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Effects of connective tissue massage and kinesiotaping in patients with fibromyalgia 结缔组织按摩和运动塑形对纤维肌痛患者的影响
IF 1.2 Q3 REHABILITATION Pub Date : 2024-07-11 DOI: 10.1016/j.jbmt.2024.07.009
Gizem Turksen , Eylul Pinar Kisa , Begum Kara Kaya , Kiymet Muammer , Rasmi Muammer

Background

Fibromyalgia (FM) is a common soft tissue rheumatic disease. There is no established treatment plan for FM. Current treatments primarily focus on controlling symptoms and improving the quality of life. The aim of our study was to determine how connective tissue massage (CTM) and kinesiotaping (KT) affect pain and depression in patients with fibromyalgia, and to compare their effects on quality of life.

Methods

Thirty-four patients diagnosed with fibromyalgia were included. Participants divided into two groups. Group 1: CTM (n = 17, mean age = 35.47 ± 6.84 years), Group 2: KT (n = 17, mean age = 34.00 ± 5.46 years). This study was initiated by obtaining sociodemographic information. Pain (Visual Analogue Scale (VAS)), pain characteristics (McGill Pain Questionnaire), disease impact on patients (Fibromyalgia Impact Questionnaire (FIQ)), depression (Beck's Depression Inventory (BDI)), and quality of life (Short Form-36 (SF-36)) were evaluated. All participants received electrotherapy (TENS and infrared treatment) for 25 min, 5 days a week for 4 weeks. CTM was applied 3 days a week, KT was applied 2 days a week for 4 weeks.

Results

A significant improvement with very large effect size was found in VAS, McGill, FIQ, BDI, and SF-36 variables in both groups (p < 0.05). The change after 4 weeks of treatment was similar between groups in terms of all parameters (p > 0.05).

Conclusion

Both CTM and KT improved pain, disease effects depression, and quality of life. These two interventions, which are not superior, can be added to the treatment program for patients with fibromyalgia.

背景纤维肌痛(FM)是一种常见的软组织风湿病。目前尚无针对 FM 的既定治疗方案。目前的治疗主要侧重于控制症状和改善生活质量。我们的研究旨在确定结缔组织按摩(CTM)和运动塑形(KT)如何影响纤维肌痛患者的疼痛和抑郁,并比较它们对生活质量的影响。参与者分为两组。第一组:CTM(人数=17,平均年龄=35.47 ± 6.84 岁);第二组:KT(人数=17,平均年龄=34.00 ± 5.46 岁)。本研究通过获取社会人口学信息开始。对疼痛(视觉模拟量表(VAS))、疼痛特征(麦吉尔疼痛问卷)、疾病对患者的影响(纤维肌痛影响问卷(FIQ))、抑郁(贝克抑郁量表(BDI))和生活质量(短表-36(SF-36))进行了评估。所有参与者均接受了为期 4 周、每周 5 天、每次 25 分钟的电疗(TENS 和红外线治疗)。结果发现,两组患者的 VAS、McGill、FIQ、BDI 和 SF-36 变量均有显著改善,且效应大小非常大(p < 0.05)。结论 CTM 和 KT 都能改善疼痛、疾病影响、抑郁和生活质量。这两种干预方法并无优劣之分,但可添加到纤维肌痛患者的治疗方案中。
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引用次数: 0
Timed up and go and 30-S chair-stand tests applied via video call are reliable and provide results similar to face-to-face assessment of older adults with different musculoskeletal conditions 通过视频通话进行的定时起立和 30 秒椅子站立测试是可靠的,其结果类似于对患有不同肌肉骨骼疾病的老年人进行的面对面评估
IF 1.2 Q3 REHABILITATION Pub Date : 2024-07-11 DOI: 10.1016/j.jbmt.2024.07.021

Background

Remote assessments are promising for coping with adverse situations, such as those imposed by the COVID-19 pandemic. Measurement properties must be specific to the characteristics of the population and the context in which the instruments are used.

