拔罐疗法对马匹背部肌肉机械痛阈的影响
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摘要
目的:为了观察拔罐前后马匹背部肌肉机械痛阈的变化,为患背部疼痛马匹提供新的治疗思路。方法:将16匹正常成年马(3岁及以上)随机等分成试验组与对照组。对试验组马匹背部两侧的固定点位(n=8)进行拔罐疗法,对照组不做处理。试验前及试验后第2天使用测痛仪分别测量所有试验对象背部两侧固定点位(n=10)的机械痛阈,记录并分析数据。结果:试验组所有测量点位测量值在试验前后差异极显著(P<0.01),对照组差异不显著(P>0.05);试验前,试验组和对照组左右两侧测量值对比均差异极显著(P<0.01),试验后,试验组两侧测量值差异不显著(P>0.05),而对照组仍差异极显著(P<0.01)。结论:拔罐疗法可以显著提高马匹背部肌肉的机械痛阈,可以用于治疗马匹背部疼痛或背部敏感。
To observe the variation of the mechanical nociceptive threshold(MNT)of back muscles in horses before and after cupping therapy,and provide a new treatment for equine back pain. Methods:16 mature horses(more than 3 years old)were randomly divided into two groups equally:treatment group and control group. 8 settled points were treated by cupping therapy on both sides of the horses in the treatment group but not in the control group. The mechanical nociceptive threshold of 10 settled points on both sides of all horses were measured by a pressure algometer before cupping and after two days. Then the data were analysied. Results:All the measurements in the treatment group had significant difference between before and after cupping therapy(P<0.01),but no significant difference in the control group(P>0.05). The measurements between both sides of the backhad significant difference in both treatment and control groups(P<0.01)before cupping,and remained in the control group but had no significant in the treatment group(P>0.05)after cupping. Conclusions:Cupping therapy could significantly improve the MNT of the back muscles in horses and couled be used for treating back pain and sensitive.
To observe the variation of the mechanical nociceptive threshold(MNT)of back muscles in horses before and after cupping therapy,and provide a new treatment for equine back pain. Methods:16 mature horses(more than 3 years old)were randomly divided into two groups equally:treatment group and control group. 8 settled points were treated by cupping therapy on both sides of the horses in the treatment group but not in the control group. The mechanical nociceptive threshold of 10 settled points on both sides of all horses were measured by a pressure algometer before cupping and after two days. Then the data were analysied. Results:All the measurements in the treatment group had significant difference between before and after cupping therapy(P<0.01),but no significant difference in the control group(P>0.05). The measurements between both sides of the backhad significant difference in both treatment and control groups(P<0.01)before cupping,and remained in the control group but had no significant in the treatment group(P>0.05)after cupping. Conclusions:Cupping therapy could significantly improve the MNT of the back muscles in horses and couled be used for treating back pain and sensitive.
引文
[1]Haussler K K.Chiropractic evaluation and management[J].Veterinary Clinics of North America Equine Practice,1999,15(1):195-208.
[2]Jeffcott L B.Historical perspective and clinical indications[J].Veterinary Clinics of North America Equine Practice,1999,15:1-11.
[3]Denoix J M.Spinal biomechanics and functional anatomy[J].Veterinary Clinics of North America Equine Practice,1999,15:27-60.
[4]Landman M A,de Blaauw J A,van Weeren P R,et al.Field study of the prevalence of lameness in horses with back problems[J].The Veterinary record,2004,155(6):165-168.
[5]Gómezálvarez C B.The biomechanical interaction between vertebral column and limbs in the horse:a kinematical study[J].Utrecht University,2007.
[6]Gomez Alvarez C B,Bobbert M F,Lamers L,et al.The effect of induced hindlimb lameness on thoracolumbar kinematics during treadmill locomotion[J].Equine Veterinary Journal,2008,40(2):147.
[7]Arendt-Nielsen L,Yarnitsky D.Experimental and clinical applications of quantitative sensory testing applied to skin,muscles and viscera[J].Journal of Pain,2009,10(6):556.
[8]毕海金,吴国程,陈红云,等.人体痛阈测定方法及其应用研究进展[J].中国疼痛医学杂志,2015,21(1):60-63.
[9]Brown F F,Robinson M E,Iii J L R,et al.Better palpation of pain:reliability and validity of a new pressure pain protocol in TMD[J].Journal of Craniomandibular Practice,2000,18(1):58-65.
[10]Ohrbach R,Gale E N.Pressure pain thresholds in normal muscles:reliability,measurement effects,and topographic differences[J].Pain,1989,37(3):257-63.
[11]Haussler K K,Erb H N.Pressure algometry:objective assessment of back pain and effects of chiropractic treatment[M].2003.
