ЭФФЕКТИВНОСТЬ МЕХАНОТЕРАПЕВТИЧЕСКОЙ ИНТЕРВЕНЦИИ ПРИ СИНДРОМЕ МЫШЕЧНОЙ БОЛИ
Ключевые слова:
гравитационная терапия, мышечный болевой синдром, паравертебральные мышцы, тонус
Аннотация
Цель: изучить эффективность механотерапии с использованием аппаратов Cordus&Sacrus для паравертебральной релаксации. Материалы и методы. В исследовании приняла участие группа из тридцати пациентов в возрасте от 25 до 45 лет с различными болевыми синдромами опорно-двигательного аппарата. Воздействие на паравертебральные мышцы осуществлялось методом гравитационной терапии. Асимметрию параспинальных мышц оценивали с помощью аппарата MyotonPro, а также определяли постуральный баланс. Результаты. После гравитационной терапии наблюдалось заметное снижение асимметрии тонуса трапециевидных мышц, а также снижение асимметрии между правой (15,69 ± 0,17 Гц) и левой (15,71 ± 0,14 Гц) медиальными трапециевидными мышцами. Кроме того, гравитационная терапия привела к снижению асимметрии тонуса латеральной икроножной мышцы. Нормализация постурального баланса в трапециевидной, медиальной и латеральной икроножной мышцах с течением времени сопровождалась снижением показателей болевого синдрома (средний показатель ВАШ снизился с 7,8 ± 0,7 до 3,2 ± 0,5). У 10 человек из общей выборки после процедуры наблюдались индивидуальные изменения, связанные с релаксацией мышц-разгибателей позвоночника, в случаях, когда исходный тонус был повышен. Кроме того, в этой же группе из 10 человек скованность и тонус позвоночника, которые были повышены в начале исследования, достоверно (p > 0,05) снизились с обеих сторон после первого сеанса. Заключение. После однократного сеанса гравитационной терапии у пациентов отмечалось устранение болевого синдрома, уменьшение асимметрии тонуса паравертебральных мышц и мышц нижних конечностей, снижение гипертонуса разгибателей позвоночника. Статодинамические характеристики пациентов улучшились после коррекции.
Литература
1. Agyapong-Badu S., Warner M., Samuel D., Stokes M. Practical Considerations for Stand-ardized Recording of Muscle Mechanical Properties Using a Myometric Device: Recording Site, Muscle Length, State of Contraction and Prior Activity. Journal of Musculoskeletal Research, 2018, vol. 21 (02), 1850010. DOI: 10.1142/S0218957718500100
2. Dibai-Filho A.V., de Jesus Guirro R.R., Ferreira V.T. et al. Analysis of Chronic Myofascial Pain in the Upper Trapezius Muscle of Breast Cancer Survivors and Women with Neck Pain. Journal of Bodywork and Movement Therapies, 2018, vol. 22 (2), pp. 237–241. DOI: 10.1016/j.jbmt.2017.04.012
3. Galasso A., Urits I., Nguyen D. et al. Comprehensive Review of the Treatment and Management of Myofascial Pain Syndrome. Current Pain and Headache Reports, 2020, vol. 24, pp. 1–11. DOI: 10.1007/s11916-020-00877-5
4. Gavronski G., Veraksitš A., Vasar E., Maaroos J. Evaluation of Viscoelastic Parameters of the Skeletal Muscles in Junior Triathletes. Physiological Measurement, 2007, vol. 28 (6), p. 625. DOI: 10.1088/0967-3334/28/6/002
5. Geneen L.J., Moore R.A., Clarke C. et al. Physical Activity and Exercise for Chronic Pain in Adults: an Overview of Cochrane Reviews. Cochrane Database of Systematic Reviews, 2017, vol. (4). DOI: 10.1002/14651858.CD011279.pub3