Purpose

s: 1) To evaluate the parallel reliability of the timed up and go (TUG) and 30-s chair-stand test (30CST) performed in-person and remotely and 2) to analyze the intra-rater, inter-rater, and test-retest reliability of these tests assessed remotely in older adults with different musculoskeletal conditions.

Methods

The sample included 50 older adults. Parallel reliability was determined by comparing in-person and remote data. Bland-Altman plots displayed differences between tests (TUG and 30CST) performed in-person and remotely, showing the mean scores of each participant. The intra-rater, inter-rater, and test-retest reliability for remote assessments were analyzed using the intraclass correlation coefficient (ICC) with a 95% confidence interval.

Results

Parallel reliability was high between in-person and remote assessments (ICC >0.82). Intra-rater, inter-rater, and test-retest reliability were very high for remote assessments (ICC >0.90). The minimal detectable change for the remote assessment of TUG (MDC <1.95) and 30CST (MDC <2.39) indicated adequate sensitivity. In both tests, the standard error of the measurement was acceptable (SEM% < 10%) and Bland-Altman limits of agreement were solid.

Conclusions

The remote assessment of TUG and 30CST in older adults with different musculoskeletal conditions was as reliable as those performed in person and may be considered when in-person assessments are impossible.

背景远程评估在应对不利情况(如 COVID-19 大流行所造成的不利情况)方面大有可为。测量特性必须与人群特征和仪器使用环境相适应:1)评估面对面和远程进行的定时起立行走(TUG)和 30 秒椅子站立测试(30CST)的平行可靠性;2)分析对患有不同肌肉骨骼疾病的老年人进行远程评估的这些测试的评分者内部、评分者之间和试验重复可靠性。通过比较现场数据和远程数据来确定平行可靠性。Bland-Altman图显示了亲身测试和远程测试(TUG和30CST)之间的差异,并显示了每位参与者的平均得分。使用带 95% 置信区间的类内相关系数 (ICC),分析了远程评估的评分者内部、评分者之间和测试-重复测试的可靠性。远程评估的评分者内部、评分者之间和测试-再测试的可靠性都非常高(ICC >0.90)。TUG(MDC <1.95)和30CST(MDC <2.39)远程评估的最小可检测变化表明灵敏度足够高。结论对患有不同肌肉骨骼疾病的老年人进行的 TUG 和 30CST 远程评估与亲自进行的评估一样可靠,在无法进行亲自评估的情况下,可以考虑进行远程评估。
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引用次数: 0
Efficacy of self-care foam rolling intervention on muscle function and pain conducted by postoperative patients who underwent total knee arthroplasty from the second to the third postoperative week 全膝关节置换术术后患者在术后第二周至第三周进行泡沫滚动自我护理干预对肌肉功能和疼痛的影响
IF 1.2 Q3 REHABILITATION Pub Date : 2024-07-09 DOI: 10.1016/j.jbmt.2024.07.033

Background

This study aimed to investigate whether self-care foam rolling (FR) intervention, in addition to regular physical therapy, effectively improves pain, knee joint range of motion (ROM), muscle function (knee extension strength and gait speed), and balance function in patients who underwent total knee arthroplasty (TKA) during the second and third postoperative weeks.

Methods

A total of 15 patients admitted to the hospital and who underwent TKA for knee osteoarthritis were enrolled. FR was performed for more than 10 min in the morning and 10 min in the afternoon each day from the second to the third postoperative week. Knee flexion and extension ROM, pain (resting and stretching position), 10 m walk speed, timed up-and-go test (TUG), one-leg stand, and maximal voluntary isometric contraction torques of knee extensors were assessed.

Results

Significant improvements in knee flexion pain, knee flexion ROM, knee extension ROM, knee extension strength, 10 m walk speed, TUG, and one-leg stand were observed from the second to the third postoperative week. However, at rest, no statistically significant differences in pain were found.

