高功率痛阈超声和缺血压迫技术治疗肌筋膜潜伏触发点的比较:一项随机对照研究

IF 0.5 4区 医学 Q4 REHABILITATION Physikalische Medizin Rehabilitationsmedizin Kurortmedizin Pub Date : 2021-12-15 DOI:10.1055/a-1956-3359
G. Pala, E. Mutlu, H. Taskiran
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引用次数: 0

摘要

摘要目的肌筋膜触发点(MTrPs)被定义为位于骨骼肌或筋膜紧绷带内的离散和高激区域,当这些区域受到压迫时会产生疼痛、压痛、功能障碍和自主神经现象。处理技术的目的是使纤维群恢复到最佳长度,并使端板恢复到最佳功能。缺血性压迫(IC)和高功率痛阈超声(hpt - us)是MTrPs的治疗技术之一。本研究的目的是比较IC和HTTP-US在MTrPs治疗中的不同应用方式的疗效。患者和方法这是一项随机前瞻性研究,153名参与者至少有三个潜在触发点。参与者接受hpt - us技术,其中强度保持在疼痛水平不变,hpt - us技术中强度保持在疼痛水平的一半或IC不变。结果测量是视觉模拟量表,贝克抑郁量表,颈部疼痛和残疾量表,失活的MTrPs数量和疼痛压力阈值(PPT)。结果两组患者疼痛、心理状态和残疾情况均有改善;两组间差异无统计学意义(p < 0.05)。各组PPT均增加;两组间差异有统计学意义(p<0.05)。IC比hpt - us更有效。结论不同应用方式的HPPT-US和IC是治疗潜在触发点的有效方法。
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Comparison of High Power Pain Threshold Ultrasound and Ischemic Compression Techniques for the Treatment of Latent Myofascial Trigger Points: A Randomized Controlled Study
Abstract Objective Myofascial trigger points (MTrPs) have been defined as discrete and hyperirritable areas located within a taut band of skeletal muscle or fascia, which when compressed produce pain, tenderness, dysfunction and autonomic phenomena. The treatment techniques aimed to return the fiber groups to their optimum length and end plates to their optimum function. Ischemic Compression (IC) and of High Power Pain Threshold Ultrasound (HPPT-US) are among the treatment techniques used for MTrPs. The aim of the current study is to compare the efficacy of IC and HTTP-US which was applied in different ways on MTrPs treatment. Patients and Methods This is a randomized prospective study conducted with 153 participants have at least three latent trigger points. Participants received HPPT-US technique in which the intensity is kept constant at the pain level, HPPT-US technique in which the intensity is kept constant at half the pain level or IC. Outcome measures were the Visual Analog Scale, Beck Depression Inventory, Neck Pain and Disability Scale, number of deactivated MTrPs and Pain Pressure Threshold (PPT). Results Pain, psychological status and disability improved in each group; there was no significant difference between the groups (p>0.05). PPT increased in each group; a significant difference was found between the groups (p<0.05). IC was slightly more effective than HPPT-US. Conclusion Our results have shown that HPPT-US which was applied in different ways and IC were effective therapies for latent trigger points.
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来源期刊
CiteScore
1.10
自引率
25.00%
发文量
70
审稿时长
3 months
期刊介绍: The Journal of Physical and Rehabilitation Medicine offers you the most up-to-date information about physical medicine in clinic and practice, as well as interdisciplinary information about rehabilitation medicine and spa medicine. Publishing 6 issues a year, the journal includes selected original research articles and reviews as well as guidelines and summaries of the latest research findings. The journal also publishes society news and editorial material. “Online first” publication ensures rapid dissemination of knowledge.
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