Celenay Seyda Toprak, Kaya Derya Ozer, Akbayrak Turkan
Yildirim Beyazit University, Health Sciences Faculty, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
Izmir Katip Celebi University, Health Sciences Faculty, Department of Physiotherapy and Rehabilitation, Izmir, Turkey.
Man Ther. 2016 Feb;21:144-50. doi: 10.1016/j.math.2015.07.003. Epub 2015 Jul 15.
This study was planned to assess and compare the effectiveness of cervical and scapulothoracic stabilization exercise treatment with and without connective tissue massage (CTM) on pain, anxiety, and the quality of life in patients with chronic mechanical neck pain (MNP). Sixty patients with chronic MNP (18-65 years) were recruited and randomly allocated into stabilization exercise with (Group 1, n = 30) and without the CTM (Group 2, n = 30). The program was carried out for 12 sessions, 3 days/week in 4 weeks. Pain intensity with Visual Analog Scale, pressure pain threshold with digital algometer (JTech Medical Industries, ZEVEX Company), level of anxiety with Spielberger State Trait Anxiety Inventory, and quality of life with Short Form-36 were evaluated before and after the treatment. After the program, pain intensity and the level of anxiety decrease, physical health increase in Group 1 and 2 were found (p < 0.05). Pressure pain threshold and mental health increase were detected in only Group 1 (p < 0.05). The intergroup comparison showed that significant difference in pain intensity at night, pressure pain threshold, state anxiety and mental health were seen in favor of Group 1 (p < 0.05). The study suggested that stabilization exercises with and without the CTM might be a useful treatment for patients with chronic MNP. However, stabilization exercises with CTM might be superior in improving pain intensity at night, pressure pain threshold, state anxiety and mental health compared to stabilization exercise alone.
本研究旨在评估和比较在有或无结缔组织按摩（CTM）的情况下，颈椎和肩胛胸壁稳定训练对慢性机械性颈痛（MNP）患者疼痛、焦虑及生活质量的疗效。招募了60例年龄在18 - 65岁的慢性MNP患者，并将其随机分为两组：接受CTM的稳定训练组（第1组，n = 30）和不接受CTM的稳定训练组（第2组，n = 30）。该训练计划共进行12次，每周3天，为期4周。在治疗前后，采用视觉模拟量表评估疼痛强度、用数字式痛觉计（JTech Medical Industries，ZEVEX公司）测量压力痛阈、用斯皮尔伯格状态特质焦虑量表评估焦虑水平，并用简明健康状况调查问卷（Short Form - 36）评估生活质量。训练计划结束后，发现第1组和第2组的疼痛强度和焦虑水平均有所降低，身体健康状况有所改善（p < 0.05）。仅在第1组中检测到压力痛阈提高和心理健康状况改善（p < 0.05）。组间比较显示，在夜间疼痛强度、压力痛阈、状态焦虑和心理健康方面，第1组有显著差异（p < 0.05）。该研究表明，有或无CTM的稳定训练可能对慢性MNP患者是一种有效的治疗方法。然而，与单纯的稳定训练相比，结合CTM的稳定训练在改善夜间疼痛强度、压力痛阈、状态焦虑和心理健康方面可能更具优势。
