Miofasciālās pašmasāžas un stiepšanas tehniku pielietojuma salīdzinājums personām ar muskuļu saspringumu un sāpēm mugurkaula kakla daļā un plecu joslā
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Date
2021
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Pamatojums: Miofasciālā sāpju sindroma ārstēšanā tiek izmantotas daudzas metodes. Viena no tām ir miofasciālā pašmasāža, kas ir salīdzinoši jauna mīksto audu mobilizācijas metode. Tā kļūst arvien populārāka pēdējo gadu laikā, jo terapeita iejaukšanās vietā, indivīds sev veic dziļo audu mobilizāciju patstāvīgi. Miofasciālā pašmasāža ir pieejama gandrīz ikvienam un to ir viegli īstenot dažādās treniņu un rehabilitācijas programmās.
Metodes: Lai izveidotu pētījuma dalībnieku izlasi tika izmantota anketēšana. Pētījuma dalībnieki tika sadalīti divās grupās (pašmasāžas intervences grupa un stiepšanas tehniku intervences grupa) Dalībniekiem tika novērtēts sāpju radītājs pēc vizuālo analogu skalas (VAS) radītāji un kakla nevarības indekss (NDI) uzsākot pētījumu (01), pēc trīs nedēļu vingrinājumu programmas veikšanas (02) un pēc trīs nedēļu novērošanas (03). Dati tika aprēķināti SPSS (Statistical Package for the Social Sciences) programmā, izmantojot aprakstošo statistiku. Iegūto datu apkopšanai tika izmantota Frīdmana rangu dispersijas analīze. Par statistiski nozīmīgu rezultāti tika uzskatīti, ja p-vērtība <0.05.
Pētījuma mērķis: Noskaidrot, vai miofasciālā pašmasāža salīdzinājumā ar muskuļu stiepšanas tehnikām ir nozīmīga simptomu mazināšanā personām ar muskuļu saspringumu, sāpēm mugurkaula kakla daļā un plecu joslā.
Rezultāti: Pašmasāžas grupa demonstrēja lielākus uzlabojumus. Salīdzinot pašmasāžas tehniku grupas VAS 01, VAS 02 un VAS 03 radītājus, kā arī NDI 01, NDI 02 un NDI 03 rezultāti bija statistiski nozīmīgi, taču salīdzinot tos pašus rezultātus stiepšanas grupai dati nebija statistiski ticami (p-vērtība > 0.05).
Secinājumi: Iegūti dati liecina par to, ka miofascialā pašmasāža ir nozīmīgāka simptomu mazināšanā personām ar muskuļu saspringumu, sāpēm mugurkaula kakla daļā un plecu joslā.
Background: Many methods are used to treat myofascial pain syndrome. One of these is self-myofascial release (SMR) , which is a relatively new method of soft tissue mobilization. SMR has become increasingly popular in recent years because instead of the therapist intervention the individual mobilizes a soft tissues by him-self. SMR is available to almost everyone and is easily implemented in various training and rehabilitation programme. Methods: Questionnaire was used to make a sample of the study participants. The participants were divided into two groups (Self-myofascial release group and stretching group). All the participants were measured the level of pain on the Visual Analog Scale (VAS) and Neck Disability Index (NDI) at the beginning of the study (01), after three week exercise program (02), and after three-week follow-up (03). The data was calculated in the SPSS (Statistical Package for the Social Sciences) program using descriptive statistics. Analysis of the dispersion of Friedman's rankings was used to store the resulting data. Statistically significant results were considered if p-value was < 0.05. Objective: To find out whether self-myofascial release compared to muscle stretching techniques is important in reducing symptoms to the individuals with muscle tension and pain in the neck and shoulder girdle. Results: Self-myofascial release group demonstrated more improvements. Comparing the VAS 01, VAS 02 and VAS 03 and NDI 01, NDI 02 and NDI 03 results were statistically significant, but comparing the same results for the stretching group the data was not statistically reliable (p-value was > 0.05). Conclusions: Data have been obtained showing that self-myofascial release is more important in reducing neck and shoulders muscle tension and pain.
Background: Many methods are used to treat myofascial pain syndrome. One of these is self-myofascial release (SMR) , which is a relatively new method of soft tissue mobilization. SMR has become increasingly popular in recent years because instead of the therapist intervention the individual mobilizes a soft tissues by him-self. SMR is available to almost everyone and is easily implemented in various training and rehabilitation programme. Methods: Questionnaire was used to make a sample of the study participants. The participants were divided into two groups (Self-myofascial release group and stretching group). All the participants were measured the level of pain on the Visual Analog Scale (VAS) and Neck Disability Index (NDI) at the beginning of the study (01), after three week exercise program (02), and after three-week follow-up (03). The data was calculated in the SPSS (Statistical Package for the Social Sciences) program using descriptive statistics. Analysis of the dispersion of Friedman's rankings was used to store the resulting data. Statistically significant results were considered if p-value was < 0.05. Objective: To find out whether self-myofascial release compared to muscle stretching techniques is important in reducing symptoms to the individuals with muscle tension and pain in the neck and shoulder girdle. Results: Self-myofascial release group demonstrated more improvements. Comparing the VAS 01, VAS 02 and VAS 03 and NDI 01, NDI 02 and NDI 03 results were statistically significant, but comparing the same results for the stretching group the data was not statistically reliable (p-value was > 0.05). Conclusions: Data have been obtained showing that self-myofascial release is more important in reducing neck and shoulders muscle tension and pain.
Description
Fizioterapija
Physiotherapy
Veselības aprūpe
Health Care
Physiotherapy
Veselības aprūpe
Health Care
Keywords
Atslēgas vārdi: Miofasciālā pašmasāža; muskuļu saspringums; muskuļu sāpes; terapija., Key words: Self-myofascial release; muscle tension; muscle pain; treatment.