Affiliation:
1. Department of Rehabilitation, The First People's Hospital of Yinchuan, Yinchuan, China
2. Department of Pediatric Rehabilitation, General Hospital of Ningxia Medical University, Yinchuan, China
3. Department of Rehabilitation, First People's Hospital of Ningxia Hui Autonomous Region, Yinchuan, China
4. Department of Rehabilitation, General Hospital of Ningxia Medical University, Yinchuan, China
5. Department of Orthopedics, The First People's Hospital of Yinchuan, Yinchuan, China
Abstract
Objective To explore the effects of myofascial release (MFR) on pain and dysfunction in individuals with chronic mechanical neck pain (MNP). Data sources PubMed, Embase, Medline, Wiley Online Library, Web of Science, CNKI, VIP, WanFang Data, and the Cochrane Library were searched until 12 September 2022. Review methods This study was registered in PROSPERO (CRD42022302485). Methodological quality was assessed using Cochrane risk of bias assessment, and the quality of the evidence followed the GRADE recommendation. The outcomes pain, cervical mobility (Flexion, Extension, Rotation, lateral flexion), trapezius and suboccipital pressure pain thresholds (PPT), neck disability index (NDI), and adverse effects were extracted. Results After screening of 346 studies, 13 studies and 601 participants met the inclusion criteria. All studies were of moderate methodological quality. Compared with the control group, the participants in the MFR group showed significantly greater improvements trapezius PPT SMD 0.41 (95% CI 0.11–0.72), suboccipital PPT SMD 0.47 (95% CI 0.21–0.72), respectively. The differences were not significant to support the MFR treatment on pain, flexion, extension, rotation, lateral flexion angle, and NDI. None of the studies reported any adverse events. Conclusion This systematic review suggests that MFR is an effective treatment for the improvement of PPT of trapezius and suboccipital muscle in patients with chronic MNP. However, there is low to moderate evidence and may change over time.
Subject
Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation
Cited by
7 articles.
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