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用于肌筋膜疼痛的中医康复锻炼:当前证据与进一步挑战

Traditional Chinese Rehabilitation Exercise (TCRE) for Myofascial Pain: Current Evidence and Further Challenges.

作者信息

Liu Xueen, Pan Fang, Wang Qingmei, Wang Shuai, Zhang Jiale

机构信息

Department of Nursing, Beijing Hepingli Hospital, Beijing, People's Republic of China.

Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.

出版信息

J Pain Res. 2024 Aug 28;17:2801-2810. doi: 10.2147/JPR.S482424. eCollection 2024.

Abstract

Myofascial as a holistic structure emphasizes a holistic approach to intervention and treatment of fascial-related disorders such as neck pain (NP), low back pain (LBP), and knee pain. There are currently adverse effects of medication for diseases related to myofascial. Traditional Chinese rehabilitation exercise (TCRE) is a practical approach to traditional Chinese medicine and is a valuable option for intervening in myofascial-related pain. This article found some research evidence for Baduanjin, Wuqinxi, and Yijinjing in clinical studies of myofascial chain-related pain. The article summarizes the current evidence and finds that TCRE can enhance limb movement function through breathing and slow movements, increase joint movement and flexibility, and reduce joint pathology and stress-induced pain. As for future directions, focus on TCRE in improving the health of older adults and treating long-COVID syndrome, and integrate robotic and TCRE training to frame safe and effective exercise models. Relevant studies have already been registered in the Clinical Trials Registry, and some clinical study protocols have been published. TCRE can be an alternative nonpharmacological rehabilitation therapy to alleviate chronic rheumatic pain symptoms and augment public health management.

摘要

肌筋膜作为一个整体结构,强调对与筋膜相关疾病(如颈部疼痛(NP)、下背部疼痛(LBP)和膝盖疼痛)进行干预和治疗时采用整体方法。目前,治疗与肌筋膜相关疾病的药物存在不良反应。中医康复运动(TCRE)是中医的一种实用方法,也是干预与肌筋膜相关疼痛的一个有价值的选择。本文在肌筋膜链相关疼痛的临床研究中发现了一些关于八段锦、五禽戏和易筋经的研究证据。文章总结了当前的证据,发现中医康复运动可以通过呼吸和缓慢动作增强肢体运动功能,增加关节活动度和灵活性,并减少关节病变和压力引起的疼痛。至于未来的方向,关注中医康复运动在改善老年人健康和治疗长期新冠综合征方面的作用,并将机器人技术与中医康复运动训练相结合,构建安全有效的运动模式。相关研究已在临床试验注册中心登记,一些临床研究方案也已发表。中医康复运动可以作为一种替代性的非药物康复疗法,以缓解慢性风湿性疼痛症状并加强公共卫生管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fced/11366241/5ac89fb6b9aa/JPR-17-2801-g0001.jpg

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