肌筋膜放松对全膝关节置换术后活动范围、疼痛及肱二头肌和股直肌肌肉活动的即时影响。
Immediate effect of myofascial release on range of motion, pain and biceps and rectus femoris muscle activity after total knee replacement.
作者信息
E Silva Danielle Cristine Carvalho Muniz, de Andrade Alexandre Dângelo José, Silva Júlio Guilherme
机构信息
Rehabilitation Sciences Postgraduate Program - Augusto Motta University Center (UNISUAM), Rio de Janeiro, RJ, Brazil.
Physical Rehabilitation Area - National Institute of Traumatology and Orthopedics Jammil Haddad (INTO / Ministry of Health), Rio de Janeiro, RJ, Brazil.
出版信息
J Bodyw Mov Ther. 2018 Oct;22(4):930-936. doi: 10.1016/j.jbmt.2017.12.003. Epub 2017 Dec 6.
OBJECTIVES
The role of a myofascial release (MFR) on flexion contractures after total knee arthroplasty (TKA) has not yet been elucidated. Therefore, the purpose of this study was to determine its immediate effect on such patients.
METHODS
In this A-B single subject experimental study, 33 TKA's patients with knee flexion contracture had their gluteal, posterior fascia lata, posterior crural and plantar fasciae released. Patients' knee range of motion (KROM), pain and muscle electric activity were assessed pre- and post-intervention.
RESULTS
An increase in electric activity of the biceps femoris muscle was identified after treatment (pre RMS = 0.087 ± 0.066 V; post RMS = 0.097 ± 0.085 V; p = 0.037). Mean gain of KROM was 5.72 ± 6.27, correspondent to an 11.9% improvement (p = 0.01). Eight subjects had their pain decreased on 56.9% (p = 0.04).
CONCLUSIONS
MFR increased muscle activity, reduced pain and improved the KROM of TKA patients. Thus, MFR is a useful resource of rehabilitation after TKA.
目的
肌筋膜松解术（MFR）在全膝关节置换术（TKA）后对屈曲挛缩的作用尚未阐明。因此，本研究的目的是确定其对此类患者的即时效果。
方法
在这项A - B单受试者实验研究中，对33例患有膝关节屈曲挛缩的TKA患者的臀肌、阔筋膜张肌后部、小腿后部和足底筋膜进行松解。在干预前后评估患者的膝关节活动范围（KROM）、疼痛和肌肉电活动。
结果
治疗后股二头肌的电活动增加（干预前均方根值=0.087±0.066V；干预后均方根值=0.097±0.085V；p = 0.037）。KROM的平均增加量为5.72±6.27，相当于改善了11.9%（p = 0.01）。8名受试者的疼痛减轻了56.9%（p = 0.04）。
结论
MFR增加了TKA患者的肌肉活动，减轻了疼痛，改善了KROM。因此，MFR是TKA术后康复的一种有用方法。
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