Rodríguez-Fuentes Iván, De Toro Francisco Javier, Rodríguez-Fuentes Gustavo, de Oliveira Iris Machado, Meijide-Faílde Rosa, Fuentes-Boquete Isaac Manuel
From the Department of Functional Biology and Health Sciences, University of Vigo, HealthyFit Research Group, Instituto de Investigación Biomédica (IBI), Xerencia de Xestión Integrada de Pontevedra-SERGAS, Spain (IR-F); Department of Medicine, University of A Coruña, Grupo de Terapia Celular y Medicina Regenerativa, INIBIC, Complexo Hospitalario Universitario de A Coruña (CHUAC), Spain (FJDT, RM-F, IMF-B); and Department of Functional Biology and Health Sciences, University of Vigo, Spain (GR-F, IMdO).
Am J Phys Med Rehabil. 2016 Jul;95(7):507-15. doi: 10.1097/PHM.0000000000000425.
As myofascial release therapy is currently under development, the objective of this study was to compare the effectiveness of myofascial release therapy with manual therapy for treating occupational mechanical neck pain.
A randomized, single-blind parallel group study was developed. The sample (n = 59) was divided into GI, treated with manual therapy, and GII, treated with myofascial release therapy. Variables studied were intensity of neck pain, cervical disability, quality of life, craniovertebral angle, and ranges of cervical motion.
At five sessions, clinical significance was observed in both groups for all the variables studied, except for flexion in GI. At this time point, an intergroup statistical difference was observed, which showed that GII had better craniovertebral angle (P = 0.014), flexion (P = 0.021), extension (P = 0.003), right side bending (P = 0.001), and right rotation (P = 0.031). A comparative analysis between therapies after intervention showed statistical differences indicating that GII had better craniovertebral angle (P = 0.000), right (P = 0.000) and left (P = 0.009) side bending, right (P = 0.024) and left (P = 0.046) rotations, and quality of life.
The treatment of occupational mechanical neck pain by myofascial release therapy seems to be more effective than manual therapy for correcting the advanced position of the head, recovering range of motion in side bending and rotation, and improving quality of life.
由于肌筋膜放松疗法目前仍在发展中，本研究的目的是比较肌筋膜放松疗法与手法治疗对职业性机械性颈部疼痛的治疗效果。
开展一项随机、单盲平行组研究。样本（n = 59）分为接受手法治疗的GI组和接受肌筋膜放松疗法的GII组。所研究的变量包括颈部疼痛强度、颈椎功能障碍、生活质量、颅椎角和颈椎活动范围。
在五次治疗后，除GI组的前屈外，两组所有研究变量均具有临床意义。在这个时间点，观察到组间统计学差异，表明GII组的颅椎角（P = 0.014）、前屈（P = 0.021）、后伸（P = 0.003）、右侧侧屈（P = 0.001）和右侧旋转（P = 0.031）更好。干预后两种疗法的比较分析显示统计学差异，表明GII组的颅椎角（P = 0.000）、右侧（P = 0.000）和左侧（P = 0.009）侧屈、右侧（P = 0.024）和左侧（P = 0.046）旋转以及生活质量更好。
对于职业性机械性颈部疼痛，肌筋膜放松疗法在纠正头部前倾位置、恢复侧屈和旋转活动范围以及改善生活质量方面似乎比手法治疗更有效。
