肌肉能量技术与肌筋膜释放在青少年女孩脊柱侧弯上的随机对照试验

Amira. H. Mohammed, Safy. E. Abo-Ali, Sahar M. Abdelmutilibe, Sara. A. Elsamahy, Nashwa. E. Elsherif, Malak. A. Elmahdy, Samah. M. Sheha

 

Amira. H. Mohammed, Safy. E. Abo-Ali, Sahar M. Abdelmutilibe, Sara. A. Elsamahy, Nashwa. E. Elsherif, Malak. A. Elmahdy, Samah. M. Sheha – Muscle energy techniques versus myofascial release on scoliosis in adolescent girls: A randomized controlled trial –  Fizjoterapia Polska 2024; 24(1); 54-59

DOI: https://doi.org/10.56984/8ZG2EF864D

摘要
背景。青少年特发性脊柱侧弯(AIS)是一种发生在10岁到骨骼成熟期儿童的复杂的3D结构性脊柱条件。本研究旨在检查肌肉能量技术和/或肌筋膜释放对大样本的青少年特发性脊柱侧弯的影响。同时,它旨在比较肌肉能量技术与肌筋膜释放在特发性脊柱侧弯上的效果。
方法。本试验纳入了50名患有非骨质结构性胸脊柱侧弯的女孩。他们被随机分为两个等大的组(每组25人)。三个月内,A组(肌肉能量技术组),接受针对脊柱侧弯的科学运动方法训练以及肌肉能量技术;B组(肌筋膜释放组),接受与A组相同的针对脊柱侧弯的科学运动方法训练以及肌筋膜释放。主要结果是站立位放射学评估冠状Cobb角。
结果。根据本研究的发现,在治疗前后,肌肉能量技术组Cobb角的平均值之间发现了高度显著的差异。在肌筋膜释放组治疗前后比较Cobb角的平均值时,显示出显著变化。
结论。经过三个月的治疗,两组都显著改善,肌肉能量技术组的表现大大优于肌筋膜释放组。因此,肌肉能量技术在减少青少年特发性脊柱侧弯的异常胸脊柱曲度方面比肌筋膜释放更有效。
试验注册。该研究已在Clinicaltrials.gov上注册,注册号为NCT05120089。
关键词
肌筋膜释放,肌肉能量技术,脊柱侧弯
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Effect of myofascial release on spinal adjustment in treatment of postural scoliosis: A randomized controlled clinical trial

Ahmed Mohamed Fathi Elshiwi, Saud Mashi Alrawaili, Raghad Mudawi Yahya Asiri, Sara Awad Gharama Alasmri, Ghada Mohamed Rashad Koura


Ahmed Mohamed Fathi Elshiwi, Saud Mashi Alrawaili, Raghad Mudawi Yahya Asiri, Sara Awad Gharama Alasmri, Ghada Mohamed Rashad Koura – Effect of myofascial release on spinal adjustment in treatment of postural scoliosis: A randomized controlled clinical trial. Fizjoterapia Polska 2022; 22(3); 156-163

Abstract
Background. Scoliosis is lateral curvature of the normal vertical line of the spine. Myofascial pain syndrome is a chronic regional pain, caused by trigger points in skeletal muscle.
Purpose. To assess the effect of myofascial release (MFR) on spinal adjustment in treatment of postural scoliosis.
Methods. A randomized controlled clinical trial. Thirty Egyptian female students were assigned randomly in to two groups. The control group received therapeutic exercises (stretching and strengthening exercises of the back) for 6 weeks (n = 15), and the experimental group received MFR and the same exercises for 6 weeks (n = 15). The following parameters including pain level assessed by visual analog scale (VAS), functional disability assessed by Oswestry disability index (ODI), lumbar range of motion (flexion, extension, and side bending to the convex side) and Cobb’s angle assessed by X-ray were measured before and after 6 weeks of treatment.
Results. The results showed significant improvements in pain level, functional disability, and lumbar range of motion in all directions in the study group compared with those in the control group (p < 0.05); however, the Cobb’s angle showed no significant differences between the two groups after treatment (p < 0.05).
Conclusion. Myofascial release is an effective method for spinal adjustment in treatment of postural scoliosis.

Keywords
myofascial release, spinal adjustment, postural scoliosis

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Effect of aerobic training versus myofascial release on claudication among peripheral arterial insufficiency patients: A randomized controlled study

Ola Mohamed EL Sayed EL Gohary, Farag Abd- EL Moneim Aly, Nesreen Gharib El Nahas, Ahmed Mohamed El Mahdiy

Ola Mohamed EL Sayed EL Gohary, Farag Abd- EL Moneim Aly, Nesreen Gharib El Nahas, Ahmed Mohamed El Mahdi – Effect of aerobic training versus myofascial release on claudication among peripheral arterial insufficiency patients: A randomized controlled study. Fizjoterapia Polska 2022; 22(1); 70-75

Abstract
Purpose. To compare between the effect of aerobic training and myofascial release on claudication indices among subjects with peripheral arterial insufficiency.
Methods. A randomized controlled trial. Overall, 40 patients of both sexes, their ages ranged between 45-55 years and they had ABI between 0.90-0.50 and they agreed to participate in the study, they were recruited randomly and divided into two equal groups; Group A: included twenty patients who participated aerobic training program combined with traditional burger’s exercise for 45minutes, 3 times per week for two months as a total treatment period in addition to their medical treatment. Group B: included twenty patients who received myofascial release technique combined with traditional burger’s exercise for 45 minutes, 3 times per week for two months as a total treatment period in addition to their medical treatment. Pre- and post- study period (2 months), assessment using ABI, COT, MCT, MCD.PSV, WIQ were done for all patients.
Results. the results showed statistical differences concerning ABI, COT, MCT, MCD, WIQ, and PSV in both groups, however, the results were in the favor of the aerobic training group(A).
Conclusion. it was concluded that both aerobic training and myofascial release were effective in the increase of claudication indices and enhancing walking functional capacity among peripheral arterial insufficiency patients, however, aerobic training causes much more improvement than myofascial release.
Key words:
aerobic training, myofascial release, ankle-brachial index – claudication indices
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