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结合静态和动态肌筋膜干拔罐疗法改善腰痛患者的局部和区域症状:病例系列

Combining Static and Dynamic Myofascial Dry Cupping Therapy to Improve Local and Regional Symptoms in Individuals with Low Back Pain: A Case Series.

作者信息

Harper Brent, Dudek Alana, Williamson Julianne, Siyufy Alex, Smith Jo Armour

机构信息

Physical Therapy Chapman University.

Physical Therapy South College.

出版信息

Int J Sports Phys Ther. 2024 Feb 2;19(2):227-237. doi: 10.26603/001c.91653. eCollection 2024.

DOI:10.26603/001c.91653
PMID:38313662
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10837828/
Abstract

INTRODUCTION

Chronic low back pain is a common musculoskeletal healthcare presentation with an expense of over $100 billion annually. The clinical effect of myofascial cupping on pain and function is not clear, especially when different cupping techniques are combined. The purpose of this case series was to explore changes in pain and function following local static and distal dynamic myofascial dry cupping treatments in patients with chronic low back pain.

CASE DESCRIPTIONS

Three adults from the general population received three ten-minute treatment sessions, 48 hours between each session, of static dry cupping to the low back followed by dynamic myofascial cupping of the quadriceps and hamstring musculature. Outcome measures were taken at two different time points within one-week per participant. Subjective measures included the numeric pain rating scale and the Oswestry Disability Index, objective measures included passive straight leg raise measurements, and pressure pain threshold.

RESULTS AND DISCUSSION

Local static combined with distal dynamic myofascial cupping reduced pain, pain sensitivity and perceived disability, and improved hamstring muscle extensibility in all three participants. These encouraging results support the initiation of a larger controlled trial aimed at investigating the efficacy of combined dry cupping interventions to treat musculoskeletal dysfunction and pain.

LEVEL OF EVIDENCE

4 (case series).

摘要

引言

慢性腰痛是一种常见的肌肉骨骼疾病,每年的花费超过1000亿美元。肌筋膜拔罐对疼痛和功能的临床效果尚不清楚,尤其是当不同的拔罐技术结合使用时。本病例系列的目的是探讨慢性腰痛患者在接受局部静态和远端动态肌筋膜闪罐治疗后疼痛和功能的变化。

病例描述

三名普通成年人接受了三次每次十分钟的治疗,每次治疗间隔48小时,先对下背部进行静态闪罐,然后对股四头肌和腘绳肌进行动态肌筋膜拔罐。在每位参与者一周内的两个不同时间点进行结果测量。主观测量包括数字疼痛评分量表和奥斯威斯利残疾指数,客观测量包括被动直腿抬高测量和压痛阈值。

结果与讨论

局部静态联合远端动态肌筋膜拔罐在所有三名参与者中均减轻了疼痛、疼痛敏感性和感知到的残疾,并改善了腘绳肌的伸展性。这些令人鼓舞的结果支持开展一项更大规模的对照试验,旨在研究联合闪罐干预治疗肌肉骨骼功能障碍和疼痛的疗效。

证据水平

4(病例系列)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8129/10837828/d919e482b37e/ijspt_2024_19_2_91653_190942.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8129/10837828/96b3ec49b6a3/ijspt_2024_19_2_91653_190937.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8129/10837828/bd42f293b9e7/ijspt_2024_19_2_91653_190938.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8129/10837828/73c6662b56f3/ijspt_2024_19_2_91653_190939.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8129/10837828/d919e482b37e/ijspt_2024_19_2_91653_190942.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8129/10837828/96b3ec49b6a3/ijspt_2024_19_2_91653_190937.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8129/10837828/bd42f293b9e7/ijspt_2024_19_2_91653_190938.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8129/10837828/73c6662b56f3/ijspt_2024_19_2_91653_190939.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8129/10837828/d919e482b37e/ijspt_2024_19_2_91653_190942.jpg

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