Sri Ramachandra Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, India.
Sri Ramachandra Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, India.
J Bodyw Mov Ther. 2024 Apr;38:323-328. doi: 10.1016/j.jbmt.2024.01.024. Epub 2024 Feb 2.
Movement System Impairment (MSI) classification and treatment effectively diagnose and treat the individual with neck pain. There is a lacuna in the current neck pain management guidelines addressing movement-specific mechanical diagnosis. MSI is based on the movement-specific mechanical diagnosis and kinesiopathologic model.
The present study aimed to investigate the effectiveness of the movement system impairment model among neck pain individuals.
This study was designed as a randomized controlled trial. Eighty-two participants were screened for eligibility; Sixty individuals fulfilling the inclusion criteria were randomized into the experimental group (n = 30) and control group (n = 30). A total of 52 individuals completed the study, 26 in both groups. The experimental and the control group received treatment as recommended by the MSI model and clinical practice guideline (CPG) for neck pain with mobility deficits. All participants were assessed for pain intensity, cervical range of motion, deep cervical muscle strength, endurance, and disability at baseline and the end of 3rd week of treatment.
Significant differences were found in pain intensity, cervical range of motion, cervical muscle strength, endurance, and disability with both groups at the end of 10 sessions of treatment spread over three weeks (p < 0.05). However, the experimental group (MSI) demonstrated more clinical benefits than CPG based neck mobility deficits treatment.
The movement system impairment model may effectively diagnose and treat neck pain in individuals with mobility deficits. Future research is warranted to establish its long-term effect.
运动系统损伤（MSI）分类和治疗方法可以有效地诊断和治疗颈部疼痛患者。目前的颈部疼痛管理指南在针对运动特异性机械诊断方面存在空白。MSI 基于运动特异性机械诊断和运动病理模型。
本研究旨在探讨运动系统损伤模型在颈部疼痛患者中的有效性。
本研究设计为随机对照试验。对 82 名参与者进行了筛选，以确定其是否符合纳入标准；符合纳入标准的 60 名参与者被随机分为实验组（n=30）和对照组（n=30）。共有 52 名参与者完成了研究，两组各 26 名。实验组和对照组均按照 MSI 模型和颈部疼痛伴活动受限的临床实践指南（CPG）推荐的方法进行治疗。所有参与者在基线和治疗第 3 周结束时均进行疼痛强度、颈椎活动度、深层颈椎肌肉力量、耐力和残疾评估。
治疗 10 次，共 3 周后，两组在疼痛强度、颈椎活动度、颈椎肌肉力量、耐力和残疾方面均有显著差异（p<0.05）。然而，实验组（MSI）的治疗效果优于基于 CPG 的颈部活动度受限治疗。
运动系统损伤模型可有效诊断和治疗有活动受限的颈部疼痛患者。需要进一步研究以确定其长期效果。