[12]Haussler K K,Erb H N.Mechanical nociceptive thresholds in the axial skeleton of horses[J].Equine Veterinary Journal,2006,38(1):70-75.
[13]Haussler K K,Erb H N.Pressure algometry for the detection of induced back pain in horses:a preliminary study[J].Equine Veterinary Journal,2006,37(1):76-81
[14]杨金生,王敬.拔罐疗法的治病机理探讨[J].中国中医基础医学杂志,1996,2(6):39-40
[15]田宇瑛.不同拔罐负压对皮肤血流量影响的初步观察[J].针刺研究,2007(3):184-185.
[16]金兰,刘阳阳,孟向文,等.拔罐对健康人体背部皮肤血流量影响的初步观察[J].针灸临床杂志,2010,26(11):4-5.
[17]张莉.拔罐疗法对皮肤局部温度和血红蛋白影响的研究[D].北京:北京中医药大学,2000.
[18]李超群,孟向文,郭义,等.健康成人大椎穴拔罐前后督脉穴表温度变化观察[C].中国针灸学会全国中青年针灸推拿学术研讨会,2010.
[19]张莉,唐丽亭,仝小林,等.拔罐疗法对人体局部血红蛋白的影响及分析[J].中国针灸,2001,21(10):619-621.
[20]辛英,王淑萍,房秀凤,等.单次拔罐前后的痛阈及皮温观察[J].中华理疗杂志,1994(3):173-174.
[21]Farhadi K,Schweble D,Saeb M,et al.The effectiveness of wet-cupping for nonspecific low back pain in Iran:a randomized controlled trial[J].Complement Ther Med,2009,17(1):9-15.
[22]Xie H,Ott E A,Harkins J D,et al.Influence of electro-acupuncture on pain threshold in horses and its mode of action[J].Journal of Equine Veterinary Science,2001,21(12):591-600.
[23]Angeli A L,Joaquim J G,Takahira R K,et al.Effect of acupuncture,electroacupuncture and Panax pseudoginseng on blood coagulation variables in horses[J].Veterinary Record,2005,157(21):662-4.
[24]Dunkel B,Pfau T,Fiske-jackson A,et al.A pilot study of the effects of acupuncture treatment on objective and subjective gait parameters in horses[J].Veterinary Anaesthesia and Analgesia,2016(3):10.1111.
[25]Anon.Guide to veterinary services for horses shows[C]//Lexington:American Association of Equine Practitioners,1999.
[26]Dyson S.Can lameness be graded reliably[J].Equine Vet.J.2011,43(4):379-382.
[27]韦飞,张大伟,蔡佳.1例威尔士矮马股骨内侧髁软骨下骨囊肿的诊断和治疗[J].畜牧与兽医,2017,49(9):144.
[28]PhebeDe H,GerryVan O,MachteldCVan D,et al.Apressure algometer is a useful tool to objectively monitor the effect of diagnostic palpation by a physiotherapist in warmblood horses[J].Journal of Equine Veterinary Science,2010,30(6):310-321.
[29]Dyson S.The cervical spine and soft tissues of the neck[J].Diagnosis and Management of Lameness in the Horse,2003:522-531.
[30]Treede R D,Rolke R,Andrews K,et al.Pain elicited by blunt pressure:neurobiological basis and clinical relevance[J].Pain,2002,98(3):235-240.
[31]Nussbaum E L,Downes L.Reliability of clinical pressure-pain algometric measurements obtained on consecutive days[J].Physical Therapy,1998,78(2):160.
[32]王富春.刺法灸法学[M].上海:上海科学技术出版社,2009:87.
[33]蒋琪霞,刘云,徐薇,等.负压伤口治疗关键技术的研究进展[J].医学研究生学报,2007,20(6):656-659.
[34]Morykwas,M J,Argenta L C,Shelton-Brown E I,et al.Vacuum-assisted closure:a new method for wound control and treatment:animal studies and basic foundation[J].Annals of plastic surgery,1997,38(6):553-62.
[35]Venturi M L,Attinger C E,Mesbahi A N,et al.Mechanisms and Clinical Applications of the VacuumAssisted Closure(VAC)Device[J].American Journal of Clinical Dermatology,2005,6(3):185-94.
[36]武雁天,许致睿,张力军,等.抽气式药罐拔罐在兽医外科临床中的应用[J].中国兽医科技,1991,21(4):44.
[37]孟向文,李丹丹,马佳佳,等.拔罐对健康小型猪局部皮肤生长因子影响的初步研究[J].山东中医杂志,2017,36(6):506-517.
[38]姚静.药用辅料应用指南[M].北京:中国医药科技出版社,2001.
[39]纪昌春,黄丽萍,杨改琴,等.浅谈罐斑效应的临床价值[J].中国针灸,2014,34(12):1217-1220.
