背景:按摩已显示出减少与解离和焦虑相关的症状的希望,这些症状会加剧慢性疼痛和痛苦。战斗中受伤的人,退伍军人人数正在增加,需要多学科的综合治疗方法。本案例研究通过目的性研究来研究按摩疗法的使用,以改善退伍军人的战斗伤害康复和恢复体验,回顾性,和全面的SOAP注释审查。
方法:一名31岁的白人男性接受了7,60-min,全身按摩治疗与战斗相关的肩关节损伤并发症大约在出现前6年。在一次威胁生命的攻击中,在一次防御性动作中,右肩的肱骨头骨折并完全脱位。本案例研究利用了来自三种不同评估的数据:肩部运动范围的测角测量,对环境舒适行为的观察和记录,和客户自我报告治疗目标的实现。每周6次,全身,依次完成60分钟的按摩。在第8周完成随访60分钟的治疗。受伤区域的治疗包括集中的触发点治疗,肌筋膜释放,和对颈部的本体感觉神经肌肉促进,肩膀,和胸部。
结果:主动屈曲的总变化百分比,扩展,绑架,内收,内部旋转,外旋转分别为12.5、150、40、167、14.3和0%,分别。被动屈曲的总百分比变化,扩展,绑架,内收,内部旋转,外旋转分别为63.6、350、66.7、450、133和77.8%,分别。环境舒适行为降低。达到了客户治疗目标。
结论:按摩疗法对创伤后应激障碍退伍军人的战斗伤害提供了有意义的益处。
BACKGROUND: Massage has shown promise in reducing symptoms related to dissociation and anxiety that can exacerbate chronic pain and suffering. The combat wounded, veteran population is increasing and requires a multidisciplinary approach for comprehensive treatment. This
case study examines massage therapy use to improve veteran combat injury rehabilitation and recovery experience through purposive, retrospective, and comprehensive SOAP note review.
METHODS: A 31-year-old White male received seven, 60-min, full body massages for combat related shoulder injury complications incurred approximately six years before presentation. The right shoulder sustained a broken humeral head and complete dislocation during a defensive maneuver in a life-threatening attack. This
case study utilized data from three different assessments: goniometric measurements for shoulder range of motion, observation and documentation for environmental comfort behaviors, and client self-report for treatment goal attainment. Six weekly, full body, 60-min massages were completed sequentially. A follow-up 60-min treatment was completed at Week 8. Treatment to the injured area included focused trigger point therapy, myofascial release, and proprioceptive neuromuscular facilitation to the neck, shoulder, and chest.
RESULTS: Total percent change for active flexion, extension, abduction, adduction, internal rotation, and external rotation were 12.5, 150, 40, 167, 14.3, and 0%, respectively. Total percent change for passive flexion, extension, abduction, adduction, internal rotation, and external rotation were 63.6, 350, 66.7, 450, 133, and 77.8%, respectively. Environmental comfort behaviors were reduced. Client treatment goals were attained.
CONCLUSIONS: Massage therapy provided meaningful benefit to a combat injury for a veteran with PTSD.