6. Gervin R. Pain Syndromes of Myofascial Trigger Points. Semin Neurology, 2016, vol. 36 (5), pp. 469–473. DOI: 10.1055/s-0036-1586262
7. Gerwin R. Myofascial Pain Syndrome: here we Are, where Must We Go? Journal of Musculoskeletal Pain, 2010, vol. 18 (4), pp. 329–347. DOI: 10.3109/10582452.2010.502636
8. Giamberardino M.A., Affaitati G., Fabrizio A., Costantini R. Myofascial Pain Syndromes and Their Evaluation. Best Practice & Research Clinical Rheumatology, 2011, vol. 25 (2), pp. 185–198. DOI: 10.1016/j.berh.2011.01.002
9. Greenspan J.D. Nociceptors and the Peripheral Nervous System's Role in Pain. Journal of Hand Therapy, 1997, vol. 10 (2), pp. 78–85. DOI: 10.1016/s0894-1130(97)80062-2
10. Hayden R.J., Louis D., Doro C. Fibromyalgia and Myofascial Pain Syndromes and the Workers' Compensation Environment: an Update. Clinics in Occupational and Environmental Medicine, 2006, vol. 5 (2), pp. 455–569. DOI: 10.1016/j.coem.2005.11.001
11. Ishiki H., Kinkawa J., Watanabe A. et al. Prevalence of Myofascial Pain Syndrome in Patients with Incurable Cancer. Journal of Bodywork and Movement Therapies, 2018, vol. 22 (2), pp. 328–332. DOI: 10.1016/j.jbmt.2017.05.005
12. Kalichman L., David C.B. Effect of Self-myofascial Release on Myofascial Pain, Muscle Flexibility, and Strength: A Narrative Review. Journal of Bodywork and Movement Therapies, 2017, vol. 21 (2), pp. 446–451. DOI: 10.1016/j.jbmt.2016.11.006
13. Korykalov Y.I. An Innovative Device for Spinal Adjustment. Medicine: Current Challenges: Proceeds of the International Virtual Scientific Conference, 2012, pp. 30–32.
14. Maybaum N., Rios-Martinez S., Johnson M. Quantitative Global Survey Results of Acute Back Pain Sufferers Across Four Countries. Patient Related Outcome Measures, 2023, pp. 97–110. DOI: 10.2147/PROM.S396674
15. Mense S. The Pathogenesis of Muscle Pain. Current Pain and Headache Reports, 2003, vol. 7, pp. 419–425. DOI: 10.1007/s11916-003-0057-6
16. Meyers W.C., Foley D.P., Garrett W.E. et al. Management of Severe Lower Abdominal or Inguinal Pain in High-performance Athletes. The American Journal of Sports Medicine, 2000, vol. 28 (1), pp. 2–8. DOI: 10.1177/03635465000280011501
17. Morales-Conde S., Socas M., Barranco A. Sportsmen Hernia: what Do We Know? Hernia, 2010, vol. 14, pp. 5–15. DOI: 10.1007/s10029-009-0613-z
18. Myers T.W. Kinesthetic Dystonia. Journal of Bodywork and Movement Therapies, 1998, vol. 2 (4), pp. 231–247. DOI: 10.1016/S1360-8592(98)80021-1
19. Scoppa F., Gallamini M., Belloni G. Treating Balance Disorders with Ulllt Acupuncture Stimulation: A Further Pilot Study on Normal Subjects Confirms Clinical Applicability of Treat-ment. Journal Nov. Physiotherapy, 2015, vol. 6, p. 285. DOI: 10.4172/2165-7025.1000285
20. Staud R. Peripheral Pain Mechanisms in Chronic Widespread Pain. Best Practice & Research Clinical Rheumatology, 2011, vol. 25 (2), pp. 155–164. DOI: 10.1016/j.berh.2010.01.010
21. Urits I., Charipova K., Gress K. et al. Treatment and Management of Myofascial Pain Syndrome. Best Practice & Research Clinical Anaesthesiology, 2020, vol. 34 (3), pp. 427–448. DOI: 10.1016/j.bpa.2020.08.003
