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深层肌肉刺激结合手法肌肉放松治疗延迟性肌肉酸痛的疗效观察

Effect of deep muscle stimulation combined with manual muscle relaxation on delayed onset muscle soreness

  • 摘要:
    目的 观察深层肌肉刺激结合手法肌肉放松治疗延迟性肌肉酸痛的临床疗效,探讨更为有效的临床治疗方法。
    方法 将48名受试者随机分为联合治疗组(n=24)、手法肌肉放松组(n=24),两组患者诱发延迟性肌肉酸痛后,分别给予不同干预措施,联合治疗组进行深层肌肉刺激结合手法肌肉放松,而手法肌肉放松组给予单纯肌肉放松,对两组患者的治疗效果进行比较和分析。
    结果 联合治疗组在运动后24 h的血液肌酸激酶浓度、乳酸浓度和肌红蛋白浓度下降幅度显著高于手法肌肉放松组(P < 0.05,P < 0.01,P < 0.01);联合治疗组在运动后24 h肌肉酸痛的改善显著优于常规手法治疗组(P < 0.01),踝关节活动范围和小腿周径恢复程度显著优于手法肌肉放松组(P < 0.05,P < 0.05)。
    结论 深层肌肉刺激仪结合手法肌肉放松对延迟性肌肉酸痛有优越的治疗效果,是一种值得临床推广应用的治疗方法。

     

    Abstract:
    Objective To observe the clinical efficacy of deep muscle stimulation combined with manual muscle relaxation in the treatment of delayed onset muscle soreness, and to explore more effective clinical treatment methods.
    Methods Forty-eight subjects were randomized into the combination therapy group (n=24) and the manual muscle relaxation group (n=24). After induction of delayed onset muscle soreness, the two groups were given different interventions. The patients in the combination therapy group were treated with deep muscle stimulation combined with the manual muscle relaxation, while the manual muscle relaxation group only received muscle relaxation therapy, and the treatment effects were analyzed and compared between the two groups.
    Results The blood creatine kinase, lactate, and myoglobin concentrations decreased significantly in the combined treatment group at 24 hours after exercise than in the manual muscle relaxation group (P < 0.05, P < 0.01, and P < 0.01). The improvement of muscle soreness in the combined treatment group 24 hours after exercise was significantly better than that of the conventional treatment group (P < 0.01). The range of motion of the ankle joint and the recovery degree of calf circumference were significantly better than that of the manual muscle relaxation group (P < 0.05, P < 0.05).
    Conclusions Deep muscle stimulation combined with manual muscle relaxation has superior therapeutic effect on delayed onset muscle soreness, and it is an effective method worthy of clinical application.

     

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