BACKGROUND Active myofascial trigger points(TrPs)often occur in the upper region of the upper trapezius(UT)muscle.These TrPs can be a significant source of neck,shoulder,and upper back pain and headaches.These TrPs an...BACKGROUND Active myofascial trigger points(TrPs)often occur in the upper region of the upper trapezius(UT)muscle.These TrPs can be a significant source of neck,shoulder,and upper back pain and headaches.These TrPs and their related pain and disability can adversely affect an individual’s everyday routine functioning,work-related productivity,and general quality of life.AIM To investigate the effects of instrument assisted soft tissue mobilization(IASTM)vs extracorporeal shock wave therapy(ESWT)on the TrPs of the UT muscle.METHODS A randomized,single-blind,comparative clinical study was conducted at the Medical Center of the Egyptian Railway Station in Cairo.Forty patients(28 females and 12 males),aged between 20-years-old and 40-years-old,with active myofascial TrPs in the UT muscle were randomly assigned to two equal groups(A and B).Group A received IASTM,while group B received ESWT.Each group was treated twice weekly for 2 weeks.Both groups received muscle energy technique for the UT muscle.Patients were evaluated twice(pre-and posttreatment)for pain intensity using the visual analogue scale and for pain pressure threshold(PPT)using a pressure algometer.RESULTS Comparing the pre-and post-treatment mean values for all variables for group A,there were significant differences in pain intensity for TrP1 and TrP2(P=0.0001)and PPT for TrP1(P=0.0002)and TrP2(P=0.0001).Also,for group B,there were significant differences between the pre-and post-treatment pain intensity for TrP1 and TrP2 and PPT for TrP1 and TrP2(P=0.0001).There were no significant differences between the two groups in the post-treatment mean values of pain intensity for TrP1(P=0.9)and TrP2(P=0.76)and PPT for TrP1(P=0.09)and for TrP2(P=0.91).CONCLUSION IASTM and ESWT are effective methods for improving pain and PPT in patients with UT muscle TrPs.There is no significant difference between either treatment method.展开更多
交通是城市绿色低碳转型中最受关注的领域之一,也是数字化渗透及数字平台最为活跃的领域。出行即服务(Mobility as a Service, MaaS)系统是绿色交通的典型代表,是一种新型交通组织和供给方式,反映了当前出行需求的深刻变化和城市交通组...交通是城市绿色低碳转型中最受关注的领域之一,也是数字化渗透及数字平台最为活跃的领域。出行即服务(Mobility as a Service, MaaS)系统是绿色交通的典型代表,是一种新型交通组织和供给方式,反映了当前出行需求的深刻变化和城市交通组织范式转变的耦合。全球范围内已出现了上百个大小规模不等和模式各异的MaaS实践创新,北京MaaS是中国持续至今、影响最大的MaaS实践。目前MaaS实践提出的理论和方法主要基于欧美发达国家,无法充分描述和分析中国实践。在文献研究的基础上,延伸纳入了中国经验,提出了具有全球普适性的一个MaaS系统分析框架,强调辨析全球范围内的MaaS异同均可以从三个维度展开,即嵌入的社会背景、发展目标和产生的社会经济环境影响;并应用此框架对国内外五个典型MaaS进行了比较研究,重点解码了北京MaaS的激励机制、商业模式和商业生态。本文旨在推动MaaS理论和研究方法的全球发展,重点提出了四个方面的关注:(1)MaaS系统的发展再次考验着城市交通如何回归其公共属性;(2)MaaS实践嵌入在城市社会背景中,具有明显的差异性。模式选择是对城市既有社会背景和交通格局的继承,但也可能就此发生转向。MaaS打开了一次城市交通转型的机会窗口;(3)MaaS系统的可持续运营依然面临挑战;(4)数字技术带来数据产权、数据隐私和安全等亟待解决的新问题。所有研究案例表明,数字技术的快速发展需要匹配治理模式创新,MaaS生态的协同进化至关重要。展开更多
文摘BACKGROUND Active myofascial trigger points(TrPs)often occur in the upper region of the upper trapezius(UT)muscle.These TrPs can be a significant source of neck,shoulder,and upper back pain and headaches.These TrPs and their related pain and disability can adversely affect an individual’s everyday routine functioning,work-related productivity,and general quality of life.AIM To investigate the effects of instrument assisted soft tissue mobilization(IASTM)vs extracorporeal shock wave therapy(ESWT)on the TrPs of the UT muscle.METHODS A randomized,single-blind,comparative clinical study was conducted at the Medical Center of the Egyptian Railway Station in Cairo.Forty patients(28 females and 12 males),aged between 20-years-old and 40-years-old,with active myofascial TrPs in the UT muscle were randomly assigned to two equal groups(A and B).Group A received IASTM,while group B received ESWT.Each group was treated twice weekly for 2 weeks.Both groups received muscle energy technique for the UT muscle.Patients were evaluated twice(pre-and posttreatment)for pain intensity using the visual analogue scale and for pain pressure threshold(PPT)using a pressure algometer.RESULTS Comparing the pre-and post-treatment mean values for all variables for group A,there were significant differences in pain intensity for TrP1 and TrP2(P=0.0001)and PPT for TrP1(P=0.0002)and TrP2(P=0.0001).Also,for group B,there were significant differences between the pre-and post-treatment pain intensity for TrP1 and TrP2 and PPT for TrP1 and TrP2(P=0.0001).There were no significant differences between the two groups in the post-treatment mean values of pain intensity for TrP1(P=0.9)and TrP2(P=0.76)and PPT for TrP1(P=0.09)and for TrP2(P=0.91).CONCLUSION IASTM and ESWT are effective methods for improving pain and PPT in patients with UT muscle TrPs.There is no significant difference between either treatment method.
文摘交通是城市绿色低碳转型中最受关注的领域之一,也是数字化渗透及数字平台最为活跃的领域。出行即服务(Mobility as a Service, MaaS)系统是绿色交通的典型代表,是一种新型交通组织和供给方式,反映了当前出行需求的深刻变化和城市交通组织范式转变的耦合。全球范围内已出现了上百个大小规模不等和模式各异的MaaS实践创新,北京MaaS是中国持续至今、影响最大的MaaS实践。目前MaaS实践提出的理论和方法主要基于欧美发达国家,无法充分描述和分析中国实践。在文献研究的基础上,延伸纳入了中国经验,提出了具有全球普适性的一个MaaS系统分析框架,强调辨析全球范围内的MaaS异同均可以从三个维度展开,即嵌入的社会背景、发展目标和产生的社会经济环境影响;并应用此框架对国内外五个典型MaaS进行了比较研究,重点解码了北京MaaS的激励机制、商业模式和商业生态。本文旨在推动MaaS理论和研究方法的全球发展,重点提出了四个方面的关注:(1)MaaS系统的发展再次考验着城市交通如何回归其公共属性;(2)MaaS实践嵌入在城市社会背景中,具有明显的差异性。模式选择是对城市既有社会背景和交通格局的继承,但也可能就此发生转向。MaaS打开了一次城市交通转型的机会窗口;(3)MaaS系统的可持续运营依然面临挑战;(4)数字技术带来数据产权、数据隐私和安全等亟待解决的新问题。所有研究案例表明,数字技术的快速发展需要匹配治理模式创新,MaaS生态的协同进化至关重要。
