Ahmed Sara, Khattab Shereen, Haddad Chris, Babineau Jessica, Furlan Andrea, Kumbhare Dinesh
Department of Medicine, University of Toronto, Toronto, ON, Canada.
Department of Psychology, McMaster University, Hamilton, ON, Canada.
J Exerc Rehabil. 2018 Dec 27;14(6):902-910. doi: 10.12965/jer.1836406.205. eCollection 2018 Dec.
Myofascial pain is prevalent chronic pain disorder that is comorbid with many conditions. Strengthening and stretching exercises are capable of inducing hypoalgesic effects in people with myofascial pain syndrome. The goal of this systematic review was to summarize the effects of aerobic exercise on the management of myofascial pain. A comprehensive database search was conducted. A total of 1,331 articles were identified for review. One article was eligible for inclusion after full screening. Risk of bias was assessed using the Downs and Black quality assessment questionnaire (1998). Mean difference scores were calculated for continuous variables. The identified study had a low risk of bias. It was a randomized controlled trial assessing the influence of an 8-week water aerobic exercise program on myofascial pain in breast cancer patients. Visual analogue scale pain intensity ratings and the number of myofascial trigger points present in the neck and shoulder/axillary area of participants significantly decreased in the exercise group compared to those in the control group. Pain pressure thresholds significantly increased in muscle areas of the cervical spine in the water exercise group. Aerobic exercise presents a potential treatment modality for managing myofascial pain. Additional research is necessary.
肌筋膜疼痛是一种常见的慢性疼痛疾病，常与多种病症合并存在。强化和伸展运动能够在肌筋膜疼痛综合征患者中产生痛觉减退效应。本系统评价的目的是总结有氧运动对肌筋膜疼痛管理的影响。进行了全面的数据库检索。共识别出1331篇文章以供审查。经过全面筛选，有一篇文章符合纳入标准。使用唐斯和布莱克质量评估问卷（1998年）评估偏倚风险。对连续变量计算平均差异分数。所识别的研究偏倚风险较低。这是一项随机对照试验，评估了为期8周的水中有氧运动计划对乳腺癌患者肌筋膜疼痛的影响。与对照组相比，运动组参与者的视觉模拟量表疼痛强度评分以及颈部和肩部/腋窝区域存在的肌筋膜触发点数量显著降低。水中运动组颈椎肌肉区域的疼痛压力阈值显著升高。有氧运动是管理肌筋膜疼痛的一种潜在治疗方式。还需要进一步的研究。