22. Wang R., Li X., Zhou S. et al. Manual Acupuncture for Myofascial Pain Syndrome: a Systematic Review and Meta-analysis. Acupuncture in Medicine, 2017, vol. 35 (4), pp. 241–250. DOI: 10.1136/acupmed-2016-011176
23. Yang C., Wang H., Zheng Z. et al. Halo-gravity Traction in the Treatment of Severe Spinal Deformity: a Systematic Review and Meta-analysis. European Spine Journal, 2017, vol. 26, pp. 1810–1816. DOI: 10.1007/s00586-016-4848-y
24. Yap E.C. Myofascial Pain-an Overview. Annals-Academy of Medicine Singapore, 2007, vol. 36 (1), pp. 43–48. DOI: 10.47102/annals-acadmedsg.V36N1p43
2. Dibai-Filho A.V., de Jesus Guirro R.R., Ferreira V.T. et al. Analysis of Chronic Myofascial Pain in the Upper Trapezius Muscle of Breast Cancer Survivors and Women with Neck Pain. Journal of Bodywork and Movement Therapies, 2018, vol. 22 (2), pp. 237–241. DOI: 10.1016/j.jbmt.2017.04.012
3. Galasso A., Urits I., Nguyen D. et al. Comprehensive Review of the Treatment and Management of Myofascial Pain Syndrome. Current Pain and Headache Reports, 2020, vol. 24, pp. 1–11. DOI: 10.1007/s11916-020-00877-5
4. Gavronski G., Veraksitš A., Vasar E., Maaroos J. Evaluation of Viscoelastic Parameters of the Skeletal Muscles in Junior Triathletes. Physiological Measurement, 2007, vol. 28 (6), p. 625. DOI: 10.1088/0967-3334/28/6/002
5. Geneen L.J., Moore R.A., Clarke C. et al. Physical Activity and Exercise for Chronic Pain in Adults: an Overview of Cochrane Reviews. Cochrane Database of Systematic Reviews, 2017, vol. (4). DOI: 10.1002/14651858.CD011279.pub3
6. Gervin R. Pain Syndromes of Myofascial Trigger Points. Semin Neurology, 2016, vol. 36 (5), pp. 469–473. DOI: 10.1055/s-0036-1586262
7. Gerwin R. Myofascial Pain Syndrome: here we Are, where Must We Go? Journal of Musculoskeletal Pain, 2010, vol. 18 (4), pp. 329–347. DOI: 10.3109/10582452.2010.502636
8. Giamberardino M.A., Affaitati G., Fabrizio A., Costantini R. Myofascial Pain Syndromes and Their Evaluation. Best Practice & Research Clinical Rheumatology, 2011, vol. 25 (2), pp. 185–198. DOI: 10.1016/j.berh.2011.01.002
9. Greenspan J.D. Nociceptors and the Peripheral Nervous System's Role in Pain. Journal of Hand Therapy, 1997, vol. 10 (2), pp. 78–85. DOI: 10.1016/s0894-1130(97)80062-2
10. Hayden R.J., Louis D., Doro C. Fibromyalgia and Myofascial Pain Syndromes and the Workers' Compensation Environment: an Update. Clinics in Occupational and Environmental Medicine, 2006, vol. 5 (2), pp. 455–569. DOI: 10.1016/j.coem.2005.11.001
11. Ishiki H., Kinkawa J., Watanabe A. et al. Prevalence of Myofascial Pain Syndrome in Patients with Incurable Cancer. Journal of Bodywork and Movement Therapies, 2018, vol. 22 (2), pp. 328–332. DOI: 10.1016/j.jbmt.2017.05.005
12. Kalichman L., David C.B. Effect of Self-myofascial Release on Myofascial Pain, Muscle Flexibility, and Strength: A Narrative Review. Journal of Bodywork and Movement Therapies, 2017, vol. 21 (2), pp. 446–451. DOI: 10.1016/j.jbmt.2016.11.006
13. Korykalov Y.I. An Innovative Device for Spinal Adjustment. Medicine: Current Challenges: Proceeds of the International Virtual Scientific Conference, 2012, pp. 30–32.
