器具辅助松解技术修复慢性软组织损伤瘢痕的优势

Advantages in instrument-assisted soft tissue mobilization for chronic soft tissue injury

背景:在日常生活、运动训练、各种急慢性疾病的治疗及康复过程中易出现慢性软组织损伤。慢性软组织损伤易引起疼痛,若受损软组织未进行积极有效治疗易出现瘢痕收缩粘连引起肢体功能障碍(如关节活动受限等),人体活动和参与能力受限,影响日常生活活动质量,使运动员及各种急慢性疾病患者的运动训练或康复治疗效果降低。近年来,器具辅助松解技术在软组织损伤的治疗中逐渐受到关注,在改善慢性软组织损伤造成的疼痛、关节活动受限等方面有积极作用,该技术的文献研究主要以外文文献为主,国内相关研究较少,尚未有相关综述类文献研究发表。目的:总结器具辅助松解技术在慢性软组织损伤中的应用进展。方法:应用PubMed、万方、CNKI等数据库,从器具辅助松解技术、慢性软组织损伤、疼痛等方面检索相关文献研究,针对器具辅助松解技术治疗慢性软组织损伤进行归纳总结。结果与结论:①器具辅助松解技术对改善慢性软组织损伤造成的疼痛、关节活动受限等有积极作用;②有研究表明器具辅助松解技术对提高健康人软组织功能也有较好效果;③建议将器具辅助松解技术作为预防及治疗手段应用于运动训练及临床治疗;④目前对该技术的基础性研究较少,今后不仅需要进行大量临床随机对照试验,还应对其作用机制进行深入研究,为临床应用提供理论支持。

BACKGROUND:Chronic soft tissue injury is easy to occur during daily living,sports training,treatment and rehabilitation of various acute and chronic diseases.Chronic soft tissue injury can cause pain.If there is no good treatment for the injured soft tissue,it is easy to develop limb dysfunctions(such as limited joint movements)due to have cicatricial contraction and adhesion,limited human activity and participation ability,affecting the quality of daily life activities.It can also reduce the effect of sports training or rehabilitation treatment for athletes and patients with various acute and chronic diseases.In recent years,the treatment of chronic soft tissue injury by instrument-assisted soft tissue mobilization has been widely concerned,which has a positive effect on pain relief after chronic soft tissue injury.This technology has been widely studied abroad,but less in China.OBJECTIVE:To summarize the progress of instrument-assisted soft tissue mobilization in the treatment of chronic soft tissue injury.METHODS:PubMed,WanFang,and CNKI were searched.Relevant literature concerning instrument-assisted soft tissue mobilization,chronic soft tissue injury and pain was retrieved and summarized.RESULTS AND CONCLUSION:Instrument-assisted soft tissue mobilization has a positive effect on the improvement of pain and joint limitation caused by chronic soft tissue injury.It has been proved that instrument-assisted soft tissue mobilization can also improve the soft tissue function of healthy people.Instrument-assisted soft tissue mobilization is suggested to be used in clinical treatment and sports training as a means of treatment and prevention.Current basic research on this technology is still insufficient.In the future,in addition to a large number of clinical randomized controlled studies,we should deeply explore its action mechanism to provide theoretical support for clinical application.