骨科与肌肉系统：当前研究
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不同物理治疗技术对于缓解已确诊的潜在肌筋膜触发点患者的疼痛和增加颈部活动范围的有效性

Eglä— Lendraitienä—、Dovilä— Bagdonaitä—、Daiva Petruševiä ienä—、Vilma Dudonienä— 和 Vitas Lendraitis

目的：

 研究人员对潜在肌筋膜触发点（LMTP）越来越感兴趣，因为与主动肌筋膜触发点（AMTP）相比，其患病率明显更高。尽管 LMTP 相当普遍并且对肌肉功能很重要，但由于缺乏该领域的研究，其效果基本上没有得到充分研究。目的是比较不同物理治疗技术对诊断出潜在肌筋膜触发点的患者缓解疼痛和增加颈部活动范围的有效性。

人口：

该研究包括 27 名志愿者（第一组 - 15 名受试者，第二组 - 12 名受试者），斜方肌上部至少有一个 LMTP，并且没有任何可能影响研究结果的健康问题。

方法：

Prior to the physical therapy, immediately after it, and one week after its completion, algometric measurements were performed in order to determine which pressure force provoked pain. Also, a 10-point visual analogue pain scale (VAS) was applied in order to determine the severity of pain that could be caused by 4 kg/cm2 pressure. Goniometric measurements were performed to evaluate changes in the range of motion when performing neck flexion, extension, and lateral flexion.

Results:

In subjects who underwent ischemic compression procedures (group I), the pain threshold increased significantly from 2.27 ± 0.28 kg/cm2 at baseline to 3.01 ± 0.33 kg/cm2 immediately after physical therapy, and to 2.63 ± 0.3 kg/cm2 at one week after physical therapy (p<0.05). Meanwhile, pain intensity statistically significantly decreased from 5.20 ± 0.56 points at baseline to 3.20 ± 0.78 points immediately after physical therapy, and to 4.53 ± 0.74 points at one week after physical therapy (p<0.05). The range of flexion in the neck statistically significantly increased both immediately and at one week after physical therapy, whereas no changes in the range of motion were observed during extension or lateral flexion. In subjects who underwent taping procedures (group II), the pain threshold increased significantly from 2.13 ± 0.43 kg/cm2 at baseline to 2.30 ± 0.36 kg/cm2 immediately after physical therapy, and to 2.33 ± 0.46 kg/cm2 at one week after physical therapy (p<0.05). Meanwhile, pain intensity statistically significantly decreased only immediately after physical therapy - from 5.33 ± 0.78 points to 5 ± 0.74 points (p<0.05). No changes in the range of motion during neck flexion, extension, or lateral flexion were observed. The comparison of the groups showed that pain intensity in group I subjects (i.e., in those who underwent ischemic compression procedures) was statistically significantly lower immediately after physical therapy and at one-week follow-up. There were no statistically significant differences in the range of motion during neck flexion, extension, or lateral flexion between the groups.

结论：

事实证明，缺血性压迫是一种比贴扎更有效的物理治疗技术，可以减轻潜在肌筋膜触发点的疼痛。