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与深层组织按摩和伸展治疗非特异性腰背痛伤害的Tepurak疗法的有效性比较

Enggista Hendriko Delano, Wara Kushartanti, Novita Intan Arovah, Sabda Hussain As Shafi, Wahyu Aji Nugroho, Muhamad Ichsan Sabillah, Japhet Ndayisenga


Enggista Hendriko Delano, Wara Kushartanti, Novita Intan Arovah, Sabda Hussain As Shafi, Wahyu Aji Nugroho, Muhamad Ichsan Sabillah, Japhet Ndayisenga – Comparison of the effectiveness Tepurak therapy with deep tissue massage and stretching in treating non-specific low back pain injuries. Fizjoterapia Polska 2023; 23(3); 210-220

DOI: https://doi.org/10.56984/8ZG143A4A

摘要

此研究旨在确定：(1) Tepurak疗法（按、击、动）治疗非特异性下背痛（LBP）伤害的有效性。 (2) 深层组织按摩结合伸展（DTMS）治疗非特异性LBP伤害的有效性。 (3) Tepurak疗法与深层组织按摩结合伸展治疗非特异性LBP伤害的有效性比较。恢复指标包括疼痛水平和活动范围（ROM）。此预实验研究使用了两个不同治疗的独特样本组。样本由42名非特异性LBP伤害的个体组成，随机分为两组，每组21人。A组接受Tepurak疗法（按、击、动），B组接受深层组织按摩和伸展的结合（DTMS）。每次治疗时长30分钟。使用视觉模拟量表（VAS）测量疼痛水平，使用修改后的Schober测试和指尖到地板的仪器评估ROM。数据分析采用了多种测试，包括配对t检验、Wilcoxon、独立t检验和Mann-Whitney。研究发现，Tepurak疗法减少了疼痛，并显著增加了ROM (p < 0.05)。同样，深层组织按摩结合伸展显著减少了疼痛，并改善了ROM (p < 0.05)。比较Tepurak疗法和深层组织按摩结合伸展在疼痛和ROM指标上的前测和后测数据，得到的p值> 0.05。这表明两种治疗类型的有效性之间没有显著差异。基于此研究，建议可以采用Tepurak疗法或深层组织按摩结合伸展来治疗非特异性LBP的个体。选择应取决于具体情况和条件，同时考虑每种治疗类型的优缺点。

关键词：tepurak, 深层组织按摩, 伸展, 非特异性下背痛

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Analysis of the impact of deep tissue massage on the functional state of the shoulder joint after arthroscopy

Joanna Zabłocka, Wojciech Kułak, Andrzej Julian Niewiński

J. Zabłocka, W. Kułak, A. J. Niewiński – Analysis of the impact of deep tissue massage on the functional state of the shoulder joint after arthroscopy. Fizjoterapia Polska 2020; 20(2); 132-141

Abstract
Introduction. Shoulder joint physical therapy after arthroscopy is a complex process, and one of the possible actions used by therapists is deep tissue massage.
Purpose. The purpose of the study was to analyze the impact of deep tissue massage on the functional state of the shoulder after arthroscopy.
Materials and methods. Patient examinations were carried out from July 1, 2014 to February 28, 2015 among patients of the Artros physical therapy clinic in Bialystok. We used a questionnaire containing 10 open questions. The study group included 16 patients who underwent shoulder arthroscopy – 9 men and 7 women.
Results. The largest increase in muscle strength measured by the Lovett scale was recorded during abduction of the upper limb (by 2.5 ± 1.15); in terms of mobility the best results were obtained in abduction (by 79.5° ± 49.40°) and flexion of the limb (by 76° ± 48.33°).
Conclusions. Deep tissue massage, combined with kinesitherapy and physical therapy, increases muscle strength and range of motion in the shoulder joint and reduces pain.

Key words:
shoulder joint, arthroscopy, deep tissue massage

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