Shah Yusuf, Arkesteijn Marco, Thomas Dexter, Whyman Jemma, Passfield Louis
School of Sport and Exercise Sciences, University of Kent, Chatham ME4 4AG, UK.
Institute of Biological, Environmental and Rural Sciences (IBERS), Aberystwyth University, Carwyn James Building, Penglais Campus, Aberystwyth SY23 3FD, UK.
J Bodyw Mov Ther. 2017 Apr;21(2):459-467. doi: 10.1016/j.jbmt.2016.08.012. Epub 2016 Sep 1.
Myofascial techniques and Kinesio Taping are therapeutic interventions used to treat low back pain. However, limited research has been conducted into the underlying physiological effects of these types of treatments.
The purpose of this study was to compare the acute effects of integrated myofascial techniques (IMT) and Kinesio Tape (KT) on blood flow at the lumbar paraspinal musculature.
Forty-four healthy participants (18 male and 26 female) (age, 26 ± SD 7) volunteered for this study and were randomly assigned to one of three interventions, IMT, KT or a control group (Sham TENS). Paraspinal blood flow was measured at the L3 vertebral level, using Near Infrared Spectroscopy (NIRS), before and after a 30-min treatment. Pain Pressure Threshold (PPT) was also measured before and after treatments.
A one-way ANOVA indicated a significant difference between groups for OHb [F (2-41) = 41.6, P < 0.001], HHb [F (2-41) = 14.6, P < 0.001] and tHb [F (2-41) = 42.2, P < 0.001]. Post hoc tests indicated that IMT was significantly greater, from the KT and the control treatments (P < 0.001), for changes in OHb, HHb, and tHb. There were no significant differences for PPT [F (2-41) = 2.69, p = 0.08], between groups.
This study demonstrated that IMT increases peripheral blood flow at the paraspinal muscles in healthy participants compared to KT and sham TENS. The change in blood flow had no impact on pain perception in the asymptomatic population group.
肌筋膜技术和肌内效贴布是用于治疗腰痛的治疗干预措施。然而，对于这些类型治疗的潜在生理效应的研究有限。
本研究的目的是比较综合肌筋膜技术（IMT）和肌内效贴布（KT）对腰椎旁肌肉组织血流的急性影响。
44名健康参与者（18名男性和26名女性）（年龄，26±标准差7）自愿参加本研究，并被随机分配到三种干预措施之一，即IMT、KT或对照组（假经皮电刺激神经疗法）。在30分钟治疗前后，使用近红外光谱（NIRS）在L3椎体水平测量椎旁血流。治疗前后还测量了疼痛压力阈值（PPT）。
单因素方差分析表明，各组之间在氧合血红蛋白[F（2 - 41）= 41.6，P < 0.001]、还原血红蛋白[F（2 - 41）= 14.6，P < 0.001]和总血红蛋白[F（2 - 41）= 42.2，P < 0.001]方面存在显著差异。事后检验表明，对于氧合血红蛋白、还原血红蛋白和总血红蛋白的变化，IMT显著大于KT和对照治疗（P < 0.001）。各组之间的PPT[F（2 - 41）= 2.69，p = 0.08]没有显著差异。
本研究表明，与KT和假经皮电刺激神经疗法相比，IMT可增加健康参与者椎旁肌肉的外周血流。血流变化对无症状人群组的疼痛感知没有影响。
