摩擦按摩与肌内效贴用于上斜方肌潜在触发点短期管理的比较：一项随机对照试验
Friction massage versus kinesiotaping for short-term management of latent trigger points in the upper trapezius: a randomized controlled trial.
作者信息
Mohamadi Marzieh, Piroozi Soraya, Rashidi Iman, Hosseinifard Saeed
机构信息
School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Abiverdi 1 Street, Chamran Boulevard, Shiraz, Iran.
出版信息
Chiropr Man Therap. 2017 Sep 12;25:25. doi: 10.1186/s12998-017-0156-9. eCollection 2017.
BACKGROUND
Latent trigger points in the upper trapezius muscle may disrupt muscle movement patterns and cause problems such as cramping and decreased muscle strength. Because latent trigger points may spontaneously become active trigger points, they should be addressed and treated to prevent further problems. In this study we compared the short-term effect of kinesiotaping versus friction massage on latent trigger points in the upper trapezius muscle.
METHODS
Fifty-eight male students enrolled with a stratified sampling method participated in this single-blind randomized clinical trial (Registration ID: IRCT2016080126674N3) in 2016. Pressure pain threshold was recorded with a pressure algometer and grip strength was recorded with a Collin dynamometer. The participants were randomly assigned to two different treatment groups: kinesiotape or friction massage. Friction massage was performed daily for 3 sessions and kinesiotape was used for 72 h. One hour after the last session of friction massage or removal of the kinesiotape, pressure pain threshold and grip strength were evaluated again.
RESULTS
Pressure pain threshold decreased significantly after both friction massage (2.66 ± 0.89 to 2.25 ± 0.76; = 0.02) and kinesiotaping (2.00 ± 0.74 to 1.71 ± 0.65; = 0.01). Grip strength increased significantly after friction massage (40.78 ± 9.55 to 42.17 ± 10.68; = 0.03); however there was no significant change in the kinesiotape group (39.72 ± 6.42 to 40.65 ± 7.3; = 0.197). There were no significant differences in pressure pain threshold (2.10 ± 0.11 & 1.87 ± 0.11; = 0.66) or grip strength (42.17 ± 10.68 & 40.65 ± 7.3; = 0.53) between the two study groups.
CONCLUSIONS
Friction massage and kinesiotaping had identical short-term effects on latent trigger points in the upper trapezius. Three sessions of either of these two interventions did not improve latent trigger points.
TRIAL REGISTRATION
Registration ID in IRCT: IRCT2016080126674N3.
背景
斜方肌上部的潜在触发点可能会扰乱肌肉运动模式，并导致诸如抽筋和肌肉力量下降等问题。由于潜在触发点可能会自发转变为活跃触发点，因此应予以关注和治疗，以防止出现更多问题。在本研究中，我们比较了肌内效贴布与摩擦按摩对斜方肌上部潜在触发点的短期效果。
方法
2016年，采用分层抽样方法招募的58名男学生参与了这项单盲随机临床试验（注册号：IRCT2016080126674N3）。使用压力痛觉计记录压痛阈值，使用柯林测力计记录握力。参与者被随机分配到两个不同的治疗组：肌内效贴布组或摩擦按摩组。摩擦按摩每天进行3次，肌内效贴布使用72小时。在最后一次摩擦按摩或去除肌内效贴布1小时后，再次评估压痛阈值和握力。
结果
摩擦按摩（从2.66±0.89至2.25±0.76；P=0.02）和肌内效贴布治疗（从2.00±0.74至1.71±0.65；P=0.01）后，压痛阈值均显著降低。摩擦按摩后握力显著增加（从40.78±9.55至42.17±10.68；P=0.03）；然而，肌内效贴布组没有显著变化（从39.72±6.42至40.65±7.3；P=0.197）。两个研究组之间的压痛阈值（2.10±0.11与1.87±0.11；P=0.53）或握力（42.17±10.68与40.65±7.3；P=0.53）没有显著差异。
结论
摩擦按摩和肌内效贴布对斜方肌上部潜在触发点具有相同的短期效果。这两种干预措施中的任何一种进行三次治疗均未改善潜在触发点。
试验注册
IRCT注册号：IRCT2016080126674N3。
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