Paulo Luana Rocha, Lacerda Ana Cristina Rodrigues, Martins Fábio Luiz Mendonça, Fernandes José Sebastião Cunha, Vieira Leonardo Sette, Guimarães Cristiano Queiroz, Ballesteros Sílvia de Simoni Guedes, Anjos Marco Túlio Saldanha Dos, Tavares Patrícia Aparecida, Fonseca Sueli Ferreira da, Oliveira Murilo Xavier, Bernardo-Filho Mário, Sá-Caputo Danúbia da Cunha de, Mendonça Vanessa Amaral, Taiar Redha
Postgraduate Program of Rehabilitation and Functional Performance (PPGReab), Federal University of Jequitinhonha and Mucuri Valleys (UFVJM), Diamantina 39803-371, Brazil.
Academia Brasileira de Fascias, Juatuba 35675-000, Brazil.
J Clin Med. 2021 May 7;10(9):2006. doi: 10.3390/jcm10092006.
Although manual therapy for pain relief has been used as an adjunct in treatments for chronic low back pain (CLBP), there is still the belief that a single session of myofascial release would be effective. This study was a crossover clinical trial aimed to investigate whether a single session of a specific myofascial release technique reduces pain and disability in subjects with CLBP. 41 participants over 18 years old were randomly enrolled into 3 situations in a balanced and crossover manner: experimental, placebo, and control. The subjects underwent a single session of myofascial release on thoracolumbar fascia and the results were compared with the control and placebo groups. The outcomes, pain and functionality, were evaluated using the numerical pain rating scale (NPRS), pressure pain threshold (PPT), and Oswestry Disability Index (ODI). There were no effects between-tests, within-tests, nor for interaction of all the outcomes, i.e., NPRS (η = 0.32, F = 0.48, = 0.61), PPT (η = 0.73, F = 2.80, = 0.06), ODI (η = 0.02, F = 0.02, = 0.97). A single trial of a thoracolumbar myofascial release technique was not enough to reduce pain intensity and disability in subjects with CLBP.
尽管手动疗法作为缓解疼痛的辅助手段已被用于慢性下腰痛（CLBP）的治疗，但仍有人认为单次肌筋膜松解治疗会有效果。本研究是一项交叉临床试验，旨在调查单次特定肌筋膜松解技术是否能减轻CLBP患者的疼痛和残疾程度。41名18岁以上的参与者以平衡交叉的方式随机纳入3种情况：实验组、安慰剂组和对照组。受试者接受了一次胸腰筋膜肌筋膜松解治疗，并将结果与对照组和安慰剂组进行比较。使用数字疼痛评分量表（NPRS）、压力疼痛阈值（PPT）和Oswestry功能障碍指数（ODI）评估疼痛和功能等结果。所有结果在组间、组内以及交互作用方面均无影响，即NPRS（η = 0.32，F = 0.48，P = 0.61）、PPT（η = 0.73，F = 2.80，P = 0.06）、ODI（η = 0.02，F = 0.02，P = 0.97）。单次胸腰段肌筋膜松解技术试验不足以减轻CLBP患者的疼痛强度和残疾程度。
