深度颈筋膜手法与瑜伽姿势治疗机械性颈痛患者疼痛、功能和眼球运动控制的效果：一项实用、平行组、随机、对照试验的研究方案。
Effectiveness of deep cervical fascial manipulation and yoga postures on pain, function, and oculomotor control in patients with mechanical neck pain: study protocol of a pragmatic, parallel-group, randomized, controlled trial.
机构信息
Interdisciplinary Centre for Craniofacial and Orofacial pain Research, Department of Exercise and Sports Science, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576 104, India.
Department of Orthopedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
出版信息
Trials. 2021 Aug 28;22(1):574. doi: 10.1186/s13063-021-05533-w.
INTRODUCTION
Mechanical neck pain (MNP) is a commonly occurring musculoskeletal condition that is usually managed using electrical modalities, joint mobilization techniques, and therapeutic exercises, but has limited evidence of their efficacy. Pathology (densification) of the deep cervical fascia that occurs due to the increased viscosity of hyaluronic acid (HA) may induce neck pain and associated painful symptoms of the upper quarter region. Fascial manipulation (FM) and yoga poses are considered to reduce the thixotropy of the ground substances of the deep fascia and improve muscle function. The purpose of this study is to investigate the effect of FM and sequential yoga poses (SYP) when compared to the usual care on pain, function, and oculomotor control in MNP.
METHODS
This FaCe-Man trial will recruit 160 patients with subacute and chronic mechanical neck pain diagnosed using predefined criteria. Participants will be randomized to either the intervention group or the usual care group, using a random allocation ratio of 1:1. Patients in the intervention group will receive FM (4 sessions in 4 weeks) and SYP (12 weeks) whereas the standard care group will receive cervical mobilization/ thoracic manipulation (4 sessions in 4 weeks) and therapeutic exercises (12 weeks). The primary outcome is the change in the numeric pain rating scale (NPRS). The secondary outcomes include changes in the patient-specific functional scale and oculomotor control, myofascial stiffness, fear-avoidance behavior questionnaire, and elbow extension range of motion during neurodynamics test 1.
DISCUSSION
If found effective, FM along with SYP investigated in this trial can be considered as a treatment strategy in the management of mechanical neck pain. Considering the magnitude of the problem, and the pragmatic and patient-centered approach to be followed, it is worth investigating this trial.
TRIAL REGISTRATION
ClinicalTrials.gov CTRI/2020/01/022934 . Registered on January 24, 2020 with ctri.nic.in. Clinical Trials Registry - India.
简介
机械性颈部疼痛（MNP）是一种常见的肌肉骨骼疾病，通常采用电疗、关节松动技术和治疗性运动进行治疗，但疗效的证据有限。由于透明质酸（HA）的粘性增加，深层颈部筋膜发生的病理改变（致密化）可能会引起颈部疼痛和上象限的相关疼痛症状。筋膜手法（FM）和瑜伽姿势被认为可以降低深部筋膜基质的触变性，改善肌肉功能。本研究旨在探讨 FM 和连续瑜伽姿势（SYP）与常规护理相比对 MNP 患者疼痛、功能和眼球运动控制的影响。
方法
这项 FaCe-Man 试验将招募 160 名患有亚急性和慢性机械性颈部疼痛的患者，这些患者使用预定义标准进行诊断。参与者将按照 1:1 的随机分配比例随机分配到干预组或常规护理组。干预组患者将接受 FM（4 次/4 周）和 SYP（12 周），而常规护理组将接受颈椎运动/胸椎推拿（4 次/4 周）和治疗性运动（12 周）。主要结局是数字疼痛评分量表（NPRS）的变化。次要结局包括患者特定功能量表和眼球运动控制、肌筋膜僵硬、恐惧回避行为问卷以及神经动力学测试 1 中肘部伸展范围的变化。
讨论
如果被证明有效，本试验中研究的 FM 结合 SYP 可以被视为机械性颈部疼痛管理的一种治疗策略。考虑到问题的严重程度，以及所遵循的务实和以患者为中心的方法，值得对本试验进行研究。
试验注册
ClinicalTrials.gov CTRI/2020/01/022934 。于 2020 年 1 月 24 日在 ClinicalTrials.gov 注册，注册号为 ctri.nic.in。临床试验注册 - 印度。
Zotero 插件