Florida International University, USA.
East Los Angeles College, USA.
J Bodyw Mov Ther. 2020 Jan;24(1):82-87. doi: 10.1016/j.jbmt.2019.06.004. Epub 2019 Jun 15.
A standard treatment protocol for medial tibial stress syndrome (MTSS) has not been identified. Clinical practice focuses on local evaluation and treatment neglecting a global approach. The MyoKinesthetic™ (MYK) System includes a full-body postural assessment to identify compensatory patterns that may lead to MTSS. The purpose of this study was to assess the effects of the MYK System in treating patients diagnosed with MTSS.
A multi-site exploratory study was used to assess the effects of the MYK System on perceived pain and disability in patients diagnosed with MTSS. Eighteen physically active patients (6 female, 12 male), ages 18-25 years (19.89 ± 1.32) were treated with the MYK System.
Paired T-tests were utilized to assess change. The change in patient reported pain was statistically significant (t = 10.48, p < .001, Cohen's d = 2.48) and represented an average decrease of 96% in patient reported pain. The change in disablement was statistically significant (t = 7.39, p < .001, Cohen's d = 1.74) and represented an average decrease of 88.2% in patient reported disablement.
Participants treated with the MYK System experienced significant improvements and appear to surpass traditional interventions without the need of rest.
Implementation of the MYK System to treat MTSS led to significant decreases in patient reported pain and dysfunction. A full-scale clinical investigation of the MYK System is warranted to determine its effects compared to traditional treatment options.
尚未确定中胫骨压力综合征（MTSS）的标准治疗方案。临床实践侧重于局部评估和治疗，而忽略了整体方法。MyoKinesthetic ™（MYK）系统包括全面的姿势评估，以确定可能导致 MTSS 的代偿模式。本研究的目的是评估 MYK 系统治疗诊断为 MTSS 的患者的效果。
采用多地点探索性研究评估 MYK 系统对诊断为 MTSS 的患者的感知疼痛和残疾的影响。18 名活跃的患者（6 名女性，12 名男性），年龄 18-25 岁（19.89 ± 1.32），接受了 MYK 系统治疗。
采用配对 T 检验评估变化。患者报告的疼痛变化具有统计学意义（t=10.48，p<.001，Cohen's d=2.48），代表患者报告疼痛的平均下降 96%。残疾的变化具有统计学意义（t=7.39，p<.001，Cohen's d=1.74），代表患者报告残疾的平均下降 88.2%。
接受 MYK 系统治疗的参与者经历了显著的改善，似乎无需休息即可超过传统干预。
实施 MYK 系统治疗 MTSS 可显著降低患者报告的疼痛和功能障碍。需要对 MYK 系统进行全面的临床研究，以确定其与传统治疗方案相比的效果。
