缺血性加壓手法治療肌筋膜激痛點之立即效益

Immediate Effects of Ischemic Compression Technique for Treatment of Myofascial Trigger Points

目的：探討缺血性加壓手法治療上斜方肌活躍性肌筋膜激痛點的立即效益。方法：徵召30位上斜方肌肌筋膜疼痛症候群患者，針對其活躍性肌筋膜激痛點施以缺血性加壓手法治療，用超音波能量都卜勒與肌肉張力測量儀分別測量治療前後的局部血流與肌張力的變化，並以量角器和視覺疼痛量表評估治療前後的頸椎活動度以及疼痛指數的變化。結果：所有受試者研究過程均無不良反應，介入後，疼痛指數降低、頸椎側彎活動角度增加、激痛點局部血流增加、肌肉張力下降。結論：針對上斜方肌肌筋膜激痛點用缺血性加壓手法治療後，在血流、肌肉張力、疼痛和頸部側彎主動活動角度均產生立即性的治療效果。

Objectives. This study assesses the immediate effect of ischemic compression (IC) treatment for myofascial trigger point (MTrP) over upper trapzius muscle. Methods. We recruited 30 subjects with upper trapezius active MTrP. We recorded data before and after IC treatment. Outcomes included focal vascularity by power doppler imaging (PDI), muscle tension by myotonometer, active range of motion by goniometer, and pain by visual analogue scale. Results. All measured parameters improved after IC intervention. The results showed an immediate increase of trapezius muscle vascularity and neck active range of motion (AROM), and decreased muscle tension and pain scale. Conclusion. IC treatment for MTrP has an immediate effect on improvement of pain, AROM, muscle tension and vascularity.