The effect of friction massage on pain intensity, PPT, and ROM in individuals with myofascial trigger points: a systematic review.

IF 2.2 3区医学 Q2 ORTHOPEDICS BMC Musculoskeletal Disorders Pub Date : 2025-03-13 DOI:10.1186/s12891-025-08372-x

Mehrdad Sadeghnia, Mehrnaz Kajbafvala, Azadeh Shadmehr

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Abstract

Introduction: Friction massage (FM) is a conservative treatment for managing myofascial trigger points (MTrPs). Although many studies have demonstrated the effects of FM, this manual technique significantly loads the therapist's hands. Therefore, there is a need to evaluate FM compared to other physical therapy methods to help clinicians choose the best one.

Objective: This systematic review aimed to investigate the effect of FM on pain intensity, pressure pain threshold (PPT), and joint range of motion (ROM) in individuals with MTrPs.

Methods: PubMed/Medline, Scopus, Web of Science, Science Direct, and Google Scholar were searched from inception to 15 April 2024. All randomized control and clinical trials that assessed the effect of FM on pain intensity, PPT, and joint ROM in individuals with MTrPs were included.

Results: Twelve studies were included. The within-group results showed that FM could significantly improve pain intensity, PPT, and joint ROM, but compared to the control group, there was no significant superiority for improving pain intensity and PPT, and the results were inconclusive for the effect of FM on joint ROM improvement because of controversial findings.

Conclusion: In the short term, there is level C evidence indicating that FM may effectively reduce VAS and the PPT of MTrPs in upper trapezius. Nonetheless, high-quality and long-term research is needed to address improvements in ROM and NPRS. Due to nature of level C evidence, future well-designed RCTs should overcome the existing limitations using adequate sample sizes, long intervention periods, and long-term follow-up.

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摩擦按摩对肌筋膜触发点患者疼痛强度、PPT 和 ROM 的影响：系统综述。

简介：摩擦按摩（FM）是治疗肌筋膜触发点（MTrPs）的一种保守疗法。尽管许多研究都证明了摩擦按摩的效果，但这种徒手技术会给治疗师的双手带来很大负担。因此，有必要对调频疗法与其他物理治疗方法进行比较评估，以帮助临床医生选择最佳疗法：本系统综述旨在研究调频疗法对 MTrPs 患者的疼痛强度、压痛阈值 (PPT) 和关节活动范围 (ROM) 的影响：方法：检索了 PubMed/Medline、Scopus、Web of Science、Science Direct 和 Google Scholar 从开始到 2024 年 4 月 15 日的所有文献。结果：共收录了 12 项研究：结果：共纳入 12 项研究。组内研究结果显示，调频治疗可明显改善疼痛强度、PPT和关节活动度，但与对照组相比，调频治疗在改善疼痛强度和PPT方面并无明显优势，调频治疗对关节活动度改善的效果也因存在争议而无定论：结论：在短期内，有 C 级证据表明，调频可有效降低 VAS 和斜方肌上部 MTrPs 的 PPT。尽管如此，还需要进行高质量的长期研究，以了解 ROM 和 NPRS 的改善情况。鉴于 C 级证据的性质，未来精心设计的 RCT 研究应利用足够的样本量、较长的干预期和长期随访来克服现有的局限性。

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

BMC Musculoskeletal Disorders 医学-风湿病学

CiteScore

3.80

自引率

8.70%

发文量

1017

审稿时长

3-6 weeks

期刊介绍： BMC Musculoskeletal Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of musculoskeletal disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The scope of the Journal covers research into rheumatic diseases where the primary focus relates specifically to a component(s) of the musculoskeletal system.