Mącznik Aleksandra K, Schneiders Anthony G, Athens Josie, Sullivan S John
*Centre for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand;†School of Human, Health and Social Sciences, Central Queensland University, Bundaberg, Australia; and‡Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
Clin J Sport Med. 2017 Jul;27(4):338-343. doi: 10.1097/JSM.0000000000000378.
Injuries are a common consequence of sports and recreational activity. The optimal management of symptoms is a crucial element of sports injury management. Acupressure has previously been shown to effectively decrease symptoms of musculoskeletal injury, thus may be considered a potentially useful intervention in the management of sport-related injuries. Therefore, this study was conducted to examine the effectiveness of acupressure in decreasing pain and anxiety in acutely injured athletes.
A prospective 3-arm randomized placebo-controlled trial.
A sports injury clinic, Dunedin, New Zealand.
Seventy-nine athletes who sustained a sport-related musculoskeletal injury on the day.
Three minutes of either acupressure, sham acupressure, or no acupressure.
The primary outcomes of pain and anxiety intensity were measured before and immediately after the intervention on a 100-mm visual analog scale (VAS). Pain and anxiety relief, satisfaction with treatment, willingness to repeat a similar treatment, and belief in the effect of acupressure were secondary outcomes measured on Likert scales after the intervention.
The acupressure group reported 11 mm less pain (95% CI: 5-17) on average than the sham acupressure group, and 9 mm less (95% CI: 3-16) than the control group as a result of the intervention (P < 0.05). There was no difference between groups in: anxiety levels, or in any of the secondary outcome measures.
Three minutes of acupressure was effective in decreasing pain intensity in athletes who sustained an acute musculoskeletal sports injury when measured on the VAS, but did not change anxiety levels.
损伤是体育和娱乐活动的常见后果。症状的最佳管理是运动损伤管理的关键要素。先前已证明指压能有效减轻肌肉骨骼损伤的症状，因此可被视为运动相关损伤管理中一种潜在有用的干预措施。因此，本研究旨在探讨指压对减轻急性受伤运动员疼痛和焦虑的有效性。
一项前瞻性三臂随机安慰剂对照试验。
新西兰达尼丁的一家运动损伤诊所。
当天遭受运动相关肌肉骨骼损伤的79名运动员。
指压、假指压或不进行指压，各持续三分钟。
在干预前和干预后立即使用100毫米视觉模拟量表（VAS）测量疼痛和焦虑强度的主要指标。干预后使用李克特量表测量疼痛和焦虑缓解情况、对治疗的满意度、重复类似治疗的意愿以及对指压效果的信念等次要指标。
干预后，指压组平均疼痛程度比假指压组少11毫米（95%可信区间：5 - 17），比对照组少9毫米（95%可信区间：3 - 16）（P < 0.05）。各组在焦虑水平或任何次要观察指标方面均无差异。
当使用VAS测量时，三分钟指压对减轻急性肌肉骨骼运动损伤运动员的疼痛强度有效，但并未改变焦虑水平。
