筋膜手法治疗肌肉骨骼疾病疼痛和功能障碍的有效性：系统评价。
Effectiveness of fascial manipulation on pain and disability in musculoskeletal conditions. A systematic review.
机构信息
Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Bangalore, India.
Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Bangalore, India.
出版信息
J Bodyw Mov Ther. 2021 Jan;25:230-239. doi: 10.1016/j.jbmt.2020.11.005. Epub 2020 Nov 11.
OBJECTIVE
To review the effectiveness of Stecco's fascial manipulation technique in patients with musculoskeletal pain.
DESIGN
Systematic review of interventional studies.
METHODS
A systematic search of literatures was performed in the electronic databases: PubMed, Cochrane, Scopus, ScienceDirect, and Ovid from January 2005 to December 2019. Studies were included if they were followed stecco's fascial manipulation as an intervention for the musculoskeletal conditions. RCTs and Non RCTs both were included in this review.
RESULTS
Thirteen studies met the eligibility criteria [RCTs-8, Pre-Post studies-3, Case reports-2]. Stecco's FM technique was followed in all the included studies. Five studies applied FM technique alone, while two studies added exercise along with FM and one study substitute session with manual therapy.
CONCLUSION
This systematic review reported low to moderate quality evidence for the effect of FM in improving pain and disability in subjects with musculoskeletal pain conditions, when it is carried out as described in the Stecco's concept.
目的
综述筋膜手法（Stecco's fascial manipulation technique）治疗肌肉骨骼疼痛的有效性。
设计
干预性研究的系统评价。
方法
系统检索 2005 年 1 月至 2019 年 12 月期间在电子数据库 PubMed、Cochrane、Scopus、ScienceDirect 和 Ovid 中发表的文献。如果研究采用 Stecco 的筋膜手法作为治疗肌肉骨骼疾病的干预措施，则将其纳入。本综述纳入了随机对照试验和非随机对照试验。
结果
共有 13 项研究符合纳入标准[随机对照试验 8 项，前后对照研究 3 项，病例报告 2 项]。所有纳入的研究均采用了 Stecco 的筋膜手法。5 项研究单独应用筋膜手法，2 项研究在筋膜手法的基础上增加了运动，1 项研究用手法治疗替代了治疗。
结论
本系统评价报告了筋膜手法治疗肌肉骨骼疼痛患者疼痛和功能障碍的效果，证据质量为低到中等。该手法是按照 Stecco 提出的概念实施的。
Zotero 插件