Effects of myofascial release technique in patients with unilateral cervical radiculopathy: A single blind-randomized clinical trial

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-01-17 DOI:10.1016/j.explore.2024.01.007

Fatih Bali , Gülay Aras Bayram

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Abstract

Objective

The aim of this study was to investigate the effectiveness of the myofascial release technique in individuals diagnosed with unilateral cervical radiculopathy.

Materials and methods

Thirty-four cervical radiculopathy patients were randomly assigned to either the myofascial release group or the exercise group. Both groups received conventional treatment. Additionally, the exercise group performed stretching and strengthening exercises while the myofascial release group received the myofascial release technique. The pain pressure threshold, muscle strength, cervical range of motion, pain, and disability variables were assessed for all patients.

Results

The myofascial release group demonstrated significantly larger improvements in flexion (p = 0.001), extension (p = 0.037), left rotation (p = 0.012), and left lateral flexion (p = 0.001) range of motions compared to the exercise group. Muscle strength in the wrist flexors (p < 0.001), wrist extensors (p < 0.010), biceps (p < 0.001) and triceps (p < 0.001) were significantly higher in the myofascial release group compared to the exercise group. And, again, the myofascial release group demonstrated significantly larger improvements in wrist flexors (p < 0.001), wrist extensors (p < 0.001), biceps (p < 0.001), triceps (p < 0.001), pectorals (p < 0.001), subscapularis (p < 0.001), upper trapezius (p = 0.002), and the pain pressure threshold. Finally, the myofascial release group demonstrated statistically significant improvements in pain (p < 0.001) and disability (p < 0.001) scales compared to the exercise group.

Conclusion

Evaluation of the arm muscle strength and pain pressure threshold variables in patients with cervical radiculopathy may benefit clinicians in the preparation of treatments. Cervical radiculopathy symptoms may improve after the application of myofascial release techniques. A customized cervical exercise program and conventional treatment could be added to the non-surgical treatment of cervical radiculopathy.

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肌筋膜松解技术对单侧颈椎病患者的影响：单盲随机临床试验

材料与方法34 名颈椎病患者被随机分配到肌筋膜松解组或锻炼组。两组均接受常规治疗。此外，运动组进行伸展和强化训练，而肌筋膜松解组接受肌筋膜松解技术。结果与锻炼组相比，肌筋膜松解组在屈曲（p =0.001）、伸展（p =0.037）、左旋（p =0.012）和左侧屈（p =0.001）活动范围方面的改善幅度明显更大。与锻炼组相比，肌筋膜松解组的腕屈肌（p <0.001）、腕伸肌（p <0.010）、肱二头肌（p <0.001）和肱三头肌（p <0.001）的肌力明显更高。同样，肌筋膜释放组在腕屈肌 (p <0.001)、腕伸肌 (p <0.001)、肱二头肌 (p <0.001)、肱三头肌 (p <0.001)、胸大肌 (p <0.001)、肩胛下肌 (p <0.001)、斜方肌上部 (p =0.002)和疼痛压力阈值方面的改善也明显更大。最后，与锻炼组相比，肌筋膜松解组在疼痛（p <0.001）和残疾（p <0.001）量表方面有显著的统计学改善。应用肌筋膜松解技术后，颈椎病症状可能会有所改善。在颈椎病的非手术治疗中，还可加入定制的颈椎锻炼计划和常规治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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