Conclusions

Muscle function of the knee extensors improved following the self-care FR intervention probably attributed to the adjusted pain level.

背景本研究旨在探讨在常规物理治疗的基础上,自我护理泡沫滚动(FR)干预是否能有效改善全膝关节置换术(TKA)患者术后第二周和第三周的疼痛、膝关节活动范围(ROM)、肌肉功能(膝关节伸展力量和步态速度)和平衡功能。从术后第二周到第三周,每天上午和下午各进行10分钟以上的FR运动。结果从术后第二周到第三周,膝关节屈曲疼痛、膝关节屈曲ROM、膝关节伸展ROM、膝关节伸展力量、10米步行速度、定时起立测试(TUG)、单腿站立和膝关节伸肌最大自主等长收缩力矩均有显著改善。结论 自我护理 FR 干预后,膝关节伸肌功能得到改善,这可能与疼痛程度得到调整有关。
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引用次数: 0
Comparative effects of myofascial release with and without eccentric resistance on pain, range of motion, and functional disability in patients with Achilles tendinopathy 有偏心阻力和无偏心阻力的肌筋膜松解术对跟腱病患者疼痛、活动范围和功能障碍的比较效果
IF 1.2 Q3 REHABILITATION Pub Date : 2024-07-09 DOI: 10.1016/j.jbmt.2024.07.029

Background

The ankle is one of the most commonly injured areas in people with active and sedentary lives. Achilles tendinopathy (AT) is characterized by pain and stiffness that limits daily living work. Myofascial release and eccentric training are believed to improve soft tissue circulation, strength, pain, ROM, and function.

Objective

To compare the effects of myofascial release with and without eccentric resistance on pain, range of motion, and functional disability in patients with AT.

Methodology

This randomized clinical trial was conducted with a sample of 72 participants selected via a convenient sampling technique. Participants were divided into two groups, Group A was given myofascial release therapy, and Group B was given myofascial release with eccentric resistance. Numeric Pain Rating Scale (NPRS), Goniometer, and Foot ankle disability index (FADI) were outcome measure tools for pain, range of motion, and functional disability. The assessment was done at baseline, 2nd and 4th week. Mann-Whitney U Test and Friedman's ANOVA were applied to find between-group and within-group differences. P-value was set at ≤0.05.

Results

There was a significant difference in pain (p = 0.03), plantarflexion ROM (p = 0.008), and functional disability (p = 0.02) between the two groups. However, no significant difference was observed in dorsiflexion (p = 0.06). Within-group differences were also significant (p < 0.05).

Conclusion

It is concluded that myofascial release with eccentric resistance was more effective than myofascial release without eccentric resistance in improving pain, range of motion, and functional disability in Achilles tendinopathy.

背景踝关节是活跃人群和久坐人群最常受伤的部位之一。跟腱病(AT)的特点是疼痛和僵硬,限制了日常生活工作。方法这项随机临床试验通过方便抽样技术选取了 72 名参与者。参与者被分为两组,A 组接受肌筋膜松解疗法,B 组接受带偏心阻力的肌筋膜松解疗法。数字疼痛评定量表(NPRS)、动态关节角度计(Goniometer)和足踝残疾指数(FADI)是疼痛、活动范围和功能残疾的结果测量工具。评估在基线、第 2 周和第 4 周进行。曼-惠特尼 U 检验和弗里德曼方差分析用于发现组间和组内差异。结果两组在疼痛(P = 0.03)、跖屈 ROM(P = 0.008)和功能障碍(P = 0.02)方面存在显著差异。但是,在背伸方面没有观察到明显差异(p = 0.06)。结论在改善跟腱病的疼痛、活动范围和功能障碍方面,有偏心阻力的肌筋膜松解术比无偏心阻力的肌筋膜松解术更有效。
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引用次数: 0
Blood pressure and ECG variables of healthy young males and females participating in moderate aerobic exercise 参加中等强度有氧运动的健康男女青年的血压和心电图变量
IF 1.2 Q3 REHABILITATION Pub Date : 2024-07-09 DOI: 10.1016/j.jbmt.2024.07.014
Idara Asuquo Okon PhD , Justin Atiang Beshel PhD , Albert E. Okorocha PhD , Elijah Ekene Eze , Daniel U. Owu PhD

