Servicio de Rehabilitación, Hospital Puerto Real, Cádiz, Spain.
Departamento Materno-Infantil, Facultad de Medicina, Universidad de Cádiz, Spain; Servicio de Rehabilitación, Hospital Puerta del Mar, Cádiz, Spain; Grupo de Investigación iRehab. Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Cádiz, Spain.
Complement Ther Clin Pract. 2022 Aug;48:101580. doi: 10.1016/j.ctcp.2022.101580. Epub 2022 Apr 4.
The best physiotherapeutic approach in shoulder pathology that generates prolonged immobilization is still uncertain. Kinesitherapy remains the most widely used option. Myofascial therapy is a therapeutic approach in which the aim is to release fascial tension and regain mobility although its efficacy in shoulder pathology has not been sufficiently studied. This Prospective, single-blind randomized controlled trial in a university hospital setting aimed to compare the efficacy of myofascial therapy and kinesitherapy in improving function in shoulder pathology with prolonged immobilization.
Patients were randomly assigned to a control group or to the intervention group.Both groups completed a therapeutic exercise program.
The QuickDash questionnaire was the primary outcome, Pain Visual Analog Scale and the Range Of Motion of the shoulder were the secondary outcomes. The outcomes were evaluated at baseline (T0), at 4 (T2), 8 (T2), and 12 weeks (T3) RESULTS: 44 participants were included. In the analysis of evolution over time, a significant improvement in functionality and range of motion measurements was observed in both groups (p < 0.05), although at 12 weeks only Myofasical Group achieved a clinically and statistically significant reduction in pain. Comparative analysis at 12 weeks revealed no statistically significant differences between the two therapies in the variables explored.
Both, myofascial therapy and kinesitherapy can improve function, mobility, and pain in patients with painful shoulder associated with prolonged immobilization, with no significant differences between therapies, although in the medium term only myofascial therapy achieves a clinically and statistically significant improvement in pain.
Trial registration: ClinicalTrials.gov NCT04944446.
在导致长时间固定的肩部病变中，最佳的物理治疗方法仍不确定。运动疗法仍然是最广泛使用的选择。肌筋膜疗法是一种治疗方法，其目的是释放筋膜张力并恢复运动能力，尽管其在肩部病变中的疗效尚未得到充分研究。这项前瞻性、单盲随机对照试验在一家大学医院进行，旨在比较肌筋膜疗法和运动疗法在改善因长时间固定而导致肩部病变的功能方面的疗效。
患者被随机分配到对照组或干预组。两组均完成了一个治疗性运动方案。
QuickDash 问卷是主要结局，疼痛视觉模拟评分和肩部活动范围是次要结局。在基线（T0）、4 周（T2）、8 周（T2）和 12 周（T3）时评估结局。
共纳入 44 名参与者。在随时间的演变分析中，两组在功能和活动范围测量方面均观察到显著改善（p<0.05），尽管在 12 周时只有肌筋膜组在疼痛方面实现了临床和统计学上的显著降低。在 12 周时的比较分析中，两种治疗方法在探索的变量方面没有统计学上的显著差异。
肌筋膜疗法和运动疗法均可改善因长时间固定而导致疼痛的肩部病变患者的功能、活动能力和疼痛，两种疗法之间无显著差异，但在中期，只有肌筋膜疗法在疼痛方面实现了临床和统计学上的显著改善。
ClinicalTrials.gov NCT04944446。