14. Maybaum N., Rios-Martinez S., Johnson M. Quantitative Global Survey Results of Acute Back Pain Sufferers Across Four Countries. Patient Related Outcome Measures, 2023, pp. 97–110. DOI: 10.2147/PROM.S396674
15. Mense S. The Pathogenesis of Muscle Pain. Current Pain and Headache Reports, 2003, vol. 7, pp. 419–425. DOI: 10.1007/s11916-003-0057-6
16. Meyers W.C., Foley D.P., Garrett W.E. et al. Management of Severe Lower Abdominal or Inguinal Pain in High-performance Athletes. The American Journal of Sports Medicine, 2000, vol. 28 (1), pp. 2–8. DOI: 10.1177/03635465000280011501
17. Morales-Conde S., Socas M., Barranco A. Sportsmen Hernia: what Do We Know? Hernia, 2010, vol. 14, pp. 5–15. DOI: 10.1007/s10029-009-0613-z
18. Myers T.W. Kinesthetic Dystonia. Journal of Bodywork and Movement Therapies, 1998, vol. 2 (4), pp. 231–247. DOI: 10.1016/S1360-8592(98)80021-1
19. Scoppa F., Gallamini M., Belloni G. Treating Balance Disorders with Ulllt Acupuncture Stimulation: A Further Pilot Study on Normal Subjects Confirms Clinical Applicability of Treat-ment. Journal Nov. Physiotherapy, 2015, vol. 6, p. 285. DOI: 10.4172/2165-7025.1000285
20. Staud R. Peripheral Pain Mechanisms in Chronic Widespread Pain. Best Practice & Research Clinical Rheumatology, 2011, vol. 25 (2), pp. 155–164. DOI: 10.1016/j.berh.2010.01.010
21. Urits I., Charipova K., Gress K. et al. Treatment and Management of Myofascial Pain Syndrome. Best Practice & Research Clinical Anaesthesiology, 2020, vol. 34 (3), pp. 427–448. DOI: 10.1016/j.bpa.2020.08.003
22. Wang R., Li X., Zhou S. et al. Manual Acupuncture for Myofascial Pain Syndrome: a Systematic Review and Meta-analysis. Acupuncture in Medicine, 2017, vol. 35 (4), pp. 241–250. DOI: 10.1136/acupmed-2016-011176
23. Yang C., Wang H., Zheng Z. et al. Halo-gravity Traction in the Treatment of Severe Spinal Deformity: a Systematic Review and Meta-analysis. European Spine Journal, 2017, vol. 26, pp. 1810–1816. DOI: 10.1007/s00586-016-4848-y
24. Yap E.C. Myofascial Pain-an Overview. Annals-Academy of Medicine Singapore, 2007, vol. 36 (1), pp. 43–48. DOI: 10.47102/annals-acadmedsg.V36N1p43
2. Dibai-Filho A.V., de Jesus Guirro R.R., Ferreira V.T. et al. Analysis of Chronic Myofascial Pain in the Upper Trapezius Muscle of Breast Cancer Survivors and Women with Neck Pain. Journal of Bodywork and Movement Therapies, 2018, vol. 22 (2), pp. 237–241. DOI: 10.1016/j.jbmt.2017.04.012
3. Galasso A., Urits I., Nguyen D. et al. Comprehensive Review of the Treatment and Management of Myofascial Pain Syndrome. Current Pain and Headache Reports, 2020, vol. 24, pp. 1–11. DOI: 10.1007/s11916-020-00877-5
4. Gavronski G., Veraksitš A., Vasar E., Maaroos J. Evaluation of Viscoelastic Parameters of the Skeletal Muscles in Junior Triathletes. Physiological Measurement, 2007, vol. 28 (6), p. 625. DOI: 10.1088/0967-3334/28/6/002
5. Geneen L.J., Moore R.A., Clarke C. et al. Physical Activity and Exercise for Chronic Pain in Adults: an Overview of Cochrane Reviews. Cochrane Database of Systematic Reviews, 2017, vol. (4). DOI: 10.1002/14651858.CD011279.pub3
6. Gervin R. Pain Syndromes of Myofascial Trigger Points. Semin Neurology, 2016, vol. 36 (5), pp. 469–473. DOI: 10.1055/s-0036-1586262
