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肌筋膜激痛点推拿与肌筋膜模拟推拿治疗强直性脊柱炎患者关节活动度的随机对照临床试验方案

Efficacy of myofascial induction compared with its simulation on joint amplitude in people with axial spondylarthritis: Protocol of a randomized controlled clinical trial.

机构信息

Faculty of Nursing and Rehabilitation, Physical Therapy Program, Universidad de La Sabana, Chía, Colombia.

School of Medicine, Universidad de La Sabana, Chía, Colombia.

出版信息

PLoS One. 2023 Oct 5;18(10):e0286885. doi: 10.1371/journal.pone.0286885. eCollection 2023.


DOI:10.1371/journal.pone.0286885
PMID:37796870
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10553292/
Abstract

BACKGROUND: Axial spondyloarthritis (AxSpA) produces structural changes that cause alterations in body functions. One tissue that seems to have a predictive role in the etiology and progression of the disease is the soft tissue, particularly the fascia. However, little is known about the use of myofascial induction in people with AxSpA, and clinical evidence from physiotherapy regarding potential strategies is limited. OBJECTIVE: To evaluate the efficacy of myofascial induction compared with its simulation on joint amplitude in people with AxSpA. METHODS: In this randomized controlled parallel superiority clinical trial, 84 people with an AxSpA diagnosis confirmed by a rheumatologist will be randomly assigned to groups: the experimental group or the control group. The experimental group will receive myofascial induction, and the control group will undergo a simulation of the technique. Both groups will receive an examination session and six intervention sessions twice per week for three weeks. A baseline follow-up will be performed immediately after the intervention and four weeks after treatment. CONCLUSION: The results of this study may contribute to a better understanding of the efficacy of myofascial induction for joint mobility in people with AxSpA. The implications of these results have a potential transformative effect on the understanding, analysis, evaluation, and physiotherapeutic treatment of this health condition. TRIAL REGISTRATION: ClinicalTrials.gov NCT04424589. Registered 11 June 2020.

摘要

背景:中轴型脊柱关节炎(AxSpA)会产生结构变化,导致身体功能改变。一种似乎在疾病的病因和进展中具有预测作用的组织是软组织,特别是筋膜。然而,人们对筋膜松解术在 AxSpA 患者中的应用知之甚少,且关于潜在策略的物理治疗临床证据也有限。

目的:评估筋膜松解术与模拟治疗相比对 AxSpA 患者关节活动度的疗效。

方法:这是一项随机对照平行优效性临床试验,将 84 名经风湿病学家确诊为 AxSpA 的患者随机分为两组:实验组和对照组。实验组将接受筋膜松解术,对照组将接受该技术的模拟治疗。两组均接受检查和每周两次、共 3 周的 6 次干预。干预结束后立即进行基线随访,治疗结束后 4 周进行随访。

结论:本研究的结果可能有助于更好地了解筋膜松解术对 AxSpA 患者关节活动度的疗效。这些结果的意义可能对该健康状况的理解、分析、评估和物理治疗产生变革性的影响。

试验注册:ClinicalTrials.gov NCT04424589. 2020 年 6 月 11 日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3902/10553292/f3b1122f1ae3/pone.0286885.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3902/10553292/29b9223b6246/pone.0286885.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3902/10553292/f3b1122f1ae3/pone.0286885.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3902/10553292/29b9223b6246/pone.0286885.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3902/10553292/f3b1122f1ae3/pone.0286885.g002.jpg

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Efficacy of myofascial induction compared with its simulation on joint amplitude in people with axial spondylarthritis: Protocol of a randomized controlled clinical trial.

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本文引用的文献

[1]
Treatment of axial spondyloarthritis: an update.

Nat Rev Rheumatol. 2022-4

[2]
Physical therapy in axial spondyloarthritis: guidelines, evidence and clinical practice.

Curr Opin Rheumatol. 2020-7

[3]
New Insights in Physical Therapy and Rehabilitation in Axial Spondyloarthritis: A Review.

Rheumatol Ther. 2019-12

[4]
Effects of myofascial release in erector spinae myoelectric activity and lumbar spine kinematics in non-specific chronic low back pain: Randomized controlled trial.

Clin Biomech (Bristol). 2019-3

[5]
Immediate biomechanical, systemic, and interoceptive effects of myofascial release on the thoracic spine: A randomised controlled trial.

J Bodyw Mov Ther. 2019-1

[6]
Biomechanical properties of low back myofascial tissue in younger adult ankylosing spondylitis patients and matched healthy control subjects.

Clin Biomech (Bristol). 2018-8

[7]
Activity Limitations in Patients with Axial Spondyloarthritis: A Role for Fear of Movement and (Re)injury Beliefs.

J Rheumatol. 2017-11-15

[8]
Validity of a Venezuelan version of the Bath Ankylosing Spondylitis Functional Index and Bath Ankylosing Spondylitis Disease Activity Index.

Reumatol Clin (Engl Ed). 2019

[9]
Comparison of Deep Tissue Massage and Therapeutic Massage for Lower Back Pain, Disease Activity, and Functional Capacity of Ankylosing Spondylitis Patients: A Randomized Clinical Pilot Study.

Evid Based Complement Alternat Med. 2017

[10]
Recommendations for the prescription of physical exercise for patients with spondyloarthritis.

Reumatol Clin (Engl Ed). 2019

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