Introduction

Changes in blood pressure and electrocardiogram are important factors that determine exercise testing. This study investigated blood pressure and electrocardiogram (ECG) changes in healthy young adults after performing acute moderate aerobic exercise protocols.

Methods

Forty young healthy untrained non-athletes, twenty males and twenty females (age, 25 ± 5.6 years; body weight, 65 ± 4.0 kg; body height, 176.9 ± 2.5 cm) were recruited for the study. The exercise regimen was acute moderate exercise for 20 min on a treadmill consistently for 14 days daily at the speed of 13 km/h. The body weight, blood pressure, and electrocardiograph were measured before and after exercise.

Results

There was a significant reduction (P < 0.05) in body weight (59 ± 3.2 kg) of female participants after 14 days of aerobic exercise relative to their baseline mean value (63 ± 2.9 kg). The systolic blood pressure decreased (P < 0.05) in males (117 ± 1.1 mmHg) and females (117 ± 1.0 mmHg) when compared to the mean baseline values in males (127 ± 1.3 mmHg) and females (128 ±0 .3 mmHg). The diastolic blood pressure also decreased (P < 0.05) in male (71 ± 0.88 mmHg) participants after exercise when compared to the baseline mean values (79 ± 1.2 mmHg) while there was no change in diastolic blood pressure of females. The ECG parameters remained unchanged, while the heart rate (75 ± 1.3 beats/min) increased (P < 0.05) after exercise in all participants relative to the baseline (69 ± 2 beats/min).

Conclusion

The results suggest that moderate aerobic exercise normalized blood pressure and electrical activity of the heart while reducing heart rate after 14 days of consistent aerobic exercise in healthy individuals.

导言血压和心电图的变化是决定运动测试的重要因素。本研究调查了健康青壮年在进行急性中等强度有氧运动后血压和心电图的变化情况。运动方案为每天坚持在跑步机上以 13 公里/小时的速度急性中度运动 20 分钟,持续 14 天。结果14天的有氧运动后,女性参与者的体重(59±3.2千克)比基线平均值(63±2.9千克)显著下降(P< 0.05)。与男性(127 ± 1.3 mmHg)和女性(128 ± 0.3 mmHg)的平均基线值相比,男性收缩压(117 ± 1.1 mmHg)和女性收缩压(117 ± 1.0 mmHg)均有所下降(P < 0.05)。与基线平均值(79 ± 1.2 mmHg)相比,男性参与者运动后的舒张压(71 ± 0.88 mmHg)也有所下降(P < 0.05),而女性参与者的舒张压则没有变化。心电图参数保持不变,而所有参与者运动后的心率(75 ± 1.3 次/分)与基线(69 ± 2 次/分)相比均有所上升(P < 0.05)。
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引用次数: 0
Does dry needling aid in post-training recovery? A critically appraised topic 干针疗法有助于训练后恢复吗?一项经过严格评估的课题
IF 1.2 Q3 REHABILITATION Pub Date : 2024-07-09 DOI: 10.1016/j.jbmt.2024.07.017

Clinical scenario

Following intense physical training, it is common for athletes to develop muscle soreness, muscle tightness and a sense of fatigue. Minimizing the time spent in this state is advantageous to limit time off from sport, potential injury and lack of mental focus.

Clinical question

Does dry needling aid in post-training recovery in athletes?

