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叩击按摩疗法、动态拉伸和肌内效贴技术对肩部功能表现、肌肉力量和本体感觉影响的比较

Comparison of the impacts of percussion massage therapy, dynamic stretching, and kinesiology taping techniques on functional performance, muscular strength, and proprioception in the shoulder.

作者信息

Menek Burak, Tayboga Umut Islam

机构信息

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.

出版信息

Work. 2025 May;81(1):2389-2398. doi: 10.1177/10519815251317309. Epub 2025 Feb 17.

Abstract

BackgroundPercussion massage therapy (PMT) integrates traditional massage with vibration therapy.ObjectiveThis study compared the effects of percussion massage therapy (PMT), kinesiology tape (KT), and dynamic stretching (DS) on shoulder strength, proprioception, and functionality.MethodsThe KT group had kinesiology tape applied to the deltoid muscles. The DS group performed dynamic stretching in flexion and abduction. The PMT group received percussion massage on the deltoid muscles. Assessments included the Becure system for joint position sense (JPS), the Timed Functional Arm and Shoulder Test (TFAST), and a hand-held dynamometer for muscle strength.ResultsSignificant improvements were observed in almost all JPS parameters for all groups (p < 0.05). Total TFAST scores improved in all groups. Muscle strength significantly improved in the DS group (p < 0.05), while PMT and KT groups showed no significant change (p > 0.05). Statistically significant differences were found between the groups (p < 0.05). JPS 30°, 60°, and 90° flexion parameters had effect sizes of 0.51, 0.64, and 0.49, respectively; JPS 30°, 60°, and 90° abduction parameters had effect sizes of 0.38, 0.46, and 0.45, respectively. The effect size for Total TFAST was 0.55, flexion muscle strength 0.59, and abduction muscle strength 0.68. DS was more effective for muscle strength, DS and PMT for functionality, and KT and PMT for proprioception (p < 0.017).ConclusionsPMT and KT were more effective for proprioception, PMT and DS were more effective for functionality, and DS was most efficient in enhancing muscle strength.

摘要

背景

叩击按摩疗法(PMT)将传统按摩与振动疗法相结合。

目的

本研究比较了叩击按摩疗法(PMT)、肌内效贴布(KT)和动态拉伸(DS)对肩部力量、本体感觉和功能的影响。

方法

KT组在三角肌上贴肌内效贴布。DS组进行屈曲和外展的动态拉伸。PMT组在三角肌上接受叩击按摩。评估包括用于关节位置觉(JPS)的Becure系统、定时功能性手臂和肩部测试(TFAST)以及用于肌肉力量的手持测力计。

结果

所有组几乎所有JPS参数均有显著改善(p < 0.05)。所有组的TFAST总分均有所提高。DS组肌肉力量显著改善(p < 0.05),而PMT组和KT组无显著变化(p > 0.05)。组间存在统计学显著差异(p < 0.05)。JPS 30°、60°和90°屈曲参数的效应量分别为0.51、0.64和0.49;JPS 30°、60°和90°外展参数的效应量分别为0.38、0.46和0.45。TFAST总分的效应量为0.55,屈曲肌肉力量为0.59,外展肌肉力量为0.68。DS对肌肉力量更有效,DS和PMT对功能更有效,KT和PMT对本体感觉更有效(p < 0.017)。

结论

PMT和KT对本体感觉更有效,PMT和DS对功能更有效,DS在增强肌肉力量方面最有效。

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