Aboodarda S J, Spence A J, Button Duane C
School of Human Kinetics and Recreation, Memorial University of Newfoundland, 230 Elizabeth Avenue, St. John's, Newfoundland, A1C 5S7, Canada.
Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada.
BMC Musculoskelet Disord. 2015 Sep 28;16:265. doi: 10.1186/s12891-015-0729-5.
The aim of the present study was to determine the acute effect of rolling massage on pressure pain threshold (PPT) in individuals with tender spots in their plantar flexor muscles.
In a randomized control trial and single blinded study, tender spots were identified in 150 participants' plantar flexor muscles (gastrocnemius or soleus). Then participants were randomly assigned to one of five intervention groups (n = 30): 1) heavy rolling massage on the calf that exhibited the higher tenderness (Ipsi-R), 2) heavy rolling massage on the contralateral calf (Contra-R), 3) light stroking of the skin with roller massager on the calf that exhibited the higher tenderness (Sham), 4) manual massage on the calf that exhibited the higher tenderness (Ipsi-M) and 5) no intervention (Control). PPT was measured at 30 s and up to 15 min post-intervention via a pressure algometer.
At 30 s post-intervention, the Ipsi-R (24 %) and Contra-R (21 %) demonstrated higher (p < 0.03) PPT values compared with Control and Sham. During 15 min post-intervention, PPT was higher (p < 0.05) following Ipsi-R (19.2 %), Contra-R (15.9 %) and Ipsi-M (10.9 %) compared with Control. There was no difference between the effects of three deep tissue massages (Ipsi-R, Ipsi-M and Contra-R) on PPT.
Whereas the increased PPT following ipsilateral massage (Ipsi-R and Ipsi-M) might be attributed to the release of fibrous adhesions; the non-localized effect of rolling massage on the contralateral limb suggests that other mechanisms such as a central pain-modulatory system play a role in mediation of perceived pain following brief tissue massage.
Overall, rolling massage over a tender spot reduces pain perception.
ClinicalTrials.gov ( NCT02528812 ), August 19(th), 2015.
本研究旨在确定滚动按摩对跖屈肌有压痛点个体的压力疼痛阈值（PPT）的急性影响。
在一项随机对照试验和单盲研究中，在150名参与者的跖屈肌（腓肠肌或比目鱼肌）中确定压痛点。然后将参与者随机分配到五个干预组之一（n = 30）：1）对压痛较高的小腿进行重度滚动按摩（同侧 - R），2）对侧小腿进行重度滚动按摩（对侧 - R），3）用滚筒按摩器对压痛较高的小腿皮肤进行轻度抚摸（假干预），4）对压痛较高的小腿进行手动按摩（同侧 - M），5）不进行干预（对照组）。干预后30秒及直至15分钟通过压力痛觉计测量PPT。
干预后30秒，同侧 - R（24%）和对侧 - R（21%）的PPT值高于对照组和假干预组（p < 0.03）。干预后15分钟内，同侧 - R（19.2%）、对侧 - R（15.9%）和同侧 - M（10.9%）后的PPT高于对照组（p < 0.05）。三种深层组织按摩（同侧 - R、同侧 - M和对侧 - R）对PPT的影响之间没有差异。
同侧按摩（同侧 - R和同侧 - M）后PPT增加可能归因于纤维粘连的松解；滚动按摩对侧肢体的非局部效应表明，其他机制如中枢疼痛调节系统在短暂组织按摩后感知疼痛的介导中起作用。
总体而言，在压痛点上进行滚动按摩可降低疼痛感知。
ClinicalTrials.gov（NCT02528812），2015年8月19日。