Summary of key findings

A search was performed for articles exploring the effect of dry needling on exercise/training recovery in athletes. Six articles were included in this critically appraised topic. Three articles were randomized controlled trials, one was a cross-over design, one was a case series, and one was a survey. Five of the six studies demonstrated that dry needling had some sort of positive effect on post-training recovery. One article found DN did not improve muscle soreness after a long distance race.

Clinical bottom line

Based on six studies, DN provides mixed results on a variety of physiological and subjective measures. No adverse effects were reported with the use of DN on athletes following post-training.

Strength of recommendation

In agreement with the Center of Evidence-Based Medicine, the consistent results from three Level II and two Level III intervention studies designate that there is grade D evidence that DN may aid in some post-training recovery variables.

临床情景在进行高强度体育训练后,运动员通常会出现肌肉酸痛、肌肉紧绷和疲劳感。临床问题干针疗法是否有助于运动员训练后的恢复? 主要研究结果摘要我们搜索了探讨干针疗法对运动员运动/训练恢复效果的文章。六篇文章被纳入了这一经过严格评估的主题。其中三篇为随机对照试验,一篇为交叉设计,一篇为病例系列,一篇为调查。六项研究中有五项表明,干针疗法对训练后的恢复有一定的积极作用。一篇文章发现,干针疗法并不能改善长距离比赛后的肌肉酸痛。建议力度与循证医学中心一致,三项二级和两项三级干预研究的一致结果表明,有 D 级证据表明,DN 可能有助于训练后的某些恢复变量。
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引用次数: 0
A surge in queries: Analyzing the increased public interest in dry needling using Google trends – A cross-sectional observational study 查询量激增:利用谷歌趋势分析公众对干针疗法日益增长的兴趣--一项横断面观察研究
IF 1.2 Q3 REHABILITATION Pub Date : 2024-07-06 DOI: 10.1016/j.jbmt.2024.07.002
Mustafa Hüseyin Temel , Yakup Erden , Fatih Bağcıer

Background

To monitor public interest (PI) in information related to Dry needling (DN) therapy and examine potential temporal, seasonal, and income-related trends that may impact PI by using the relative search volume (RSV) from the Google Trends tool for the keyword "Dry Needling."

Methods

For this cross-sectional observational study, a dataset was created using the Google Trends tool from 2004 to the present in the United States (US). To examine potential income-related disparities in PI in DN across the US, RSV values were recorded in the five states with the highest and the lowest median income (Maryland, New Hampshire, New Jersey, Utah, and Washington and Mississippi, West Virginia, Arkansas, New Mexico, Kentucky, respectively).

Results

A linear regression model showed that the PI in DN increased significantly (R2 = 0,902, p < 0.001). There were no significant differences between the RSV values between the month of the year and the season of the year (p = 1.000 and p = 0.997, respectively). RSV values of the five highest-income and low-income states showed significant increases (R2 = 0,624, p < 0.001, and R2 = 0,477, p < 0.001, respectively). More rapid growth in interest in DN in states with high income compared to those with low income (p < 0.001).

Conclusions

PI in DN treatment is increasing in both high and low-income states. States with higher incomes are more interested. DN treatment is expected to become more popular, which will lead to a rising demand for comprehensive education in medical schools and clinician training programs. In addition, there will also be a need for easily accessible, high-quality information resources.

