Levoska S, Keinänen-Kiukaanniemi S
Department of Physiotherapy and Rehabilitation, Health Centre of Oulu, Finland.
Arch Phys Med Rehabil. 1993 Apr;74(4):425-30.
In this study 169 female office employees were interviewed and examined to determine the occurrence and severity of neck and shoulder symptoms. Forty-seven of those with symptoms who fulfilled the criteria taken as indicating need for treatment were enrolled in a controlled clinical trial and divided into two groups. One group participated in dynamic muscle training of neck and shoulder muscles (active physiotherapy). The other patients were treated by means of surface heat, massage, and stretching (passive physiotherapy). Pain in the neck and shoulder regions disappeared significantly more often just after active treatment as compared to passive treatment. Symptoms returned within three months in both groups. However, after 12 months, the incidence of headache was significantly less in the group that had received active physiotherapy. Maximal isometric muscle strength in relation to cervical lateral flexion and extension and grip strength and endurance force of shoulder muscles improved significantly after active physiotherapy, but only maximal isometric extension force increased significantly after passive physiotherapy. Numbers of tender points in neck and shoulder muscles decreased significantly after both types of physiotherapy. Pressure threshold levels increased but not significantly in both groups during treatment.
在本研究中，对169名女性办公室职员进行了访谈和检查，以确定颈部和肩部症状的发生率及严重程度。符合治疗指征标准的47名有症状的职员被纳入一项对照临床试验，并分为两组。一组参与颈部和肩部肌肉的动态肌肉训练（主动物理治疗）。另一组患者接受表面热敷、按摩和拉伸治疗（被动物理治疗）。与被动治疗相比，主动治疗后颈部和肩部区域的疼痛明显更常消失。两组症状均在三个月内复发。然而，12个月后，接受主动物理治疗的组中头痛的发生率显著更低。主动物理治疗后，与颈椎侧屈和伸展相关的最大等长肌力以及肩部肌肉的握力和耐力显著改善，但被动物理治疗后仅最大等长伸展力显著增加。两种物理治疗后，颈部和肩部肌肉的压痛点数量均显著减少。治疗期间两组的压力阈值水平均有所升高，但不显著。