7. Gerwin R. Myofascial Pain Syndrome: here we Are, where Must We Go? Journal of Musculoskeletal Pain, 2010, vol. 18 (4), pp. 329–347. DOI: 10.3109/10582452.2010.502636
8. Giamberardino M.A., Affaitati G., Fabrizio A., Costantini R. Myofascial Pain Syndromes and Their Evaluation. Best Practice & Research Clinical Rheumatology, 2011, vol. 25 (2), pp. 185–198. DOI: 10.1016/j.berh.2011.01.002
9. Greenspan J.D. Nociceptors and the Peripheral Nervous System's Role in Pain. Journal of Hand Therapy, 1997, vol. 10 (2), pp. 78–85. DOI: 10.1016/s0894-1130(97)80062-2
10. Hayden R.J., Louis D., Doro C. Fibromyalgia and Myofascial Pain Syndromes and the Workers' Compensation Environment: an Update. Clinics in Occupational and Environmental Medicine, 2006, vol. 5 (2), pp. 455–569. DOI: 10.1016/j.coem.2005.11.001
11. Ishiki H., Kinkawa J., Watanabe A. et al. Prevalence of Myofascial Pain Syndrome in Patients with Incurable Cancer. Journal of Bodywork and Movement Therapies, 2018, vol. 22 (2), pp. 328–332. DOI: 10.1016/j.jbmt.2017.05.005
12. Kalichman L., David C.B. Effect of Self-myofascial Release on Myofascial Pain, Muscle Flexibility, and Strength: A Narrative Review. Journal of Bodywork and Movement Therapies, 2017, vol. 21 (2), pp. 446–451. DOI: 10.1016/j.jbmt.2016.11.006
13. Korykalov Y.I. An Innovative Device for Spinal Adjustment. Medicine: Current Challenges: Proceeds of the International Virtual Scientific Conference, 2012, pp. 30–32.
14. Maybaum N., Rios-Martinez S., Johnson M. Quantitative Global Survey Results of Acute Back Pain Sufferers Across Four Countries. Patient Related Outcome Measures, 2023, pp. 97–110. DOI: 10.2147/PROM.S396674
15. Mense S. The Pathogenesis of Muscle Pain. Current Pain and Headache Reports, 2003, vol. 7, pp. 419–425. DOI: 10.1007/s11916-003-0057-6
16. Meyers W.C., Foley D.P., Garrett W.E. et al. Management of Severe Lower Abdominal or Inguinal Pain in High-performance Athletes. The American Journal of Sports Medicine, 2000, vol. 28 (1), pp. 2–8. DOI: 10.1177/03635465000280011501
17. Morales-Conde S., Socas M., Barranco A. Sportsmen Hernia: what Do We Know? Hernia, 2010, vol. 14, pp. 5–15. DOI: 10.1007/s10029-009-0613-z
18. Myers T.W. Kinesthetic Dystonia. Journal of Bodywork and Movement Therapies, 1998, vol. 2 (4), pp. 231–247. DOI: 10.1016/S1360-8592(98)80021-1
19. Scoppa F., Gallamini M., Belloni G. Treating Balance Disorders with Ulllt Acupuncture Stimulation: A Further Pilot Study on Normal Subjects Confirms Clinical Applicability of Treat-ment. Journal Nov. Physiotherapy, 2015, vol. 6, p. 285. DOI: 10.4172/2165-7025.1000285
20. Staud R. Peripheral Pain Mechanisms in Chronic Widespread Pain. Best Practice & Research Clinical Rheumatology, 2011, vol. 25 (2), pp. 155–164. DOI: 10.1016/j.berh.2010.01.010
21. Urits I., Charipova K., Gress K. et al. Treatment and Management of Myofascial Pain Syndrome. Best Practice & Research Clinical Anaesthesiology, 2020, vol. 34 (3), pp. 427–448. DOI: 10.1016/j.bpa.2020.08.003
22. Wang R., Li X., Zhou S. et al. Manual Acupuncture for Myofascial Pain Syndrome: a Systematic Review and Meta-analysis. Acupuncture in Medicine, 2017, vol. 35 (4), pp. 241–250. DOI: 10.1136/acupmed-2016-011176