背景通过使用谷歌趋势工具对关键词 "干针疗法 "的相对搜索量(RSV),监测公众对干针疗法相关信息的兴趣(PI),并研究可能影响 PI 的潜在时间、季节和收入相关趋势。 方法在这项横断面观察性研究中,使用谷歌趋势工具创建了美国 2004 年至今的数据集。结果线性回归模型显示,DN 的 PI 显著增加(R2 = 0,902, p <0.001)。不同月份和不同季节的 RSV 值之间没有明显差异(p = 1.000 和 p = 0.997)。五个最高收入州和低收入州的 RSV 值均有显著增加(分别为 R2 = 0,624, p < 0.001 和 R2 = 0,477, p < 0.001)。与低收入州相比,高收入州对 DN 的兴趣增长更快(p < 0.001)。收入越高的州对 DN 治疗越感兴趣。预计 DN 治疗将越来越受欢迎,这将导致医学院和临床医生培训项目对综合教育的需求增加。此外,还需要易于获取的高质量信息资源。
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引用次数: 0
Correlated variables and changes in fascial stiffness and pelvic mobility following the myofascial induction method utilizing the crossed hands technique 利用双手交叉技术进行肌筋膜诱导法后筋膜僵硬度和骨盆活动度的相关变量和变化
IF 1.2 Q3 REHABILITATION Pub Date : 2024-06-21 DOI: 10.1016/j.jbmt.2024.06.009
Maria Alejandra Sánchez Vera , Margareth Lorena Alfonso-Mora , Luis Mauricio Agudelo Otálora , Luis Alfredo Paipa Galeano , Miguel Angel Uribe-Laverde , Erika Juliana Latorre Quimbayo , Adriana Lucía Castellanos Garrido , Robert Schleip , Andrzej Pilat

Background

Myofascial Induction Therapy (MIT) is a physiotherapeutic (PT) intervention addressing musculoskeletal disorders. Standardizing MIT as a manual PT intervention ensures consistency and replicability.

Aim

To describe correlated variables and changes in fascial stiffness and pelvic mobility after applying the Crossed Hands Technique based on MIT.

Methods

A quasi-experimental study involved 15 PTs trained in myofascial induction and 15 healthy individuals. Environmental (ambient temperature, stretcher height, width), patient (subscapular fatty fold, BMI, height, chest length, lumbopelvic mobility, fascial stiffness), and PT variables (pressure, traction, hand temperature, kinematic changes) were assessed during lumbodorsal hands-cross at 1-min intervals for 5 min. Pelvic mobility was measured using kinovea photogrammetry and dorsolumbar stiffness using a durometer. Descriptive analysis and correlations were applied.

Results

PTs had a mean 5.3 years of MIT experience. The average force was 5.5 N, traction force 0.39 N. Post-technique, individuals showed 4° increased pelvic mobility, minimal stiffness changes at T7 and L4 levels. Kinematic variables for the PTs revealed an average shoulder flexion of 40° and bilateral elbow flexion of 18°. Following the application of the technique, individuals who received MIT experienced a 4° increase in pelvic mobility, with only minor changes in stiffness observed at both the T7 and L4 levels.

Conclusions

The Crossed Hands Technique involves key variables like force and traction, varying over time. Clinical outcomes are influenced by patient and environmental factors. Notably, the physiotherapist's hand temperature, right shoulder internal rotation, right foot abduction, and fourth finger opening show significant correlations with tissue stiffness changes.

背景肌筋膜诱导疗法(MIT)是一种针对肌肉骨骼疾病的物理治疗(PT)干预方法。方法一项准实验研究涉及 15 名接受过肌筋膜诱导培训的理疗师和 15 名健康人。在5分钟的腰背双手交叉过程中,每隔1分钟对环境(环境温度、担架高度、宽度)、患者(肩胛下脂肪皱褶、体重指数、身高、胸长、腰椎活动度、筋膜僵硬度)和PT变量(压力、牵引力、手部温度、运动学变化)进行评估。骨盆活动度使用 kinovea 摄影测量法进行测量,腰背僵硬度使用硬度计进行测量。对结果进行了描述性分析和相关性分析。技术实施后,患者骨盆活动度增加了 4°,T7 和 L4 水平的僵硬度变化极小。训练者的运动变量显示,平均肩关节屈曲 40°,双侧肘关节屈曲 18°。在应用该技术后,接受 MIT 的患者骨盆活动度增加了 4°,T7 和 L4 水平的僵硬度仅有轻微变化。临床结果受患者和环境因素的影响。值得注意的是,物理治疗师的手温、右肩内旋、右脚外展和第四指张开度与组织僵硬度变化有显著相关性。
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引用次数: 0
The efficacy of myofascial release at the cervicothoracic region in patients with rotator cuff repairs: A randomized controlled pilot study 颈胸区域肌筋膜松解术对肩袖修复患者的疗效:随机对照试验研究
IF 1.2 Q3 REHABILITATION Pub Date : 2024-06-15 DOI: 10.1016/j.jbmt.2024.06.006
Sumeyye Cildan Uysal , Ali Cagdas Yorukoglu , Ali Kitis , Nihal Buker

