Pawlukiewicz Mateusz, Kochan Michał, Niewiadomy Paweł, Szuścik-Niewiadomy Katarzyna, Taradaj Jakub, Król Piotr, Kuszewski Michał T
Institute of Physioterapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, 40-065 Katowice, Poland.
Department of Balneoclimatology and Biological Regeneration, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.
J Clin Med. 2022 Aug 4;11(15):4546. doi: 10.3390/jcm11154546.
There are many therapeutic methods targeting fascia. However, the only method whose basic assumption is to eliminate the densification of fascia is Fascial Manipulation. To evaluate the effectiveness of various Fascial Manipulation (FM) protocols in reducing myofascial pain. Randomized control trial. A total of 54 individuals, aged 18-29 years, with musculoskeletal pain for at least 1 week. The patients were divided into four groups subjected to different treatment protocols: group 1-underwent the standard FM treatment protocol (STP), group 2-modified protocol (MTP), group 3-modified protocol 2 (MTP2), and the control group (CG)-did not undergo any therapy. Each protocol involved three treatments at intervals of 7-10 days and a follow-up examination after 30 days. The outcome was pain level measured using the VAS. In the STP, all the measurements showed a significant decrease in pain level-the mean difference was 2.077 after the first treatment, 3.462 after the third treatment and 3.385 in the follow-up. In the MTP, a significant mean difference was noted after the third treatment, 3, and in the follow up, 2.4. In the MTP2, it was noted after the third session, 2, and in the follow up, 2.25. Only the CG group did not display significant changes. FM-based therapy results in pain relief. However, there are differences in the dynamics and durability of the results depending on the chosen protocol.
有许多针对筋膜的治疗方法。然而，唯一一种基本假设是消除筋膜致密化的方法是筋膜手法治疗。为了评估各种筋膜手法治疗（FM）方案在减轻肌筋膜疼痛方面的有效性。随机对照试验。共有54名年龄在18至29岁之间、患有肌肉骨骼疼痛至少1周的个体。患者被分为四组，接受不同的治疗方案：第1组接受标准FM治疗方案（STP），第2组接受改良方案（MTP），第3组接受改良方案2（MTP2），对照组（CG）不接受任何治疗。每个方案包括每隔7至10天进行三次治疗，并在30天后进行随访检查。结果是使用视觉模拟评分法（VAS）测量的疼痛程度。在STP中，所有测量结果显示疼痛程度显著降低——第一次治疗后的平均差异为2.077，第三次治疗后为3.462，随访时为3.385。在MTP中，第三次治疗后有显著的平均差异为3，随访时为2.4。在MTP2中，第三次治疗后为2，随访时为2.25。只有CG组没有显示出显著变化。基于FM的治疗可缓解疼痛。然而，根据所选方案，结果的动态变化和持续时间存在差异。
