肌筋膜触发点干拔罐对足跟痛患者疼痛及功能的影响：一项随机对照试验。
Effects of myofascial trigger point dry cupping on pain and function in patients with plantar heel pain: A randomized controlled trial.
作者信息
AlKhadhrawi Nazar, Alshami Ali
机构信息
Department of Physical Therapy, Qatif Central Hospital, P.O.Box: 3718 Qudaih, Unit No. 1, Qatif, 32661, Saudi Arabia.
Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Saudi Arabia.
出版信息
J Bodyw Mov Ther. 2019 Jul;23(3):532-538. doi: 10.1016/j.jbmt.2019.05.016. Epub 2019 May 23.
OBJECTIVE
To investigate the effects of dry cupping on calf muscle myofascial trigger points (MTrPs) on pain and function in patients with plantar heel pain.
METHODS
Seventy-one patients were randomly divided into an intervention group or control group. Both groups performed stretching exercises for the calf muscle and plantar fascia and ankle dorsiflexion exercises. The intervention group also received dry cupping. The primary outcome measures were visual analogue scale (VAS), pressure pain threshold (PPT), and patient-specific functional scale (PSFS). The secondary outcomes were ankle dorsiflexion range of motion (ROM) and ankle plantar flexor strength. These measurements were performed at baseline, immediately after intervention, and after 2 days.
RESULTS
Current VAS significantly decreased immediately in the intervention group (p = 0.002), but not in the control group (p ≥ 0.220). Morning VAS decreased significantly in both groups (p < 0.001) after 2 days, but decreased more in the intervention group (p = 0.006). Trigger point PPT significantly improved immediately in the intervention group (p = 0.003), but not in the control group (p = 0.112). Both groups improved significantly in PSFS (p < 0.001) and ankle dorsiflexion ROM (p < 0.001). Plantar flexor strength significantly increased immediately in the intervention group (p < 0.001), but not in the control group (p = 0.556).
CONCLUSION
Adding dry cupping on calf MTrPs to self-stretching and ankle dorsiflexion exercises for patients with plantar heel pain was superior to only self-stretching and active ankle dorsiflexion exercises in pain, ankle dorsiflexion ROM, and plantar flexor strength.
目的
探讨干拔罐疗法对足跟痛患者小腿肌肉肌筋膜触发点（MTrPs）疼痛及功能的影响。
方法
将71例患者随机分为干预组和对照组。两组均进行小腿肌肉和足底筋膜拉伸运动以及踝关节背屈运动。干预组还接受干拔罐疗法。主要观察指标为视觉模拟评分法（VAS）、压痛阈（PPT）和患者特定功能量表（PSFS）。次要观察指标为踝关节背屈活动度（ROM）和踝关节跖屈肌力。这些测量在基线、干预后即刻和2天后进行。
结果
干预组即刻VAS显著降低（p = 0.002），而对照组未降低（p≥0.220）。两组2天后晨VAS均显著降低（p < 0.001），但干预组降低更明显（p = 0.006）。干预组触发点PPT即刻显著改善（p = 0.003），而对照组未改善（p = 0.112）。两组PSFS（p < 0.001）和踝关节背屈ROM（p < 0.001）均显著改善。干预组跖屈肌力即刻显著增加（p < 0.001），而对照组未增加（p = 0.556）。
结论
对于足跟痛患者，在自我拉伸和踝关节背屈运动基础上增加对小腿MTrPs的干拔罐疗法，在疼痛、踝关节背屈ROM和跖屈肌力方面优于单纯的自我拉伸和主动踝关节背屈运动。
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