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肌内效贴扎与手动压力释放:对肌筋膜触发点受试者的短期影响

Kinesio taping and manual pressure release: Short-term effects in subjects with myofasical trigger point.

作者信息

Chao Yu Wen, Lin Jiu Jenq, Yang Jing Lan, Wang Wendy Tzyy-Jiuan

机构信息

School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.

School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Physical Medicine & Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.

出版信息

J Hand Ther. 2016 Jan-Mar;29(1):23-9. doi: 10.1016/j.jht.2015.10.003. Epub 2015 Nov 6.

Abstract

STUDY DESIGN

Randomized controlled trial.

INTRODUCTION

Myofascial pain syndrome is characterized by myofascial trigger points (MTrPs) and fascia tenderness.

PURPOSE OF THE STUDY

We investigated the effects of manual pressure release (MPR) alone or in combination with taping (MPR/MKT) in subjects with MTrPs.

METHODS

Fifteen and 16 subjects received MPR and MPR/MKT respectively. Outcomes including Pressure pain threshold, muscle stiffness, mechanomyography were assessed at baseline, post-intervention and 7-days later.

RESULTS

Pressure pain threshold improved significantly (d = 1.79, p < 0.005) in both groups. Significant improvement in muscle stiffness in the MPR/MKT group (0.27-0.49 mm) as compared to the MPR group (-0.02-0.23 mm). Mechanomyography amplitude in the MPR/MKT group was significantly higher than that of the MPR group (p < 0.05).

CONCLUSION

MPR and MPR/MKT are effective in reducing pain in these subjects. MPR/MKT has a greater effect on muscle stiffness and contraction amplitude.

LEVEL OF EVIDENCE

IV.

摘要

研究设计

随机对照试验。

引言

肌筋膜疼痛综合征以肌筋膜触发点(MTrPs)和筋膜压痛为特征。

研究目的

我们研究了单纯手动压力释放(MPR)或与贴扎联合使用(MPR/MKT)对患有MTrPs的受试者的影响。

方法

15名和16名受试者分别接受了MPR和MPR/MKT治疗。在基线、干预后和7天后评估包括压力疼痛阈值、肌肉僵硬程度、肌动图等结果。

结果

两组的压力疼痛阈值均显著改善(d = 1.79,p < 0.005)。与MPR组(-0.02 - 0.23毫米)相比,MPR/MKT组的肌肉僵硬程度有显著改善(0.27 - 0.49毫米)。MPR/MKT组的肌动图振幅显著高于MPR组(p < 0.05)。

结论

MPR和MPR/MKT在减轻这些受试者的疼痛方面是有效的。MPR/MKT对肌肉僵硬程度和收缩振幅有更大的影响。

证据水平

IV级。

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