Praxis für Osteopathie und Naturheilkunde, Geestland, Germany.
Faszium GbR, Altenholz, Germany.
J Back Musculoskelet Rehabil. 2021;34(6):997-1006. doi: 10.3233/BMR-191731.
Chronic neck pain (CNP) is a common health problem in western industrialized nations. In recent years, the fascial tissue has attracted the attention of therapists, and a treatment of the fasciae promises to be a meaningful approach in the therapy of patients with CNP.
The aim of this study was to investigate the effectiveness of a fascial treatment (FT) compared to manual therapy (MT) and to no intervention (control group, CG) in patients with CNP.
Sixty participants with CNP were randomized into three groups. Primary outcome parameters were pain intensity as measured by the visual analogue scale (VAS), and severity of illness as measured by the Neck Pain and Disability Scale (NPAD). Secondary outcome parameter was the range of motion (ROM) of the cervical spine.
Repeated measures t-tests demonstrated significant decreases with medium to large effect sizes for the FT (VAS: dRM= 1.14; NPAD: dRM= 0.51) and for the MT (VAS: dRM= 1.15; NPAD: dRM= 0.72).
Our results confirmed the effectiveness of MT on pain and severity of illness in the treatment of patients suffering from CNP. Furthermore, the results demonstrated the effectiveness and clinical relevance of FT for this population.
慢性颈部疼痛（CNP）是西方国家常见的健康问题。近年来，筋膜组织引起了治疗师的关注，筋膜治疗有望成为 CNP 患者治疗的一种有意义的方法。
本研究旨在比较筋膜治疗（FT）与手动治疗（MT）和无干预（对照组，CG）对 CNP 患者的疗效。
60 名 CNP 患者随机分为三组。主要观察指标为视觉模拟评分法（VAS）测量的疼痛强度和颈部疼痛和残疾量表（NPAD）测量的疾病严重程度。次要观察指标为颈椎活动范围（ROM）。
重复测量 t 检验显示，FT（VAS：dRM=1.14；NPAD：dRM=0.51）和 MT（VAS：dRM=1.15；NPAD：dRM=0.72）均有显著下降，具有中到大效应量。
我们的结果证实了 MT 对 CNP 患者疼痛和疾病严重程度的治疗效果。此外，结果还表明 FT 对该人群具有有效性和临床相关性。
