Department of Exercise and Sports Science, Manipal College of Health Professions, Manipal Academy of Higher Education, India.
Sport Science Consultant, Tata Trust, Mumbai, India.
J Bodyw Mov Ther. 2024 Oct;40:53-60. doi: 10.1016/j.jbmt.2024.03.077. Epub 2024 Apr 10.
A prevalent musculoskeletal condition that has a substantial socioeconomic impact and causes considerable morbidity is chronic shoulder pain (CSP). CSP may result from a dysfunction of the upper quarter region's (UQR) myofascial continuum (MC), which is connected by deep fascia. Fascial Manipulation® (FM), proposed by Luigi Stecco, involves deep kneading performed at specific points on the deep fascia. FM is considered to reinstate the gliding of the fascial layers, thus may aid in the reduction of pain and improvement of shoulder function.
This study aims to determine the influence of FM on shoulder pain, passive range of motion (PROM), and function in participants with CSP.
Single group, pretest-posttest design.
Eighteen individuals with CSP aged 18-45 years were recruited. FM was applied to the painful and densified centre of coordination (CC) points on the MC of the UQR based on Stecco's FM method. The therapist performed the baseline, post-treatment, and numerical pain rating scale (NPRS) at rest and during activity, PROM, and pressure pain threshold (PPT). The follow-up measurements were done after seven days following the FM intervention. Also, the baseline and follow-up measurements of disability of arm, shoulder, and hand (DASH) score were performed.
A considerable improvement in all shoulder PROM (p < 0.01), DASH score (p = 0.01), and pain reduction (p = 0.01) following FM were observed. However, the PPT showed no differences following FM (p > 0.05).
FM may be an effective treatment strategy in reducing pain and improving shoulder range of motion and function in patients with CSP.
慢性肩部疼痛（CSP）是一种普遍存在的肌肉骨骼疾病，对社会经济有重大影响，并导致相当大的发病率。CSP 可能是由于上半身区域（UQR）的肌筋膜连续体（MC）功能障碍引起的，该连续体由深部筋膜连接。Luigi Stecco 提出的筋膜手法（FM）涉及在深部筋膜的特定点进行深部揉捏。FM 被认为可以恢复筋膜层的滑动，从而可能有助于减轻疼痛和改善肩部功能。
本研究旨在确定 FM 对 CSP 患者肩部疼痛、被动活动范围（PROM）和功能的影响。
单组，前后测试设计。
招募了 18 名年龄在 18-45 岁之间的 CSP 患者。根据 Stecco 的 FM 方法，FM 应用于 UQR 的 MC 上疼痛和密集的协调中心（CC）点。治疗师在基线、治疗后和休息时以及活动时进行数字疼痛评分量表（NPRS）、PROM 和压力疼痛阈值（PPT）测量。FM 干预后七天进行随访测量。此外，还进行了 FM 前后手臂、肩部和手部残疾（DASH）评分的测量。
FM 后所有肩部 PROM（p<0.01）、DASH 评分（p=0.01）和疼痛减轻（p=0.01）均有显著改善。然而，FM 后 PPT 没有差异（p>0.05）。
FM 可能是治疗 CSP 患者疼痛、改善肩部活动范围和功能的有效策略。
