患侧胫骨前肌静息状态下横向弹力的随机对照：推拿结合低强度脉冲超声波能够缓解疲劳性胫痛吗？

背景：疲劳性胫痛为胫骨应力性骨折的前驱症状，与胫骨前肌有密切联系，量化测量胫骨前肌的痉挛状态，可有效评价治疗效果。 目的：观察推拿结合低强度脉冲超声波对男排运动员疲劳性胫痛胫骨前肌横向弹性及临床疗效的影响。 方法：27例患疲劳性胫痛的上海男子排球队运动员按照条件对等原则随机分为治疗组和对照组，治疗组14例，对照组13例。治疗组采用推拿为主结合低强度脉冲超声波治疗疲劳性胫痛，对照组采用调制中频常规理疗。采用Myotonometer 肌肉状态测试系统于治疗前和治疗后测量队员患侧胫骨前肌静息状态下横向弹性，同时观察临床疗效。 结果与结论：治疗后，治疗组较对照组静息状态下胫骨前肌压力-位移曲线均显著上移，曲线下面积均显著增加(P < 0.01)；临床疗效也有显著差异(P < 0.05)。推拿结合低强度脉冲超声波能增加胫骨前肌静息状态下的横向弹性，有效缓解男排运动员疲劳性胫痛。

A randomized and controlled study of resting-state transverse elasticity of the tibialis anterior muscle on the affected side: Can Tuina massage combined with low-intensity pulsed ultrasound release fatigue tibial pain?

BACKGROUND: The fatigue tibial pain was a premonitory symptom of tibial stress fractures, which is closely contact with tibialis anterior muscle. It can effectively evaluate the therapeutic effect by quantified the spasticity status of tibialis anterior muscle. OBJECTIVE: To observe the clinical effect and the effects of Tuina massage combined with low-intensity pulsed ultrasound (LIPUS) on transverse elastic of tibialis anterior muscle with fatigue tibial pain in male volleyball players. METHODS: A total of 27 cases suffered from fatigue tibia pain were randomly assigned to treatment group (n=14) and control group (n=13). The treatment group applied Tuina massage combined with LIPUS on tibialis anterior muscle and tibia. Those in the control group received physiotherapy of modulated medium frequency. The Myotonometer muscles status test system was used to measure muscular elasticity rigidity changes of the affected side tibialis anterior muscle before and after the treatment. At the same time, the clinical effect was also observed. RESULTS AND CONCLUSION: After treatment, compared with the control group, the Myotonometer force-displacement curves shifted up and the area under curve increased significantly in the treatment group (P < 0.01). The total effective rate in the two groups also had notable differences (P < 0.05). Tuina massage combined with LIPUS markedly adds static transverse elastic of tibialis anterior muscle in male volleyball players suffered from fatigue tibia pain, and relieved fatigue tibia pain effectively.