评估青少年患者接受myoActivation®治疗与肌筋膜功能障碍相关的慢性疼痛时运动范围的变化:一项可行性研究

IF 2.5 Q2 CLINICAL NEUROLOGY Frontiers in pain research (Lausanne, Switzerland) Pub Date : 2023-10-25 eCollection Date: 2023-01-01 DOI:10.3389/fpain.2023.1225088
Tim Bhatnagar, Farah T Azim, Mona Behrouzian, Karen Davies, Diane Wickenheiser, Gail Jahren, Nicholas West, Lise Leveille, Gillian R Lauder
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引用次数: 0

摘要

myoActivation®评估采用系统化的运动测试来评估继发于肌筋膜功能障碍的疼痛和运动限制。肌激活针刺疗法可缓解疼痛的肌筋膜成分,并可立即观察到疼痛、柔韧性和活动范围的变化。这项可行性研究的主要目的是客观地描述肌激活运动测试和治疗前后上半身和下半身运动的运动学指标。方法:连续5名被认为适合进行肌激活的青少年参与者同意在运动实验室接受他们的肌激活干预。临床运动分析用于测量最大运动范围(maxROM)和最大角速度到最大运动范围(speedROM)的变化。分析指标以评估指定时间间隔内的变化- i)基线至初始肌激活会话后,ii)基线至完成肌激活课程后。每个参与者都作为自己的对照。结果:我们证明了客观证据,63%的运动测试预测在一次肌激活后会改变maxROM和/或speedROM, 77%的运动测试预测在整个治疗过程中会改变。肌激活临床医生在所有患者中观察到11/19的运动测试呈阳性变化,预计在初始肌激活后会发生变化;81%的这些积极变化被运动学数据证实。讨论:临床运动分析为临床医生评估、治疗和教授肌筋膜松解提供了客观的支持。一个更大的前瞻性临床试验是必要的,以探索肌激活对运动的影响。在这项可行性研究中建立的观察技术和结果测量的改进将加强未来对肌激活过程的临床运动分析。
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Assessing changes in range of motion in adolescent patients undergoing myoActivation® for chronic pain related to myofascial dysfunction: a feasibility study.

Introduction: myoActivation® assessment utilizes systemized movement tests to assess for pain and limitations in motion secondary to myofascial dysfunction. myoActivation needling therapy resolves the myofascial components of pain and is associated with immediately observed changes in pain, flexibility, and range of motion. The principal aim of this feasibility study was to objectively characterize the kinematic metrics of upper and lower body motion before and after myoActivation movement tests and therapy.

Methods: Five consecutive eligible adolescent participants considered appropriate for myoActivation were consented to receive their myoActivation intervention in a motion laboratory. Clinical motion analysis was used to measure the changes in maximum range of motion (maxROM) and maximum angular speed to maximum ROM (speedROM) of movement tests predicted to change. Metrics were analyzed to assess changes over specified time intervals - i) baseline to after initial myoActivation session, and ii) baseline to after complete myoActivation course. Each participant served as their own control.

Results: We demonstrated objective evidence of improved maxROM and/or speedROM in 63% of the movement tests predicted to change after just one session of myoActivation and in 77% of movement tests predicted to change over the complete course of treatment. The myoActivation clinician observed positive change in 11/19 of movement tests across all patients, that were predicted to change after the initial myoActivation session; 81% of these positive changes were confirmed by the kinematic data.

Discussion: Clinical motion analysis provides objective support to clinicians evaluating, treating, and teaching myofascial release. A larger, prospective clinical trial is warranted to explore the impact of myoActivation on movement. Refinement of observation techniques and outcome measures established in this feasibility study will strengthen future clinical motion analysis of the myoActivation process.

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