Goyal Manu, Goyal Kanu, Bathla Manish, Kanimozhi D, Narkeesh D
M. M. Institute of Physiotherapy and Rehabilitation, Patiala, Punjab, India.
Department of Psychiatry, M. M. Institute of Medical Sciences and Research, Mullana, Haryana, India.
Indian J Psychol Med. 2017 Mar-Apr;39(2):199-201. doi: 10.4103/0253-7176.203113.
Depression is an aversion to activity disorder which could lead to somatic dysfunctions such as insomnia, excessive sleeping, body aches, listlessness, and irritable bowel syndrome. The World Health Organization has projected the depression to be the second leading cause of disability worldwide by 2020. The physical and mental ill effects of somatic depression can be addressed using the osteopathic manipulative treatment. Therefore, the purpose of the present case report is to explore the effect of myofascial release (MFR) technique and myofascial unwinding (MFU) in the somatic depression. We reported a case of a 39-year-old female diagnosed as dysthymia with moderate depression with somatic symptoms. She was treated with MFR and MFU for 4 weeks. Depression was scored using Hamilton Depression Rating Scale (HDRS), and quality of life was measured using the Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF). Both were administered preintervention and 6 weeks postintervention. The application of MFR and MFU resulted in the improved scores on both HDRS and Q-LES-Q-SF. The present case positive results have proven the effectiveness of MFR and MFU as an important adjunctive treatment strategy.
抑郁症是一种活动厌恶障碍,可能导致躯体功能障碍,如失眠、嗜睡、身体疼痛、无精打采和肠易激综合征。世界卫生组织预计,到2020年抑郁症将成为全球第二大致残原因。躯体性抑郁症的身心不良影响可以通过整骨手法治疗来解决。因此,本病例报告的目的是探讨肌筋膜松解术(MFR)和肌筋膜舒展术(MFU)对躯体性抑郁症的疗效。我们报告了一例39岁女性,被诊断为中度抑郁伴躯体症状的心境恶劣障碍。她接受了4周的MFR和MFU治疗。使用汉密尔顿抑郁量表(HDRS)对抑郁进行评分,使用生活质量享受与满意度问卷简表(Q-LES-Q-SF)测量生活质量。两者均在干预前和干预后6周进行评估。MFR和MFU的应用使HDRS和Q-LES-Q-SF的评分均有所提高。本病例的阳性结果证明了MFR和MFU作为一种重要辅助治疗策略的有效性。