Center for Health Research and Movement Science, University of Santo Tomas, Philippines; College of Rehabilitation Sciences, University of Santo Tomas, Philippines.
Department of Physical Therapy, Pamantasan ng Lungsod ng Maynila, Philippines.
J Bodyw Mov Ther. 2024 Apr;38:375-383. doi: 10.1016/j.jbmt.2023.12.011. Epub 2024 Jan 28.
MPS is a chronic disorder caused by myofascial trigger points, leading to pain and limited neck movements due to impacted fascia. Studies have reported reduced fascia slides in chronic low back pain, but limited fascia slides in MPS patients are still unreported.
We determined differences in upper trapezius' deep fascia slides between MPS and non-MPS participants.
Between January-August 2019, participants from diverse work sectors were recruited in Manila. An expert physiotherapist diagnosed MPS, while non-MPS participants performed full painless cervical movements. Participants underwent upper trapezius deep fascia scans on both shoulders while performing six cervical movements. An HS1 Konica Minolta ultrasound recorded the data. Two blinded physiotherapists used Tracker 5.0 © 2018 to analyze videos and quantify deep fascia slides by measuring the distance between two x-axis points. The Multivariate analysis of variance (MANOVA) assessed deep fascia slide differences in six active cervical movements. Pillai's Trace, with a range of 0-1 and a p-value of <0.05, was set. Effect sizes in individuals with and without MPS were calculated using Hedges' g and Cohen's d.
Of the 327 participants (136 non-MPS, 191 MPS), 101 MPS participants had shoulder pain for <1 year and 103 experienced unilateral pain. The study examined 3800 ultrasound videos but found no significant difference in deep fascia slides across cervical movements between MPS and non-MPS groups (Pillai's Trace = 0.004, p = 0.94). Minor differences in deep fascia displacement were observed, with small effect sizes (g = 0.02-0.08).
A limited deep fascia slide does not characterize MPS participants from non-MPS participants.
肌筋膜触发点综合征（MPS）是一种由肌筋膜触发点引起的慢性疾病，导致筋膜受影响而出现疼痛和颈部活动受限。研究报告称，慢性下腰痛患者的筋膜滑动减少，但 MPS 患者的筋膜滑动减少仍未见报道。
我们旨在确定 MPS 和非 MPS 参与者之间上斜方肌深筋膜滑动的差异。
2019 年 1 月至 8 月，在马尼拉招募了来自不同工作领域的参与者。一名专家理疗师诊断 MPS，而非 MPS 参与者则进行了全无痛的颈部运动。参与者在进行六次颈椎运动时，对双肩的上斜方肌深筋膜进行扫描。HS1 Konica Minolta 超声仪记录数据。两名经过盲法训练的理疗师使用 Tracker 5.0 © 2018 分析视频并通过测量两个 x 轴点之间的距离来量化深筋膜滑动。多变量方差分析（MANOVA）评估了六种主动颈椎运动中深筋膜滑动的差异。设定了范围在 0-1 之间且 p 值<0.05 的 Pillai 迹。使用 Hedges' g 和 Cohen's d 计算了有和没有 MPS 的个体的效应大小。
在 327 名参与者（136 名非 MPS，191 名 MPS）中，101 名 MPS 参与者的肩部疼痛持续时间<1 年，103 名参与者经历单侧疼痛。该研究共检查了 3800 个超声视频，但未发现 MPS 和非 MPS 组在颈椎运动中深筋膜滑动存在显著差异（Pillai 迹=0.004，p=0.94）。深筋膜位移的差异较小，效应量较小（g=0.02-0.08）。
深筋膜滑动受限并不足以将 MPS 参与者与非 MPS 参与者区分开来。
