CESPU, Institute of Research and Advanced Training in Health Sciences and Technologies, Gandra, Paredes, Portugal.
CESPU, Institute of Research and Advanced Training in Health Sciences and Technologies, Gandra, Paredes, Portugal; Santa Maria Health School, Porto, Portugal.
Musculoskelet Sci Pract. 2017 Dec;32:92-97. doi: 10.1016/j.msksp.2017.09.005. Epub 2017 Sep 14.
Deep friction massage is one of several physiotherapy interventions suggested for the management of tendinopathy.
To determine the prevalence of deep friction massage use in clinical practice, to characterize the application parameters used by physiotherapists, and to identify empirical model-based patterns of deep friction massage application in degenerative tendinopathy.
observational, analytical, cross-sectional and national web-based survey.
478 physiotherapists were selected through snow-ball sampling method. The participants completed an online questionnaire about personal and professional characteristics as well as specific questions regarding the use of deep friction massage. Characterization of deep friction massage parameters used by physiotherapists were presented as counts and proportions. Latent class analysis was used to identify the empirical model-based patterns. Crude and adjusted odds ratios and 95% confidence intervals were computed.
The use of deep friction massage was reported by 88.1% of the participants; tendinopathy was the clinical condition where it was most frequently used (84.9%) and, from these, 55.9% reported its use in degenerative tendinopathy. The "duration of application" parameters in chronic phase and "frequency of application" in acute and chronic phases are those that diverge most from those recommended by the author of deep friction massage.
We found a high prevalence of deep friction massage use, namely in degenerative tendinopathy. Our results have shown that the application parameters are heterogeneous and diverse. This is reflected by the identification of two application patterns, although none is in complete agreement with Cyriax's description.
深层摩擦按摩是几种物理治疗干预措施之一，用于治疗肌腱病。
确定深层摩擦按摩在临床实践中的使用频率，描述物理治疗师使用的应用参数，并确定退行性肌腱病中深层摩擦按摩应用的基于经验模型的模式。
观察性、分析性、横断面和全国性的网络调查。
通过滚雪球抽样法选择了 478 名物理治疗师。参与者完成了一份在线问卷，内容涉及个人和专业特征，以及深层摩擦按摩使用的具体问题。物理治疗师使用的深层摩擦按摩参数的特征以计数和比例表示。采用潜在类别分析来识别基于经验模型的模式。计算了粗比值比和 95%置信区间，并进行了调整。
88.1%的参与者报告使用深层摩擦按摩；深层摩擦按摩最常用于肌腱病（84.9%），其中 55.9%报告用于退行性肌腱病。慢性期的“应用持续时间”参数和急性期和慢性期的“应用频率”参数与深层摩擦按摩作者推荐的参数差异最大。
我们发现深层摩擦按摩的使用频率很高，尤其是在退行性肌腱病中。我们的结果表明，应用参数存在异质性和多样性。这反映在两种应用模式的识别上，尽管没有一种与 Cyriax 的描述完全一致。
