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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Impact of acupuncture dry needle versus progressive pressure technique on pain severity and pressure pain threshold in patients with lower back myofascial pain syndrome: A randomized clinical trial

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


Ghada Mohamed Rashad Koura, Saud Mashi Alrawaili, Amr Moustafa Yehia Mohammed, Sara Awad Gharama Alasmri, Raghad Mudawi Yahya Asiri, Ahmed Mohamed Fathi Elshiwi – Impact of acupuncture dry needle versus progressive pressure technique on pain severity and pressure pain threshold in patients with lower back myofascial pain syndrome: A randomized clinical trial. Fizjoterapia Polska 2022; 22(3); 44-50

Abstract
Background. Chronic lower back pain contributes to the global disability burden, and continues to be a factor in the number of years spent disabled; Myofascial pain syndrome (MPS) is an inflammatory condition that may cause chronic localized pain and stiffness. Repetitive movements and incorrect posturing habits contribute to MPS advancement by formation of trigger points (TrPs) on the muscles.
Purpose. To investigate the impact of acupuncture dry needle versus progressive pressure technique on pain severity and pressure pain threshold (PPT) in patients with lower back MPS.
Methods. A randomized clinical trial. Thirty patients suffering from lower back MPS with the presence of TrPs on iliocostalis lumborum, quadratus lumborum, piriformis, and gluteus medius muscles were divided into two equal groups. Group (A) received acupuncture dry needle over TrPs followed by stretching exercise for 2 weeks (n = 15), and group (B) received progressive pressure technique over the same TrPs followed by stretching exercise for 2 weeks (n = 15). Pain severity and PPT at the TrPs were evaluated before and after treatment.
Results. There were statistically significant improvements in pain severity and PPT at the TrPs of the four muscles within both groups (p < 0.05), except the PPT at iliocostalis lumborum that showed a non-significant difference within group (A) (p > 0.05). Comparing both groups pre- and post-treatment showed statistically non-significant differences in all outcome measures (p > 0.05).
Conclusion. Both acupuncture dry needle and progressive pressure technique were effective in reducing pain severity and increasing PPT in patients with lower back MPS.

Keywords
acupuncture dry needle, progressive pressure technique, pain severity, pressure pain threshold, myofascial pain syndrome

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理疗与富含血小板血浆注射对外侧上髁肌腱炎的治疗:随机临床试验

Khaled Mohamed El-Shorbagy, Saud Mashi Alrawaili, Hamada Ahmed Hamada, Ahmed Rezk Mohamed, Rafik Radwan, Hala Lotfy Fayed, Samar Mohamed Fawzy

Khaled Mohamed El-Shorbagy, Saud Mashi Alrawaili, Hamada Ahmed Hamada, Ahmed Rezk Mohamed, Rafik Radwan, Hala Lotfy Fayed, Samar Mohamed Fawzy – Physiotherapy versus Platelet-Rich Plasma Injection in the Management of Lateral Epicondylar Tendinopathy: A Randomized Clinical Trial. Fizjoterapia Polska 2019; 19(4); 92-97

摘要
目的。比较理疗或富含血小板血浆注射(PRP)对慢性外侧上髁肌腱炎(LET)治疗的效果。方法。27名对慢性外侧上髁肌腱炎抱怨3个月以上的参与者被纳入研究,随机分为两组,A(PT组)进行理疗,而B(PRP组)进行PRP注射。治疗前后六周由盲性助理对所有患者进行评估。我们使用视觉模拟量表(VAS)协助疼痛评估和手持式测力计来协助测量腕部伸肌力的测量。结果。治疗前后两组的疼痛和腕部伸肌力经比较均有显著改善。两组治疗后的平均值比较显示,PT组的疼痛显著降低,而腕部伸肌力也有显著改善。结论。尽管PT组患者的改善百分比较高,但物理治疗和PRP注射对慢性外侧上髁肌腱炎患者在疼痛减轻和腕部伸肌力改善上,均有显著效果。

关键词:
外侧上髁肌腱炎、物理治疗、富含血小板血浆、网球肘

 

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