Department of Physiotherapy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-067 Bydgoszcz, Poland.
Int J Environ Res Public Health. 2023 Jan 26;20(3):2198. doi: 10.3390/ijerph20032198.
Low back pain (LBP) is one of the most frequently observed disorders of the musculoskeletal system in the modern population. It is suggested that myofascial disorders in the highly innervated thoracolumbar fascia (TLF), reported in patients with LBP, may be an underlying cause of the ailment. Research also confirms that patients with LBP demonstrate poorer postural stability compared with individuals without the condition. Myofascial release techniques (MFR) are additional therapeutic options that complement existing therapies and help provide a more holistic treatment for chronic LBP (CLBP).
Evaluation of changes in postural stability following one MFR intervention applied to CLBP subjects immediately after manual therapy and after a month. It was hypothesized that postural stability is going to aggravate immediately after the MFR intervention and improve one month after treatment compared with the baseline results before the treatment.
113 patients with CLBP participated in a randomized-controlled trial. The experimental group (n = 59) received one MFR intervention, whereas the control group (n = 54) did not receive any therapeutic intervention. Posturography was performed to determine experimental group's immediate response to the therapy and to evaluate the experimental and control groups' responses to the therapy one month after the intervention.
Only 2 out of 12 comparisons of stabilometric parameters demonstrated reliable effects that are in line with our research hypotheses. Even though both comparisons were observed for therapy outcomes within the experimental group, no reliable differences between the groups were found.
A single MFR treatment in the TLF did not affect postural stability in CLBP patients in the experimental group. Further studies are needed to extend the findings by performing a series of holistic MFR treatments applied to a larger area of the body surface that would induce more general tissue changes and thus having a greater impact on postural stability.
下背痛（LBP）是现代人群中最常见的肌肉骨骼系统疾病之一。有研究表明，LBP 患者的胸腰筋膜（TLF）存在高度神经支配的肌筋膜紊乱，可能是该病的潜在病因。研究还证实，与无该病的个体相比，LBP 患者的姿势稳定性较差。肌筋膜释放技术（MFR）是一种补充现有治疗方法的额外治疗选择，有助于为慢性 LBP（CLBP）提供更全面的治疗。
评估在 MFR 干预后立即进行手法治疗以及一个月后，CLBP 患者的姿势稳定性变化。假设 MFR 干预后，患者的姿势稳定性会立即恶化，与治疗前的基线结果相比，在治疗一个月后会有所改善。
113 例 CLBP 患者参加了一项随机对照试验。实验组（n=59）接受一次 MFR 干预，而对照组（n=54）未接受任何治疗干预。通过姿势描记术确定实验组对治疗的即时反应，并评估实验组和对照组在干预一个月后的治疗反应。
只有 12 个比较中的 2 个稳定参数比较显示出与我们的研究假设一致的可靠效果。尽管在实验组中，所有这些比较都是针对治疗结果进行的，但没有发现组间存在可靠差异。
TLF 中的单次 MFR 治疗并未影响实验组中 CLBP 患者的姿势稳定性。需要进一步的研究来扩展发现，通过对更大面积的身体表面进行一系列整体 MFR 治疗，以诱导更广泛的组织变化，从而对姿势稳定性产生更大的影响。
