PDF(Pubmed)
Abstract：
Back pain is one of the major global challenges and is one of the most prevalent musculoskeletal disorders occurring in 80% of people at least once in their lifetime. Therefore, the need to find appropriate treatment methods for this issue is very important. The objective is to examine the short-term and acute effects of a treatment session with dry needling, massage therapy, stretching exercises and Kinesio tape on pain, functional disability, position sense and range of motion in elite bodybuilders with non-specific chronic low back pain. The sample of this quasi-experimental study consisted of 48 bodybuilders with non-specific chronic low back pain (all male, mean age = 25.96 ± 2.18 years; mean weight = 74.45 ± 4.51 kg; mean height = 173.88 ± 3.74 cm; mean BMI = 24.60 ± 0.74 kg/m2) who randomly were placed in 4 dry needling, massage therapy, stretching exercises and Kinesio tape groups. The duration of each intervention was 30 min. The dependent variables in this study included the massage range of motion, position sense tests and visual pain scale that were taken separately from each subject in pretest, posttest (acute effect) and follow-up test (72 h after posttest; short-term effect). The results of a 4 (groups) × 3 (time) the mixed ANOVAs showed that pain in the short-term phase was significantly lower in the dry needling group than in the stretching and massage groups (P < 0.05). Also in the acute effect phase, the flexion range of motion was significantly lower in the dry needling group than in the massage group (P < 0.05). Furthermore, the two groups of stretching and massage exercises showed significantly greater range of motion (P < 0.05). Other comparisons were not significant (P > 0.05). The findings of the study showed that both massage and stretching treatment have higher acute effects, while dry needling treatment was more effective in follow up. On the other hand, these findings show that these treatment methods can have immediate and lasting positive effects in improving the performance in elite bodybuilders with non-specific chronic low back pain.
摘要：
背痛是主要的全球性挑战之一，是最普遍的肌肉骨骼疾病之一，在80％的人一生中至少发生一次。因此,需要找到合适的治疗方法来解决这个问题是非常重要的。目的是检查干针刺治疗的短期和急性效果，按摩疗法,伸展运动和Kinesio疼痛胶带，功能性残疾，位置感和运动范围的精英健美运动员与非特异性慢性腰痛。这项准实验研究的样本包括48名非特异性慢性腰背痛的健美运动员（均为男性，平均年龄=25.96±2.18岁；平均体重=74.45±4.51千克；平均身高=173.88±3.74厘米；平均BMI=24.60±0.74千克/平方米），随机放置在4个干针刺中，按摩疗法,伸展运动和Kinesio磁带组。每次干预的持续时间为30分钟。本研究的因变量包括按摩运动范围，体位感测试和视觉疼痛量表分别从每个受试者在预测试验中，试验后（急性效应）和随访试验（试验后72小时；短期效应）。4（组）×3（时间）混合方差分析的结果表明，干针组的短期疼痛明显低于拉伸和按摩组（P<0.05）。同样在急性效应阶段，干针组的屈曲活动度明显低于按摩组（P<0.05）。此外，两组的伸展运动和按摩运动均显示出明显更大的运动范围（P<0.05）。其他比较均无统计学意义(P>0.05)。研究结果显示,按摩和伸展治疗都有较高的急性效果,而干针治疗在随访中更有效。另一方面,这些发现表明，这些治疗方法可以对改善精英健美运动员非特异性慢性腰背痛的表现产生直接和持久的积极作用。