[40]毛应启梁,任典寰,米文丽,等.电针联合西乐葆缓解大鼠胫骨癌痛[J].中西医结合学报,2008(6):830-835.
[41]祁德波,李为民.电针对慢性内脏痛觉敏感大鼠延髓头端腹内侧核c-Fos蛋白和NR1受体表达的影响[J].中西医结合学报,2012,10:416-423.
[42]Harman J.Tack and saddle fit[J].Veterinary Clinics of North America Equine Practice,1999,15(1):247.
[43]Jeffcott L B,Holmes M A,Townsend H G.Validity of saddle pressure measurements using force-sensing array technology-preliminary studies[J].Veterinary Journal,1999,158(2):113-119.
[44]Kosek E,Ekholm J,Hansson P.Pressure pain thresholds in different tissues in one body region.The influence of skin sensitivity in pressure algometry[J].Scandinavian Journal of Rehabilitation Medicine,1999,31(2):89.
[45]Sullivan K A,Hill A E,Haussler K K.The effects of chiropractic,massage and phenylbutazone on spinal mechanical nociceptive thresholds in horses without clinical signs[J].Equine Veterinary Journal,2008,40(1):14.
[46]Nussbaum E L,Downes L.Reliability of clinical pressure-pain algometric measurements obtained on consecutive days[J].Physical Therapy,1998,78(2):160.
[47]Pontinen P J.Reliability,validity,reproducibility of algometry in diagnosis of active and latent tender spots and trigger points[J].Journal of Musculoskeletal Pain,2008,6(1):61-71.
[48]Keating L,Lubke C,Powell V,et al.Mid-thoracic tenderness:a comparison of pressure pain threshold between spinal regions,in asymptomatic subjects[J].Manual Therapy,2001,6(1):34-9.
[49]段光友,郭珊娜,张昱昊,等.小面积探头测量人体压痛阈影响因素及正常参考值调查[J].中国疼痛医学杂志,2015,21:189-193.
[50]英英,段光友,郭珊娜,等.0.01cm2面积探头测量健康人群刺痛阈值得可行性研究[J].中国疼痛医学杂志,2016,22(10):754-758.
[51]Dhondt W,Willaeys T,Verbruggen L A,et al.Pain threshold in patients with rheumatoid arthritis and effect of manual oscillations[J].Acta Rheumatologica Scandinavica,1999,28(2):88-93.
[52]Vanderweёn L,Oostendorp R A,Vaes P,et al.Pressure algometry in manual therapy[J].Manual Therapy,1996,1(5):258-265.
[2]Jeffcott L B.Historical perspective and clinical indications[J].Veterinary Clinics of North America Equine Practice,1999,15:1-11.
[3]Denoix J M.Spinal biomechanics and functional anatomy[J].Veterinary Clinics of North America Equine Practice,1999,15:27-60.
[4]Landman M A,de Blaauw J A,van Weeren P R,et al.Field study of the prevalence of lameness in horses with back problems[J].The Veterinary record,2004,155(6):165-168.
[5]Gómezálvarez C B.The biomechanical interaction between vertebral column and limbs in the horse:a kinematical study[J].Utrecht University,2007.
[6]Gomez Alvarez C B,Bobbert M F,Lamers L,et al.The effect of induced hindlimb lameness on thoracolumbar kinematics during treadmill locomotion[J].Equine Veterinary Journal,2008,40(2):147.
[7]Arendt-Nielsen L,Yarnitsky D.Experimental and clinical applications of quantitative sensory testing applied to skin,muscles and viscera[J].Journal of Pain,2009,10(6):556.
[8]毕海金,吴国程,陈红云,等.人体痛阈测定方法及其应用研究进展[J].中国疼痛医学杂志,2015,21(1):60-63.
[9]Brown F F,Robinson M E,Iii J L R,et al.Better palpation of pain:reliability and validity of a new pressure pain protocol in TMD[J].Journal of Craniomandibular Practice,2000,18(1):58-65.
[10]Ohrbach R,Gale E N.Pressure pain thresholds in normal muscles:reliability,measurement effects,and topographic differences[J].Pain,1989,37(3):257-63.
[11]Haussler K K,Erb H N.Pressure algometry:objective assessment of back pain and effects of chiropractic treatment[M].2003.
[12]Haussler K K,Erb H N.Mechanical nociceptive thresholds in the axial skeleton of horses[J].Equine Veterinary Journal,2006,38(1):70-75.
[13]Haussler K K,Erb H N.Pressure algometry for the detection of induced back pain in horses:a preliminary study[J].Equine Veterinary Journal,2006,37(1):76-81
[14]杨金生,王敬.拔罐疗法的治病机理探讨[J].中国中医基础医学杂志,1996,2(6):39-40
[15]田宇瑛.不同拔罐负压对皮肤血流量影响的初步观察[J].针刺研究,2007(3):184-185.
