Department of Physical Therapy and Rehabilitation, Medipol University of Health Sciences Institute, Turkey.
J Bodyw Mov Ther. 2023 Jan;33:120-127. doi: 10.1016/j.jbmt.2022.09.029. Epub 2022 Sep 29.
Myofascial release (MFR) technique is frequently used in musculoskeletal problems. There are many studies of the MFR technique on the diaphragm or iliopsoas muscle. However, no studies in the literature performed both diaphragmatic and iliopsoas MFR techniques in patients with chronic low back pain.
To investigate the effects of diaphragmatic and iliopsoas MFR techniques on pain, lumbar spine range of motion (ROM), chest wall mobility, and flexibility in patients with chronic low back pain.
Randomized controlled clinical study.
Forty-two participants with chronic low back pain, aged between 20 and 50 years.
The sample was randomly allocated into one of two groups; the myofascial group (n = 21) and control group (n = 21) received the MFR technique or the placebo MFR technique as a complementary therapy to traditional physiotherapy treatment.
Primary outcomes were pain, chest wall mobility, lumbar spine range of motion (ROM), and flexibility. Secondary outcomes were depression, kinesiophobia, and functional disability.
The MFR techniques significantly reduced the pain, with a between-group difference of -2.05 (95% CI, -2.93 to -1.15) for rest, -2.62 (95% CI, -3.34 to -1.89) for trunk flexion, and -2.00 (95% CI, -2.84 to -1.16) for trunk extension in favor of the EG. MFR techniques significantly increased the lumbar spine ROM after interventions, with a between-group difference of 16.67° (95% CI, 8.87 to 24.47) for flexion, 7.63° (95% CI, 5.44 to 9.80) for extension and, 9.53° (95% CI, 6.57 to 12.48) for right lateral flexion. There was also a significant difference between the groups in flexibility in favor of the MG of 1.95 cm (95% CI, 1.41 to 2.49) for MST, -13.52 cm (95% CI, -20.18 to -6.86) for trunk flexion and, -4.37 cm (-6.50 to -2.28) for right lateral flexion The MFR techniques also significantly increased the chest wall mobility after interventions, with a between-group difference of 2.52 cm (95% CI, 1.82 to 3.23) for the xiphoid region and 3.48 cm (95% CI, 2.60 to 4.36) for the subcostal region.
Diaphragmatic and iliopsoas MFR techniques may be effective in pain, lumbar spine ROM, flexibility, and chest wall mobility in patients with chronic low back pain.
NCT04415021.
肌筋膜松解术（MFR）技术常用于肌肉骨骼问题。有许多关于膈肌或髂腰肌的 MFR 技术的研究。然而，文献中没有研究在慢性下背痛患者中同时进行膈肌和髂腰肌的 MFR 技术。
探讨膈肌和髂腰肌 MFR 技术对慢性下背痛患者疼痛、腰椎活动度（ROM）、胸壁活动度和柔韧性的影响。
随机对照临床研究。
42 名慢性下背痛患者，年龄 20 至 50 岁。
将样本随机分配到两组之一；肌筋膜组（n=21）和对照组（n=21）接受 MFR 技术或安慰剂 MFR 技术作为传统物理治疗的补充治疗。
MFR 技术显著降低了疼痛，组间差异为休息时-2.05（95%CI，-2.93 至-1.15），躯干前屈时-2.62（95%CI，-3.34 至-1.89），躯干伸展时-2.00（95%CI，-2.84 至-1.16），有利于 EG。MFR 技术显著增加了腰椎 ROM，组间差异为屈曲时 16.67°（95%CI，8.87 至 24.47），伸展时 7.63°（95%CI，5.44 至 9.80），右侧侧屈时 9.53°（95%CI，6.57 至 12.48）。MG 在灵活性方面也有显著差异，MST 为 1.95cm（95%CI，1.41 至 2.49），躯干前屈为-13.52cm（95%CI，-20.18 至-6.86），右侧侧屈为-4.37cm（-6.50 至-2.28）。MFR 技术还显著增加了胸壁活动度，胸骨部为 2.52cm（95%CI，1.82 至 3.23），肋弓下为 3.48cm（95%CI，2.60 至 4.36）。
膈肌和髂腰肌 MFR 技术可能对慢性下背痛患者的疼痛、腰椎 ROM、柔韧性和胸壁活动度有效。
NCT04415021。
