体育锻炼计划对肌筋膜触发点相关功能障碍的影响：一项系统评价和荟萃分析。
Effect of Physical Exercise Programs on Myofascial Trigger Points-Related Dysfunctions: A Systematic Review and Meta-analysis.
作者信息
Guzmán-Pavón María José, Cavero-Redondo Iván, Martínez-Vizcaíno Vicente, Fernández-Rodríguez Rubén, Reina-Gutierrez Sara, Álvarez-Bueno Celia
机构信息
Universidad de Castilla-La Mancha, Faculty of Physiotherapy and Nursing, Toledo, Spain.
Universidad de Castilla la-Mancha, Health and Social Research Center, Cuenca, Spain.
出版信息
Pain Med. 2020 Nov 1;21(11):2986-2996. doi: 10.1093/pm/pnaa253.
OBJECTIVE
Myofascial pain syndrome is one of the primary causes of health care visits. In recent years, physical exercise programs have been developed for the treatment of myofascial trigger points, but their effect on different outcomes has not been clarified. Thus, this study aimed to assess the effect of physical exercise programs on myofascial trigger points.
METHODS
A systematic search was conducted in Pubmed, Web of Science, and Scopus. Articles analyzing the effect of physical exercise programs on pain intensity, pressure pain threshold, range of motion, and disability were included. Risk of bias was assessed using the Cochrane RoB2 tool. The DerSimonian-Laird method was used to compute the pooled effect sizes (ES) and their 95% confidence interval (95% CI) for pain intensity, pressure pain threshold, range of motion, and disability.
RESULTS
A total of 24 randomized controlled trials were included in this systematic review and meta-analysis. The pooled ES were -0.47 (95% CI = -0.61 to -0.33) for pain intensity, 0.63 (95% CI = 0.31 to 0.95) for pressure pain threshold, 0.43 (95% CI = 0.24 to 0.62) for range of motion, and -0.18 (95% CI = -0.45 to 0.10) for disability.
CONCLUSIONS
Physical exercise programs may be an effective approach in the treatment of pain intensity, pressure pain threshold, and range of motion among patients with myofascial trigger points.
目的
肌筋膜疼痛综合征是就医的主要原因之一。近年来，已制定体育锻炼计划用于治疗肌筋膜触发点，但其对不同结果的影响尚未明确。因此，本研究旨在评估体育锻炼计划对肌筋膜触发点的影响。
方法
在PubMed、科学网和Scopus中进行了系统检索。纳入分析体育锻炼计划对疼痛强度、压痛阈值、活动范围和残疾影响的文章。使用Cochrane RoB2工具评估偏倚风险。采用DerSimonian-Laird方法计算疼痛强度、压痛阈值、活动范围和残疾的合并效应量（ES）及其95%置信区间（95%CI）。
结果
本系统评价和荟萃分析共纳入24项随机对照试验。疼痛强度的合并ES为-0.47（95%CI=-0.61至-0.33），压痛阈值为0.63（95%CI=0.31至0.95），活动范围为0.43（95%CI=0.24至0.62），残疾为-0.18（95%CI=-0.45至0.10）。
结论
体育锻炼计划可能是治疗肌筋膜触发点患者疼痛强度、压痛阈值和活动范围的有效方法。
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