Effect of myofascial release and muscle energy technique on patients with chronic neck pain: a scoping review.

Physical activity and nutrition Pub Date : 2024-03-01 Epub Date: 2024-03-31 DOI:10.20463/pan.2024.0007
Sneha Mittal, Sunita Sharma
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Abstract

Purpose: To identify the effects of muscle energy techniques and myofascial release in patients with chronic neck pain.

Methods: To conduct a literature search and identification; PRISMA-ScR guidelines were followed. Relevant articles were searched for from the following medical and health sciences electronic databases: PubMed, EBSCOhost, CENTRAL of the Cochrane Library, and the Physiotherapy Evidence-Based Database (PEDro). Patients with chronic neck pain were eligible for the scoping review.

Results: Seven articles were included in this review. This scoping review found that there is heterogeneity in the prescription of MFR and MET and a greater tendency to check three major physical dimensions (pain, range of motion, and disability). Various studies have opted for distinct intervention regimens, resulting in disparities in the frequency of weekly interventions, which can range from biweekly to five times a week. These inconsistencies may lead to perplexity among practitioners, as each intervention modality demonstrates favorable outcomes for individuals with persistent cervical discomfort. Moreover, a significant proportion of research projects have employed the numeric pain rating scale (NPRS) and visual analog scale (VAS) for data quantification.

Conclusion: According to results, majority of the studies were focused on pain and missing components of range of motion and quality of life. Work-related factors can act as risk factors for chronic neck pain. Future investigations should adopt a comprehensive methodology and incorporate QoL assessments of quality of life.

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肌筋膜松解术和肌肉能量技术对慢性颈痛患者的影响:范围综述。
目的:确定肌肉能量技术和肌筋膜松解术对慢性颈部疼痛患者的影响:进行文献检索和鉴定;遵循 PRISMA-ScR 指南。在以下医学和健康科学电子数据库中搜索相关文章:PubMed、EBSCOhost、Cochrane 图书馆的 CENTRAL 和物理治疗循证数据库 (PEDro)。慢性颈部疼痛患者有资格参与范围界定综述:本综述共纳入七篇文章。该范围综述发现,MFR 和 MET 的处方存在异质性,且更倾向于检查三大身体维度(疼痛、活动范围和残疾)。不同的研究选择了不同的干预方案,导致每周干预的频率存在差异,从两周一次到一周五次不等。这些不一致可能会让从业人员感到困惑,因为每种干预方式都能为颈椎持续不适的患者带来良好的治疗效果。此外,相当一部分研究项目都采用了数字疼痛评级量表(NPRS)和视觉模拟量表(VAS)进行数据量化:结论:根据研究结果,大多数研究只关注疼痛,而忽略了活动范围和生活质量。与工作相关的因素可能成为慢性颈痛的风险因素。未来的调查应采用综合方法,并纳入生活质量评估。
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