Rajasekar Sannasi, Marchand Aurélie Marie
Srinivas College of Physiotherapy and Research Centre, Mangalore, Karnataka, 575 001, India.
Clinical Lecturer, Anglo-European College of Chiropractic, 13-15 Parkwood Road, BH5 2DF Bournemouth, United Kingdom.
J Bodyw Mov Ther. 2017 Apr;21(2):452-458. doi: 10.1016/j.jbmt.2016.08.014. Epub 2016 Sep 4.
Fascial Manipulation (FM) is a manual therapy approach for the treatment of musculoskeletal pain. Anomalous fascial tension is common following surgery due to surgical scar, inadequate mobility and fear of movement. Fascial tension may result in pain and loss of mobility. This case report aims at investigating the effectiveness of FM on pain and function in a patient following knee surgery. A 32 years old male patient, with persisting knee pain following anterior cruciate ligament reconstruction (hamstring graft) and meniscal repair, underwent the systematic FM assessment process, the selected centers of coordination of myofascial units were treated. Knee Injury Osteoarthritis Outcome Score (KOOS) questionnaire was obtained prior treatment and after 4 treatment sessions. Results showed clinically significant improvements in all subscales of KOOS after 4 weeks, the effect was maintained in subsequent follow-ups at 3 months, 6 months, one year and two years.
筋膜手法（FM）是一种用于治疗肌肉骨骼疼痛的手动治疗方法。由于手术疤痕、活动度不足和运动恐惧，手术后异常的筋膜张力很常见。筋膜张力可能导致疼痛和活动度丧失。本病例报告旨在研究筋膜手法对膝关节手术后患者疼痛和功能的有效性。一名32岁男性患者，在前交叉韧带重建（腘绳肌移植）和半月板修复后持续存在膝关节疼痛，接受了系统的筋膜手法评估过程，对选定的肌筋膜单元协调中心进行了治疗。在治疗前和4次治疗疗程后获得了膝关节损伤骨关节炎结局评分（KOOS）问卷。结果显示，4周后KOOS的所有子量表均有临床显著改善，在随后3个月、6个月、1年和2年的随访中效果得以维持。
