Purpose: Muscle stretching is frequently prescribed in physical therapy to manage lower back and neck pain. However, there is no clear evidence regarding the differences in effectiveness of active and passive stretchi...Purpose: Muscle stretching is frequently prescribed in physical therapy to manage lower back and neck pain. However, there is no clear evidence regarding the differences in effectiveness of active and passive stretching. Therefore, we aimed to evaluate the relative effectiveness of a 12-week program of active and passive stretching on selected physical and mental stress variables of sedentary men with lower back and neck pain. Methods: A cohort of 28 sedentary men, 30 - 49 years old, were divided into two intervention groups: the passive stretching group (PSG, n = 15) and the active stretching group (ASG, n = 13). A trainer assisted with static passive stretching, while participants in the ASG were provided with an instructional video. The following outcomes were measured at the start and end of the first and twelfth week of the stretching program: physical measures (visual analogue scale score of lower back and neck pain;finger-to-floor distance, gravimetric assessment of pelvic tilt, muscle hardness of the biceps femoris, and straight-leg raising) and mental stress measures (α-amylase and cortisol levels in saliva samples). Results: Although both active and passive stretching produced acute changes in lower back and neck pain, only passive stretching yielded long-term improvement in pain, finger-to-floor distance, pelvic tilt, hardness of biceps femoris muscle and cortisol levels (p Conclusion: Passive stretching is superior to active stretching in reducing pain, increasing muscle extensibility and correcting posture among a group of sedentary men with lower back and neck pain.展开更多
目的:探讨小针刀联合拉伸疗法对肩关节周围炎患者肩关节功能、活动度及疼痛的影响。方法:选取2019年6月—2022年6月荆州市第五人民医院收治的102例肩关节周围炎患者为研究对象,按照随机数字表法分为对照组和观察组,各51例。对照组实施...目的:探讨小针刀联合拉伸疗法对肩关节周围炎患者肩关节功能、活动度及疼痛的影响。方法:选取2019年6月—2022年6月荆州市第五人民医院收治的102例肩关节周围炎患者为研究对象,按照随机数字表法分为对照组和观察组,各51例。对照组实施拉伸疗法,观察组给予小针刀联合拉伸疗法治疗,两组均维持治疗2周。对比两组临床疗效、疼痛程度、关节活动度、肩关节功能、生活质量。结果:观察组的临床总有效率为94.12%(48/51),高于对照组的78.43%(40/51),差异有统计学意义(P<0.05);观察组的视觉模拟评分法(visual analogue scale,VAS)评分、肩关节疼痛和功能障碍指数(shoulder pain and disability index,SPADI)中的功能问题评分、疼痛问题评分及SPADI总分均低于对照组,观察组关节活动度(range of motion,ROM)中后伸范围、前屈范围、外展范围、生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)中心理功能、躯体功能、物质生活状态及社会功能评分均高于对照组,差异均有统计学意义(P<0.05)。结论:小针刀联合拉伸疗法治疗肩关节周围炎患者能够明显提高临床效果,缓解患者肩关节疼痛症状,提高关节活动度,从而改善患者肩关节功能,进一步提升患者生活质量。展开更多
目的:探讨甲状腺全切术后颈部伸展运动对减少颈部疼痛和失能情况的影响。方法:应用单盲随机对照试验研究,根据随机数字表法,患者被分配到试验组(n=40)或对照组(n=40)。试验组在甲状腺全切除术后早期进行颈部伸展运动,对照组采用术后常...目的:探讨甲状腺全切术后颈部伸展运动对减少颈部疼痛和失能情况的影响。方法:应用单盲随机对照试验研究,根据随机数字表法,患者被分配到试验组(n=40)或对照组(n=40)。试验组在甲状腺全切除术后早期进行颈部伸展运动,对照组采用术后常规功能康复。在第1周结束和术后1个月时评估伸展运动对两组患者的颈部疼痛和失能情况、颈部敏感性、颈部活动疼痛水平以及伤口愈合的影响。结果:比较甲状腺全切术前、术后1周和1个月后颈部疼痛和失能量表(NPDS)评分、颈部敏感性和颈部活动疼痛水平时,发现试验组患者的疼痛和失能情况明显低于对照组(P<0.001)。第1周结束时,试验组的NPDS评分(8.82 [12.23] vs. 30.28 [12.09]),颈部敏感性评分(0[0.75] vs. 2.00 [4.0])和颈部运动疼痛水平(0 [2.0] vs. 3.5 [5.75])均明显低于对照组。然而,在1个月后的评估中,各组之间的评分没有显著差异(P>0.05)。结论:甲状腺全切除术后立即进行颈部伸展运动锻炼可减少短期颈部疼痛和失能情况。展开更多
