Departamento de Fisioterapia, Universitat Internacional de Catalunya, Barcelona, Spain.
Institut Universitari de Investigació en Atenció Primària (IDIAP Jordi Gol), Barcelona, Spain.
PLoS One. 2020 Dec 9;15(12):e0243225. doi: 10.1371/journal.pone.0243225. eCollection 2020.
Diacutaneous fibrolysis is a noninvasive technique that has been shown to be effective in the treatment of musculoskeletal disorders such as shoulder pain, lateral epicondylalgia, patellofemoral pain syndrome and carpal tunnel syndrome. However, while diacutaneous fibrolysis is applied to soft tissue, its effects on muscular properties are unknown. The purpose of the present study was to evaluate the effects of diacutaneous fibrolysis on muscle properties as measured by tensiomyography and myotonometry in asymptomatic subjects. An analytical descriptive study was performed. A single session of diacutaneous fibrolysis on the gastrocnemius muscle was applied to one limb (treated limb group) and the other limb was the control (control limb group). Subjects were assessed with tensiomyography and myotonometry before treatment (T0), after treatment (T1) and 30 minutes later (T2). The primary outcomes were tensiomyography and myotonometry variables. The treated limb group showed a statistically significant increase (p<0.05) in tensiomyography parameters. A decrease in rigidity and increase in relaxation was also observed on myotonometry at T1, with some of the effects being maintained at T2. Rigidity and relaxation at T1 were statistically significant between groups (p<0.05). A single session of diacutaneous fibrolysis to the gastrocnemius muscle of asymptomatic subjects produced immediate changes in muscle properties. These changes were maintained 30 minutes after the application of the technique.
皮下纤维松解术是一种非侵入性技术,已被证明在治疗肌肉骨骼疾病方面有效,如肩痛、外侧肱骨上髁炎、髌股疼痛综合征和腕管综合征。然而,虽然皮下纤维松解术应用于软组织,但它对肌肉特性的影响尚不清楚。本研究的目的是评估皮下纤维松解术对无症状受试者肌肉特性的影响,方法是使用张力描记法和肌振仪进行评估。进行了一项分析性描述性研究。单次应用于腓肠肌的皮下纤维松解术应用于一条肢体(治疗肢体组),另一条肢体为对照(对照肢体组)。在治疗前(T0)、治疗后(T1)和 30 分钟后(T2)对受试者进行张力描记法和肌振仪评估。主要结局指标是张力描记法和肌振仪变量。治疗肢体组的张力描记法参数显示出统计学上的显著增加(p<0.05)。肌振仪在 T1 时也观察到硬度降低和松弛增加,其中一些影响在 T2 时仍保持。T1 时两组间的硬度和松弛度均有统计学差异(p<0.05)。单次应用于无症状受试者腓肠肌的皮下纤维松解术即刻改变了肌肉特性。这些变化在该技术应用 30 分钟后仍保持。