23. Yang C., Wang H., Zheng Z. et al. Halo-gravity Traction in the Treatment of Severe Spinal Deformity: a Systematic Review and Meta-analysis. European Spine Journal, 2017, vol. 26, pp. 1810–1816. DOI: 10.1007/s00586-016-4848-y
24. Yap E.C. Myofascial Pain-an Overview. Annals-Academy of Medicine Singapore, 2007, vol. 36 (1), pp. 43–48. DOI: 10.47102/annals-acadmedsg.V36N1p43
References
1. Agyapong-Badu S., Warner M., Samuel D., Stokes M. Practical Considerations for Stand-ardized Recording of Muscle Mechanical Properties Using a Myometric Device: Recording Site, Muscle Length, State of Contraction and Prior Activity. Journal of Musculoskeletal Research, 2018, vol. 21 (02), 1850010. DOI: 10.1142/S02189577185001002. Dibai-Filho A.V., de Jesus Guirro R.R., Ferreira V.T. et al. Analysis of Chronic Myofascial Pain in the Upper Trapezius Muscle of Breast Cancer Survivors and Women with Neck Pain. Journal of Bodywork and Movement Therapies, 2018, vol. 22 (2), pp. 237–241. DOI: 10.1016/j.jbmt.2017.04.012
3. Galasso A., Urits I., Nguyen D. et al. Comprehensive Review of the Treatment and Management of Myofascial Pain Syndrome. Current Pain and Headache Reports, 2020, vol. 24, pp. 1–11. DOI: 10.1007/s11916-020-00877-5
4. Gavronski G., Veraksitš A., Vasar E., Maaroos J. Evaluation of Viscoelastic Parameters of the Skeletal Muscles in Junior Triathletes. Physiological Measurement, 2007, vol. 28 (6), p. 625. DOI: 10.1088/0967-3334/28/6/002
5. Geneen L.J., Moore R.A., Clarke C. et al. Physical Activity and Exercise for Chronic Pain in Adults: an Overview of Cochrane Reviews. Cochrane Database of Systematic Reviews, 2017, vol. (4). DOI: 10.1002/14651858.CD011279.pub3
6. Gervin R. Pain Syndromes of Myofascial Trigger Points. Semin Neurology, 2016, vol. 36 (5), pp. 469–473. DOI: 10.1055/s-0036-1586262
7. Gerwin R. Myofascial Pain Syndrome: here we Are, where Must We Go? Journal of Musculoskeletal Pain, 2010, vol. 18 (4), pp. 329–347. DOI: 10.3109/10582452.2010.502636
8. Giamberardino M.A., Affaitati G., Fabrizio A., Costantini R. Myofascial Pain Syndromes and Their Evaluation. Best Practice & Research Clinical Rheumatology, 2011, vol. 25 (2), pp. 185–198. DOI: 10.1016/j.berh.2011.01.002
9. Greenspan J.D. Nociceptors and the Peripheral Nervous System's Role in Pain. Journal of Hand Therapy, 1997, vol. 10 (2), pp. 78–85. DOI: 10.1016/s0894-1130(97)80062-2
10. Hayden R.J., Louis D., Doro C. Fibromyalgia and Myofascial Pain Syndromes and the Workers' Compensation Environment: an Update. Clinics in Occupational and Environmental Medicine, 2006, vol. 5 (2), pp. 455–569. DOI: 10.1016/j.coem.2005.11.001
11. Ishiki H., Kinkawa J., Watanabe A. et al. Prevalence of Myofascial Pain Syndrome in Patients with Incurable Cancer. Journal of Bodywork and Movement Therapies, 2018, vol. 22 (2), pp. 328–332. DOI: 10.1016/j.jbmt.2017.05.005
12. Kalichman L., David C.B. Effect of Self-myofascial Release on Myofascial Pain, Muscle Flexibility, and Strength: A Narrative Review. Journal of Bodywork and Movement Therapies, 2017, vol. 21 (2), pp. 446–451. DOI: 10.1016/j.jbmt.2016.11.006
13. Korykalov Y.I. An Innovative Device for Spinal Adjustment. Medicine: Current Challenges: Proceeds of the International Virtual Scientific Conference, 2012, pp. 30–32.
