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深层颈屈肌训练对慢性颈痛患者肌筋膜触发点疼痛压力阈值有影响吗?一项前瞻性随机对照试验。

Does Deep Cervical Flexor Muscle Training Affect Pain Pressure Thresholds of Myofascial Trigger Points in Patients with Chronic Neck Pain? A Prospective Randomized Controlled Trial.

作者信息

Bobos Pavlos, Billis Evdokia, Papanikolaou Dimitra-Tania, Koutsojannis Constantinos, MacDermid Joy C

机构信息

Roth McFarlane Hand and Upper Limb Centre Clinical Research Laboratories, St. Joseph's Health Centre, Western University, London, ON, Canada.

Department of Physical Therapy, Technological Educational Institute of Western Greece, Patras, Greece.

出版信息

Rehabil Res Pract. 2016;2016:6480826. doi: 10.1155/2016/6480826. Epub 2016 Nov 21.

Abstract

We need to understand more about how DNF performs in different contexts and whether it affects the pain threshold over myofascial trigger points (MTrPs). The objectives were to investigate the effect of neck muscles training on disability and pain and on pain threshold over MTrPs in people with chronic neck pain. Patients with chronic neck pain were eligible for participation with a Neck Disability Index (NDI) score of over 5/50 and having at least one MTrP on either levator scapulae, upper trapezoid, or splenius capitis muscle. Patients were randomly assigned into either DNF training, superficial neck muscle exercise, or advice group. Generalized linear model (GLM) was used to detect differences in treatment groups over time. Out of 67 participants, 60 (47 females, mean age: 39.45 ± 12.67) completed the study. Neck disability and neck pain were improved over time between and within groups ( < 0.05). However, no differences were found within and between the therapeutic groups ( < 0.05) in the tested muscles' PPTs and in cervicothoracic angle over a 7-week period. All three groups improved over time. This infers that the pain pathways involved in the neck pain relief are not those involved in pain threshold.

摘要

我们需要更深入地了解DNF在不同情况下的表现,以及它是否会影响肌筋膜触发点(MTrP)的疼痛阈值。本研究的目的是调查颈部肌肉训练对慢性颈部疼痛患者的功能障碍、疼痛以及MTrP疼痛阈值的影响。慢性颈部疼痛患者若颈部功能障碍指数(NDI)得分超过5/50,且在肩胛提肌、上斜方肌或头夹肌中至少有一个MTrP,则符合参与条件。患者被随机分为DNF训练组、颈部浅层肌肉锻炼组或建议组。使用广义线性模型(GLM)来检测不同治疗组随时间的差异。在67名参与者中,60名(47名女性,平均年龄:39.45±12.67)完成了研究。组间和组内的颈部功能障碍和颈部疼痛随时间均有所改善(<0.05)。然而,在为期7周的时间里,各治疗组在测试肌肉的痛觉过敏阈值(PPT)和颈胸角方面,组内和组间均未发现差异(<0.05)。所有三组均随时间有所改善。这表明,颈部疼痛缓解所涉及的疼痛通路与疼痛阈值所涉及的通路不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71fd/5136630/200e8efeb206/RERP2016-6480826.001.jpg

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