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肌筋膜松解术对健康个体腰椎活动范围和柔韧性的即时影响:一项双盲、随机、假对照试验。

The immediate effects of myofascial release on lumbar range of motion and flexibility in healthy individuals: A double-blind, randomized sham-controlled trial.

作者信息

Gugliotti Mark, Rothstein Alex, Badash Ellior, Cruz Randy, Cummings Cailey, Karafa Brian, Santiago Taylor

机构信息

New York Institute of Technology, Department of Physical Therapy, Old Westbury, NY, USA.

New York Institute of Technology, Department of Exercise Science, Old Westbury, NY, USA.

出版信息

J Bodyw Mov Ther. 2025 Jun;42:645-650. doi: 10.1016/j.jbmt.2025.01.052. Epub 2025 Jan 30.

Abstract

INTRODUCTION

Myofascial release (MFR) is a manual therapy technique defined as a low load; long-duration stretch to the myofascial complex. Its application is intended to restore optimal length in fascial tissue, alleviate associated discomfort due to adverse tissue tension, increase range of motion, and improve flexibility. This randomized control trial (RCT) aimed to examine the immediate effects of myofascial release MFR on improving lumbar range of motion (ROM) and flexibility in healthy, young adults.

METHODS

Participants were randomized to an experimental group (EG) or a sham treatment group (CG). Baseline outcome measurements including lumbar flexion (LF), lumbar side-bending (LSB), hamstring flexibility using the active knee extension test (AKE) and the modified sit-reach-test (MSR) were taken before and immediately following interventions. The EG received myofascial release to the lumbar paraspinal muscles while the CG received non-therapeutic hand contact to the same area.

RESULTS

Between-groups differences revealed no statistically significant improvements. Within-group differences revealed statistically significant improvements for both groups. The EG showed improvements in LSB (R) (p = 0.02), AKE (L) (p < 0.001), AKE (R) (p = 0.004), and MSR (p = 0.001). The CG showed improvements in LF (p = 0.03), LSB (L) (p = 0.09), LSB (R) (p = 0.03), AKE (L) (p = 0.004), AKE (R) (p < 0.001), and MSR (p < 0.001).

CONCLUSION

The findings of this RCT suggest MFR provided no greater benefit to improving lumbar ROM and flexibility in healthy, young adults when compared to non-therapeutic light touch. Future RCTs may consider examining a similar impact on individuals with persistent back pain who experience mobility and flexibility loss.

摘要

引言

肌筋膜释放(MFR)是一种手动治疗技术,定义为对肌筋膜复合体进行低负荷、长时间的拉伸。其应用旨在恢复筋膜组织的最佳长度,减轻因不良组织张力引起的相关不适,增加活动范围,提高柔韧性。这项随机对照试验(RCT)旨在研究肌筋膜释放(MFR)对健康年轻成年人腰椎活动范围(ROM)和柔韧性改善的即时效果。

方法

参与者被随机分为实验组(EG)或假治疗组(CG)。在干预前后分别进行基线结果测量,包括腰椎前屈(LF)、腰椎侧屈(LSB)、使用主动膝关节伸展试验(AKE)和改良坐位体前屈试验(MSR)测量的腘绳肌柔韧性。实验组接受对腰椎旁肌肉的肌筋膜释放,而对照组在相同区域接受非治疗性手部接触。

结果

组间差异显示无统计学上的显著改善。组内差异显示两组均有统计学上的显著改善。实验组在LSB(右侧)(p = 0.02)、AKE(左侧)(p < 0.001)、AKE(右侧)(p = 0.004)和MSR(p = 0.001)方面有改善。对照组在LF(p = 0.03)、LSB(左侧)(p = 0.09)、LSB(右侧)(p = 0.03)、AKE(左侧)(p = 0.004)、AKE(右侧)(p < 0.001)和MSR(p < 0.001)方面有改善。

结论

这项随机对照试验的结果表明,与非治疗性轻触相比,肌筋膜释放在改善健康年轻成年人的腰椎活动范围和柔韧性方面没有更大的益处。未来的随机对照试验可能会考虑研究对经历活动能力和柔韧性丧失的持续性背痛个体的类似影响。

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