Background

Coactivation between tonic and phasic muscles is essential for correct posture and movement. Impaired movement patterns and postural changes facilitate the flexor response to protect painful tissue in the injured area. Tone changes between tonic and phasic muscles lead to an imbalance in the rotator cuff (RC) muscles.

Design

A randomized controlled pilot study.

Purpose

The purpose of this study is to determine the effects of applying myofascial release (MFR) to the muscles in the cervicothoracic region for the treatment of fascia limitations in patients with postoperative RC tear.

Materials and methods

A total of 20 patients were randomly divided into 2 groups. The patients in the control group performed exercises, whereas those in the MFR group performed exercises in addition to MFR. Pain intensity, grip strength, pectoralis minor flexibility, Constant Murley Score (CMS), and Short Form-36 (SF-36) score were evaluated. Pain intensity was recorded before and after the MFR sessions.

Results

There were no significant differences between the groups regarding pain, grip strength, pectoralis minor flexibility, CMS values, or SF-36 score (p > 0.05). There were significant differences in pain levels measured before and after all MFR sessions. Moreover, a significant decrease is shown between the first and last sessions in the MFR group (p < 0.05).

Conclusion

MFR can be useful, especially in postoperative RC patients who have pain in the early period. Significant reductions in pain intensity after MFR can help prepare patients for exercise and reduce pain-related medication use.

背景强直性肌肉和相位性肌肉之间的激活对于正确的姿势和运动至关重要。受损的运动模式和姿势变化会促进屈肌反应,以保护受伤部位的疼痛组织。本研究旨在确定对颈胸区域肌肉进行肌筋膜松解术(MFR)治疗术后肩袖撕裂患者筋膜受限的效果。对照组患者进行锻炼,而 MFR 组患者在 MFR 的基础上进行锻炼。对疼痛强度、握力、胸小肌柔韧性、Constant Murley 评分(CMS)和 SF-36 短表(SF-36)评分进行评估。结果两组在疼痛、握力、胸小肌柔韧性、CMS 值或 SF-36 评分方面无显著差异(p > 0.05)。在所有 MFR 治疗前后测量的疼痛水平存在明显差异。此外,MFR 组在第一次和最后一次疗程之间的疼痛明显减轻(p < 0.05)。MFR后疼痛强度的显著降低有助于患者为运动做好准备,并减少与疼痛相关的药物使用。
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引用次数: 0
Intra-rater reliability of rehabilitative ultrasound imaging of erector spinae and gluteus medius muscles in patients with low back pain 腰背痛患者竖脊肌和臀中肌康复超声成像的评分者内部可靠性
IF 1.4 Q2 Health Professions Pub Date : 2024-06-06 DOI: 10.1016/j.jbmt.2024.06.002
Jedidiah R. Farley , Shane L. Koppenhaver , Julie M. Fritz

Background

Low back pain (LBP) is one of the most common conditions in the United States. Dysfunctional patterns of the erector spinae (ES) and gluteus medius (GM) muscles often accompany episodes of LBP.

Objectives

To evaluate the intra-rater reliability of rehabilitative ultrasound imaging (RUSI) in obtaining thickness measurements of the ES and GM muscles at rest and during submaximal contraction.

Design

Single-group repeated-measures reliability study.

