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巴基斯坦卡拉奇物理治疗师对肌筋膜疼痛综合征的管理实践:一项横断面调查。

Management practices in myofascial pain syndrome among physical therapists in Karachi, Pakistan: A cross sectional survey.

作者信息

Sherazi Syeda Abida Hussain, Soomro Rabail Rani, Ahmad Mukhtar, Rehman Bashir Ur, Shah Syed Sufdar Hussain

机构信息

Department of Physiotherapy, University of Azad Jammu and Kashmir, Pakistan.

Dow University of Health Sciences (DUHS), Karachi.

出版信息

J Pak Med Assoc. 2020 Jul;70(7):1220-1224. doi: 10.5455/JPMA.13725.

DOI:10.5455/JPMA.13725
PMID:32799277
Abstract

OBJECTIVE

To investigate the treatment practice in myofascial pain syndrome among physical therapists in an urban setting.

METHODS

The cross-sectional study was conducted from June to December, 2016, at the Institute of Physical Medicine and Rehabilitation, Dow University of Health Science, Karachi Pakistan, and comprised qualified physical therapists of either gender working at various health centres in the city. Data was collected using a self-administered questionnaire, and was analysed using SPSS 16.

RESULTS

Of the 93 respondents, 37(39.8%) were males and 56(60.2%) were females; 39(41.9%) had Masters level professional education; and 29(31.2%) had 5-8 years of experience. Myofascial Pain Syndrome was diagnosed through physical examination by 78(83.9%) subjects, on the basis of history by 70(75.3%) and palpable band by 75(80%). Preferred treatment strategy was ischaemic compression for 63(67.7%) and postural re-education for 64(68.8%), while dry needling was used by 29(31.2%) subjects. Also, 75(80%) therapists preferred manual therapy superior combined with other treatments.

CONCLUSIONS

Physical examination was found to be the most common diagnostic method used for myofascial pain syndrome by the therapists.

摘要

目的

调查城市环境中物理治疗师对肌筋膜疼痛综合征的治疗实践。

方法

2016年6月至12月在巴基斯坦卡拉奇道健康科学大学物理医学与康复研究所进行了横断面研究,研究对象包括在该市各健康中心工作的合格男女物理治疗师。使用自填式问卷收集数据,并使用SPSS 16进行分析。

结果

93名受访者中,37名(39.8%)为男性,56名(60.2%)为女性;39名(41.9%)拥有硕士水平的专业教育;29名(31.2%)有5至8年工作经验。78名(83.9%)受试者通过体格检查诊断出肌筋膜疼痛综合征,70名(75.3%)基于病史诊断,75名(80%)通过触及条索诊断。首选治疗策略为缺血性按压的有63名(67.7%),姿势再教育的有64名(68.8%),29名(31.2%)受试者使用了干针疗法。此外,75名(80%)治疗师更喜欢将手法治疗与其他治疗相结合。

结论

治疗师发现体格检查是用于诊断肌筋膜疼痛综合征最常用的方法。

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