14. Maybaum N., Rios-Martinez S., Johnson M. Quantitative Global Survey Results of Acute Back Pain Sufferers Across Four Countries. Patient Related Outcome Measures, 2023, pp. 97–110. DOI: 10.2147/PROM.S396674
15. Mense S. The Pathogenesis of Muscle Pain. Current Pain and Headache Reports, 2003, vol. 7, pp. 419–425. DOI: 10.1007/s11916-003-0057-6
16. Meyers W.C., Foley D.P., Garrett W.E. et al. Management of Severe Lower Abdominal or Inguinal Pain in High-performance Athletes. The American Journal of Sports Medicine, 2000, vol. 28 (1), pp. 2–8. DOI: 10.1177/03635465000280011501
17. Morales-Conde S., Socas M., Barranco A. Sportsmen Hernia: what Do We Know? Hernia, 2010, vol. 14, pp. 5–15. DOI: 10.1007/s10029-009-0613-z
18. Myers T.W. Kinesthetic Dystonia. Journal of Bodywork and Movement Therapies, 1998, vol. 2 (4), pp. 231–247. DOI: 10.1016/S1360-8592(98)80021-1
19. Scoppa F., Gallamini M., Belloni G. Treating Balance Disorders with Ulllt Acupuncture Stimulation: A Further Pilot Study on Normal Subjects Confirms Clinical Applicability of Treat-ment. Journal Nov. Physiotherapy, 2015, vol. 6, p. 285. DOI: 10.4172/2165-7025.1000285
20. Staud R. Peripheral Pain Mechanisms in Chronic Widespread Pain. Best Practice & Research Clinical Rheumatology, 2011, vol. 25 (2), pp. 155–164. DOI: 10.1016/j.berh.2010.01.010
21. Urits I., Charipova K., Gress K. et al. Treatment and Management of Myofascial Pain Syndrome. Best Practice & Research Clinical Anaesthesiology, 2020, vol. 34 (3), pp. 427–448. DOI: 10.1016/j.bpa.2020.08.003
22. Wang R., Li X., Zhou S. et al. Manual Acupuncture for Myofascial Pain Syndrome: a Systematic Review and Meta-analysis. Acupuncture in Medicine, 2017, vol. 35 (4), pp. 241–250. DOI: 10.1136/acupmed-2016-011176
23. Yang C., Wang H., Zheng Z. et al. Halo-gravity Traction in the Treatment of Severe Spinal Deformity: a Systematic Review and Meta-analysis. European Spine Journal, 2017, vol. 26, pp. 1810–1816. DOI: 10.1007/s00586-016-4848-y
24. Yap E.C. Myofascial Pain-an Overview. Annals-Academy of Medicine Singapore, 2007, vol. 36 (1), pp. 43–48. DOI: 10.47102/annals-acadmedsg.V36N1p43
Опубликован
2026-02-03
Как цитировать
Солар, Г., Корюкалов, Ю., Епишев, В., & Лапшин, М. (2026). ЭФФЕКТИВНОСТЬ МЕХАНОТЕРАПЕВТИЧЕСКОЙ ИНТЕРВЕНЦИИ ПРИ СИНДРОМЕ МЫШЕЧНОЙ БОЛИ. Человек. Спорт. Медицина, 25(S2), 189-197. https://doi.org/10.14529/hsm25s224
Выпуск
Раздел
Восстановительная и спортивная медицина
