重复进行颈椎主动活动范围并施加过压对有无肌筋膜疼痛综合征个体上斜方肌筋膜移位的影响：一项病例对照研究。

Effects of repeated cervical active range of motion with overpressure on fascial displacement of the upper trapezius muscle among individuals with and without myofascial pain syndrome: A case-control study.

作者信息

Dones Valentin C, Del Rosario Chrizelle Joy, Co Andrea Janelle, Agbayani Sean Jerimiah, Cabrera Patricia Denise, Dellosa Edrin Isabel, Ibo Daniel Rey, Pagente Ivy Sophia, Sua Angelika Camille, Joshua Almazan Clarence Pryce, Capistrano Marie Arallu, Enriquez Kimberly-Anne, Inarda Jorell Angelo, Quebral Maria Hellena, Rigor John Aldee, Supangan Angelica

机构信息

Department of Physical Therapy, College of Rehabilitation Sciences, University of Santo Tomas, Manila, Philippines; Center for Health Research and Movement Science, University of Santo Tomas, Manila, Philippines; Graduate School, University of Santo Tomas, Manila, Philippines.

Department of Physical Therapy, College of Rehabilitation Sciences, University of Santo Tomas, Manila, Philippines.

出版信息

J Bodyw Mov Ther. 2025 Jun;42:955-965. doi: 10.1016/j.jbmt.2025.02.019. Epub 2025 Feb 24.

DOI:10.1016/j.jbmt.2025.02.019

PMID:40325779

Abstract

BACKGROUND

Myofascial Pain Syndrome (MPS) is marked by myofascial trigger points and associated fascial adhesions that limit mobility and cause pain, reducing active cervical range of motion (AROM). This study examined differences in upper trapezius fascial displacement between individuals with and without MPS after repeated cervical AROM and analyzed its association with diagnosis, symptom laterality, age, sex, occupation, and symptom chronicity.

METHODS

Twelve researchers-six measuring the superficial fascia and six measuring the deep fascia-all with reliable methods (K ≥ 0.40), analyzed 3383 superficial fascia and 3438 deep fascia ultrasound videos, respectively. An independent samples t-test compared fascia movement between participants with and without MPS. Multiple regression analyses determined the relationship between dependent variable differences in fascia displacement and independent variables diagnosis, shoulder symptom laterality, age, sex, occupation, and symptom chronicity. A p-value of <0.05 indicated significant differences.

RESULTS

Three hundred participants (174 MPS: 126 non-MPS) were included with a median age (interquartile range) of 36 (28-43) years old. Diagnosis and shoulder symptom laterality explained only <1% of variations in the logarithmic differences in superficial fascial displacements during active cervical right rotation (p = 0.71). The dependent variables explained only 5% of the variations in logarithmic differences in deep fascial displacements during active cervical left lateral flexion (p = 0.39).

CONCLUSION

Limited fascial displacement was not a characteristic of MPS participants. Diagnosis, shoulder symptom laterality, age, sex, occupation, and symptom chronicity did not explain the variations in fascial displacements in MPS and non-MPS participants.

ETHICS APPROVAL NUMBER

SI-2020-046-R2.

PROTOCOL TRIAL REGISTRATION NUMBER

PHRR210302-003264.

摘要

背景

肌筋膜疼痛综合征（MPS）以肌筋膜触发点和相关的筋膜粘连为特征，这些会限制活动度并引起疼痛，从而减少颈椎主动活动范围（AROM）。本研究检查了有和没有MPS的个体在重复颈椎AROM后上斜方肌筋膜位移的差异，并分析了其与诊断、症状侧别、年龄、性别、职业和症状慢性化之间的关联。

方法

12名研究人员——6名测量浅筋膜，6名测量深筋膜——均采用可靠方法（K≥0.40），分别分析了3383个浅筋膜和3438个深筋膜超声视频。独立样本t检验比较了有和没有MPS的参与者之间的筋膜运动情况。多元回归分析确定了筋膜位移的因变量差异与自变量诊断、肩部症状侧别、年龄、性别、职业和症状慢性化之间的关系。p值<0.05表示存在显著差异。

结果

纳入了300名参与者（174名MPS患者：126名非MPS患者），中位年龄（四分位间距）为36（28 - 43）岁。在颈椎主动右旋期间，诊断和肩部症状侧别仅解释了浅筋膜位移对数差异中不到1%的变异（p = 0.71）。在颈椎主动左侧屈期间，因变量仅解释了深筋膜位移对数差异中5%的变异（p = 0.39）。