激痛点缺血性压迫治疗颈肩肌筋膜疼痛综合征疗效观察  

Effect of Ischemic Oppression on Trigger Points of Patients with Myofascial Pain Syndrome

作　　者：李新建 陈南君 杨建宇 张恩铭 高峥 白震民 LI Xinjian;CHEN Nanjun;YANG Jianyu;ZHANG Enming;GAO Zheng;BAI Zhenmin(Beijing Sports University School Hospital,Beijing 100084,China;National University of Defense Technology,Changsha,Hunan 410073,China;Department of Sports Medicine and Rehabilitation,Beijing Sport University,Beijing 100084,China;496606 Army Hospital,Luoyang,Henan 471003,China)

机构地区：[1]北京体育大学医院,北京100084 [2]国防科技大学,湖南长沙410073 [3]北京体育大学运动医学与康复学院,北京100084 [4]96606部队医院,河南洛阳471003

出　　处：《康复学报》2020年第2期140-144,共5页Rehabilitation Medicine

基　　金：中央高校基本科研业务费专项资金资助课题(2016YB031)。

摘　　要：目的:观察激痛点缺血性压迫法治疗颈肩肌筋膜疼痛综合征的疗效。方法:选择颈肩肌筋疼痛膜综合征患者20例,按照随机数字表法分为对照组和治疗组,每组10例。对照组仅接受健康宣教;治疗组在对照组基础上实施激痛点缺血性压迫疗法。首先通过Booster Pro3筋膜枪渐次提高振动频率的方法松解斜方肌上束,提高痛阈,达到放松并激活上斜方肌的目的,随后使用缺血性压迫激痛点的方法进行干预,治疗1次/d,连续治疗2周。分别在治疗前、后,采用肌力与脊柱活动度测量仪测量颈部关节活动度与肌力,采用疼痛视觉模拟评分法(VAS)评价颈肩部的疼痛程度,采用颈椎功能障碍指数(NDI)评价颈部功能障碍水平。结果:与治疗前比较,治疗第1次结束即刻治疗组左右侧肌力明显增加,治疗后2周治疗组颈部关节活动度(前屈方向)、左右侧肌力明显增加,左屈、右屈、右旋方向上的VAS评分与NDI评分明显降低,差异有统计学意义(P<0.05);与对照组比较,治疗后2周治疗组颈部关节活动度(前屈方向)、左右侧肌力更高,左屈、右屈、右旋方向上的VAS评分与NDI评分更低,差异有统计学意义(P<0.05)。结论:激痛点缺血性压迫疗法治疗颈肩肌筋膜疼痛综合征,可以有效提高MPS患者颈部关节活动度、左右侧肌力,缓解颈部肌肉僵硬不适和疼痛,改善颈椎功能障碍状态,值得临床推广应用。Objective: To observe the effect of ischemic oppression on trigger points of patients with myofascial pain syndrome(MPS). Methods: A total of 20 patients with cervical and shoulder myofascial pain syndrome were randomly divided into control group and treatment group, with 10 patients in each group. The control group was treated with healthy education, and the treatment group was treated with the therapy of ischemic oppression on trigger points based on the control group. Firstly, we release the upper trapezius bundle of patients by gradually increasing the vibration frequency through Booster Pro3 fascia gun to relax and activate the upper trapezius muscle, and then we treat the patients with MPS by the method of ischemic compression on pain trigger points, once time per day, continuous treatment for two weeks. Before and after treatment, the cervical joint mobility and muscle strength were measured by the tester instrument of muscle and spinal mobility, the pain degree of neck and shoulder was evaluated by visual analogue scale(VAS), the level of cervical dysfunction was evaluated by neck disability index(NDI). Results: Compared with before treatment,the left and right muscle strength increased significantly in the treatment group after the first treatment, the range of motion(forward flexion),left and right muscle strength increased significantly in the treatment group after treatment for two weeks, VAS scores at the left flexion, right flexion and right rotation and NDI scores decreased significantly, with statistically significant differences(P<0.05).Compared with the control group, the range of motion(forward flexion),left and right muscle strength of the treatment group after treatment for two weeks were higher, the VAS scores at the left flexion, right flexion and right rotation and NDI scores of the treatment group after treatment for two weeks were lower, with statistically significant differences(P<0.05). Conclusion: The therapy of ischemic oppression on trigger points can effectively improve the range o

关 键 词：肌筋膜疼痛综合征 颈肩部 激痛点 缺血性压迫 

分 类 号：R246.9[医药卫生—针灸推拿学]