN.0058.

Abstract

Pain is a complex and multifactorial phenomenon that depends on the interaction of biopsychosocial factors. Between 15-25% of adults suffer from chronic pain at some point in their lives. Cervical chronic pain is considered a public health problem affecting 9.6% men and 21.9% women, according to the latest National Health Survey 2011-12. A high percentage of medical consultations due to muscle pain turn out to be myofascial pain syndrome (MPS). Its existence implies the presence of myofascial trigger points which can be latent or active throughout the whole population. The aim of this review is to update knowledge in the various therapies applied by the physiotherapist in the treatment of this syndrome at cervical level. From the review it appears that some of the most used techniques that may be useful in the short or medium term are: ischemic compression and/or trigger point pressure release and dry needling. Furthermore, various combinations of treatment modalities are used to treat this syndrome, taking other aspects into account, such as education.

摘要

疼痛是一种复杂的多因素现象,它取决于生物心理社会因素的相互作用。15%至25%的成年人在其生命中的某个时刻会遭受慢性疼痛的折磨。根据2011 - 12年最新的国民健康调查,颈部慢性疼痛被视为一个公共卫生问题,影响着9.6%的男性和21.9%的女性。因肌肉疼痛而进行的医疗咨询中,很大一部分结果是肌筋膜疼痛综合征(MPS)。它的存在意味着肌筋膜触发点的存在,这些触发点在整个人口中可能是潜伏的或活跃的。这篇综述的目的是更新物理治疗师在治疗颈部该综合征时所应用的各种疗法的知识。从综述中可以看出,一些在短期或中期可能有用的最常用技术包括:缺血性按压和/或触发点压力释放以及干针疗法。此外,考虑到其他方面,如教育,还会使用各种治疗方式的组合来治疗该综合征。

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