文摘Purpose: Muscle stretching is frequently prescribed in physical therapy to manage lower back and neck pain. However, there is no clear evidence regarding the differences in effectiveness of active and passive stretching. Therefore, we aimed to evaluate the relative effectiveness of a 12-week program of active and passive stretching on selected physical and mental stress variables of sedentary men with lower back and neck pain. Methods: A cohort of 28 sedentary men, 30 - 49 years old, were divided into two intervention groups: the passive stretching group (PSG, n = 15) and the active stretching group (ASG, n = 13). A trainer assisted with static passive stretching, while participants in the ASG were provided with an instructional video. The following outcomes were measured at the start and end of the first and twelfth week of the stretching program: physical measures (visual analogue scale score of lower back and neck pain;finger-to-floor distance, gravimetric assessment of pelvic tilt, muscle hardness of the biceps femoris, and straight-leg raising) and mental stress measures (α-amylase and cortisol levels in saliva samples). Results: Although both active and passive stretching produced acute changes in lower back and neck pain, only passive stretching yielded long-term improvement in pain, finger-to-floor distance, pelvic tilt, hardness of biceps femoris muscle and cortisol levels (p Conclusion: Passive stretching is superior to active stretching in reducing pain, increasing muscle extensibility and correcting posture among a group of sedentary men with lower back and neck pain.
文摘目的:探讨小针刀联合拉伸疗法对肩关节周围炎患者肩关节功能、活动度及疼痛的影响。方法:选取2019年6月—2022年6月荆州市第五人民医院收治的102例肩关节周围炎患者为研究对象,按照随机数字表法分为对照组和观察组,各51例。对照组实施拉伸疗法,观察组给予小针刀联合拉伸疗法治疗,两组均维持治疗2周。对比两组临床疗效、疼痛程度、关节活动度、肩关节功能、生活质量。结果:观察组的临床总有效率为94.12%(48/51),高于对照组的78.43%(40/51),差异有统计学意义(P<0.05);观察组的视觉模拟评分法(visual analogue scale,VAS)评分、肩关节疼痛和功能障碍指数(shoulder pain and disability index,SPADI)中的功能问题评分、疼痛问题评分及SPADI总分均低于对照组,观察组关节活动度(range of motion,ROM)中后伸范围、前屈范围、外展范围、生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)中心理功能、躯体功能、物质生活状态及社会功能评分均高于对照组,差异均有统计学意义(P<0.05)。结论:小针刀联合拉伸疗法治疗肩关节周围炎患者能够明显提高临床效果,缓解患者肩关节疼痛症状,提高关节活动度,从而改善患者肩关节功能,进一步提升患者生活质量。
文摘目的:探讨甲状腺全切术后颈部伸展运动对减少颈部疼痛和失能情况的影响。方法:应用单盲随机对照试验研究,根据随机数字表法,患者被分配到试验组(n=40)或对照组(n=40)。试验组在甲状腺全切除术后早期进行颈部伸展运动,对照组采用术后常规功能康复。在第1周结束和术后1个月时评估伸展运动对两组患者的颈部疼痛和失能情况、颈部敏感性、颈部活动疼痛水平以及伤口愈合的影响。结果:比较甲状腺全切术前、术后1周和1个月后颈部疼痛和失能量表(NPDS)评分、颈部敏感性和颈部活动疼痛水平时,发现试验组患者的疼痛和失能情况明显低于对照组(P<0.001)。第1周结束时,试验组的NPDS评分(8.82 [12.23] vs. 30.28 [12.09]),颈部敏感性评分(0[0.75] vs. 2.00 [4.0])和颈部运动疼痛水平(0 [2.0] vs. 3.5 [5.75])均明显低于对照组。然而,在1个月后的评估中,各组之间的评分没有显著差异(P>0.05)。结论:甲状腺全切除术后立即进行颈部伸展运动锻炼可减少短期颈部疼痛和失能情况。
