关键词: Cervical pain Craniovertebral angle Joint range of motion Neck disability index Soft tissue mobilization

Mesh : Humans Neck Pain / therapy rehabilitation Adult Female Male Range of Motion, Articular / physiology Superficial Back Muscles / physiopathology physiology Therapy, Soft Tissue / methods Young Adult Pain Measurement Computers Disability Evaluation Neck Muscles / physiology Middle Aged

来  源:   DOI:10.1016/j.jbmt.2024.02.041

Abstract:
BACKGROUND: Computer professionals often develop a forward head posture due to prolonged hours of computer use, leading to neck pain. Instrument-assisted soft tissue mobilization (IASTM), an advanced technique for treating myofascial trigger points, has become increasingly popular for addressing these musculoskeletal issues.
OBJECTIVE: The study aimed to compare the effectiveness of IASTM mobilization on SBAL (superficial back arm line) and SM(specific muscles-upper trapezius, levator scapulae, and sternocleidomastoid) in managing chronic neck pain among computer professionals.
METHODS: The study involved 62 computer professionals, randomly divided into two groups. Group A received IASTM on SBAL and group B received IASTM on SM for neck pain each receiving three sessions weekly for four weeks. Outcome variables like Neck Disability Index (NDI), NPRS(Neck Pain Rating Scale), Craniovertebral angle (CVA), and range of motion (ROM) for flexion, and side flexion (right & left side) were evaluated at baseline, 2 weeks and 4 weeks.
RESULTS: Significant improvement in NPRS were observed in both the SBAL and SM groups after 2 weeks of IASTM, wth the SBAL group demonstrating greater improvement. At 4 weeks, IASTM on SBAL showed significantly higher improvements in NPRS, CVA, NDI, and flexion compared to the SM group. The repeated measures ANOVA indicated a significant main effect of both time and group, along with a significant interaction between time and group for all outcome variables, except for CVA.
CONCLUSIONS: The study indicates that IASTM on SBAL may offer a more effective treatment for chronic neck pain in computer professionals compared to targeting specific muscles.
摘要:
背景:由于长时间使用计算机,计算机专业人员通常会形成向前的头部姿势,导致颈部疼痛。器械辅助软组织动员(IASTM),一种治疗肌筋膜触发点的先进技术,解决这些肌肉骨骼问题越来越受欢迎。
目的:该研究旨在比较IISTM动员对SBAL(浅表后臂线)和SM(特定肌肉-上斜方肌,肩胛骨提肌,和胸锁乳突)在计算机专业人员中管理慢性颈部疼痛。
方法:这项研究涉及62名计算机专业人员,随机分为两组。A组在SBAL上接受IISTM,B组在SM上接受IISTM治疗颈部疼痛,每个每周接受三次疗程,共四周。结果变量,如颈部残疾指数(NDI),NPRS(颈部疼痛量表),头盖角(CVA),和屈曲的运动范围(ROM),和侧屈曲(右侧和左侧)在基线评估,2周和4周。
结果:在IASTM2周后,SBAL和SM组均观察到NPRS的显着改善,SBAL组表现出更大的改善。4周时,SBAL上的ISTM显示NPRS的改善明显更高,CVA,NDI,与SM组相比,屈曲。重复测量ANOVA表明时间和组的显着主要影响,对于所有结果变量,时间和组之间存在显著的相互作用,除了CVA.
结论:研究表明,与针对特定肌肉相比,在计算机专业人员中,SBAL上的IISTM可能为慢性颈痛提供更有效的治疗方法。
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