Methods

A volunteer sample of 30 adults with current LBP was examined. Thickness measurements of the ES and GM at rest and during contraction were obtained by using RUSI during a single session. Intraclass correlation coefficients (ICC) were used to estimate reliability. Reliability was further assessed by calculating standard error of measurement (SEM) and minimal detectable change (MDC).

Results

By using a mean of 3 measures, intra-rater reliability estimates ranged from 0.999 to 0.999 for ES, and 0.998 to 0.999 for GM. Reliability estimates for single thickness measures ranged from 0.997 to 0.998 for ES, and 0.995 to 0.997 for GM. Reliability estimates were lower for percent thickness change measures than the corresponding single thickness measures for all conditions.

Conclusions

RUSI thickness measurements of the ES and GM muscles in patients with LBP, when based on the mean of 3 measures, are highly reliable when taken by a single examiner in a single session.

背景腰背痛(LBP)是美国最常见的疾病之一。目标评估康复超声成像(RUSI)在获取静息和亚最大收缩时 ES 和 GM 肌肉厚度测量值的评分者内部可靠性。方法对 30 名患有腰背痛的成人志愿者样本进行了研究。在单次治疗中使用 RUSI 测量静息和收缩时 ES 和 GM 肌肉的厚度。类内相关系数(ICC)用于估计可靠性。通过计算测量标准误差 (SEM) 和最小可检测变化 (MDC) 进一步评估可靠性。结果 通过使用 3 次测量的平均值,ES 的评分者内部可靠性估计值为 0.999 至 0.999,GM 为 0.998 至 0.999。ES 单项厚度测量的可靠性估计值为 0.997 至 0.998,GM 为 0.995 至 0.997。在所有情况下,厚度变化百分比测量值的可靠性估计值均低于相应的单一厚度测量值。结论RUSI 对腰椎间盘突出症患者的 ES 和 GM 肌肉进行的厚度测量以 3 项测量值的平均值为基础,由一名检查员在单次治疗中进行测量时,可靠性非常高。
{"title":"Intra-rater reliability of rehabilitative ultrasound imaging of erector spinae and gluteus medius muscles in patients with low back pain","authors":"Jedidiah R. Farley ,&nbsp;Shane L. Koppenhaver ,&nbsp;Julie M. Fritz","doi":"10.1016/j.jbmt.2024.06.002","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.06.002","url":null,"abstract":"<div><h3>Background</h3><p>Low back pain (LBP) is one of the most common conditions in the United States. Dysfunctional patterns of the erector spinae (ES) and gluteus medius (GM) muscles often accompany episodes of LBP.</p></div><div><h3>Objectives</h3><p>To evaluate the intra-rater reliability of rehabilitative ultrasound imaging (RUSI) in obtaining thickness measurements of the ES and GM muscles at rest and during submaximal contraction.</p></div><div><h3>Design</h3><p>Single-group repeated-measures reliability study.</p></div><div><h3>Methods</h3><p>A volunteer sample of 30 adults with current LBP was examined. Thickness measurements of the ES and GM at rest and during contraction were obtained by using RUSI during a single session. Intraclass correlation coefficients (ICC) were used to estimate reliability. Reliability was further assessed by calculating standard error of measurement (SEM) and minimal detectable change (MDC).</p></div><div><h3>Results</h3><p>By using a mean of 3 measures, intra-rater reliability estimates ranged from 0.999 to 0.999 for ES, and 0.998 to 0.999 for GM. Reliability estimates for single thickness measures ranged from 0.997 to 0.998 for ES, and 0.995 to 0.997 for GM. Reliability estimates were lower for percent thickness change measures than the corresponding single thickness measures for all conditions.</p></div><div><h3>Conclusions</h3><p>RUSI thickness measurements of the ES and GM muscles in patients with LBP, when based on the mean of 3 measures, are highly reliable when taken by a single examiner in a single session.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141313068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
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