[16]金兰,刘阳阳,孟向文,等.拔罐对健康人体背部皮肤血流量影响的初步观察[J].针灸临床杂志,2010,26(11):4-5.
[17]张莉.拔罐疗法对皮肤局部温度和血红蛋白影响的研究[D].北京:北京中医药大学,2000.
[18]李超群,孟向文,郭义,等.健康成人大椎穴拔罐前后督脉穴表温度变化观察[C].中国针灸学会全国中青年针灸推拿学术研讨会,2010.
[19]张莉,唐丽亭,仝小林,等.拔罐疗法对人体局部血红蛋白的影响及分析[J].中国针灸,2001,21(10):619-621.
[20]辛英,王淑萍,房秀凤,等.单次拔罐前后的痛阈及皮温观察[J].中华理疗杂志,1994(3):173-174.
[21]Farhadi K,Schweble D,Saeb M,et al.The effectiveness of wet-cupping for nonspecific low back pain in Iran:a randomized controlled trial[J].Complement Ther Med,2009,17(1):9-15.
[22]Xie H,Ott E A,Harkins J D,et al.Influence of electro-acupuncture on pain threshold in horses and its mode of action[J].Journal of Equine Veterinary Science,2001,21(12):591-600.
[23]Angeli A L,Joaquim J G,Takahira R K,et al.Effect of acupuncture,electroacupuncture and Panax pseudoginseng on blood coagulation variables in horses[J].Veterinary Record,2005,157(21):662-4.
[24]Dunkel B,Pfau T,Fiske-jackson A,et al.A pilot study of the effects of acupuncture treatment on objective and subjective gait parameters in horses[J].Veterinary Anaesthesia and Analgesia,2016(3):10.1111.
[25]Anon.Guide to veterinary services for horses shows[C]//Lexington:American Association of Equine Practitioners,1999.
[26]Dyson S.Can lameness be graded reliably[J].Equine Vet.J.2011,43(4):379-382.
[27]韦飞,张大伟,蔡佳.1例威尔士矮马股骨内侧髁软骨下骨囊肿的诊断和治疗[J].畜牧与兽医,2017,49(9):144.
[28]PhebeDe H,GerryVan O,MachteldCVan D,et al.Apressure algometer is a useful tool to objectively monitor the effect of diagnostic palpation by a physiotherapist in warmblood horses[J].Journal of Equine Veterinary Science,2010,30(6):310-321.
[29]Dyson S.The cervical spine and soft tissues of the neck[J].Diagnosis and Management of Lameness in the Horse,2003:522-531.
[30]Treede R D,Rolke R,Andrews K,et al.Pain elicited by blunt pressure:neurobiological basis and clinical relevance[J].Pain,2002,98(3):235-240.
[31]Nussbaum E L,Downes L.Reliability of clinical pressure-pain algometric measurements obtained on consecutive days[J].Physical Therapy,1998,78(2):160.
[32]王富春.刺法灸法学[M].上海:上海科学技术出版社,2009:87.
[33]蒋琪霞,刘云,徐薇,等.负压伤口治疗关键技术的研究进展[J].医学研究生学报,2007,20(6):656-659.
[34]Morykwas,M J,Argenta L C,Shelton-Brown E I,et al.Vacuum-assisted closure:a new method for wound control and treatment:animal studies and basic foundation[J].Annals of plastic surgery,1997,38(6):553-62.
[35]Venturi M L,Attinger C E,Mesbahi A N,et al.Mechanisms and Clinical Applications of the VacuumAssisted Closure(VAC)Device[J].American Journal of Clinical Dermatology,2005,6(3):185-94.
[36]武雁天,许致睿,张力军,等.抽气式药罐拔罐在兽医外科临床中的应用[J].中国兽医科技,1991,21(4):44.
[37]孟向文,李丹丹,马佳佳,等.拔罐对健康小型猪局部皮肤生长因子影响的初步研究[J].山东中医杂志,2017,36(6):506-517.
[38]姚静.药用辅料应用指南[M].北京:中国医药科技出版社,2001.
[39]纪昌春,黄丽萍,杨改琴,等.浅谈罐斑效应的临床价值[J].中国针灸,2014,34(12):1217-1220.
[40]毛应启梁,任典寰,米文丽,等.电针联合西乐葆缓解大鼠胫骨癌痛[J].中西医结合学报,2008(6):830-835.
[41]祁德波,李为民.电针对慢性内脏痛觉敏感大鼠延髓头端腹内侧核c-Fos蛋白和NR1受体表达的影响[J].中西医结合学报,2012,10:416-423.
[42]Harman J.Tack and saddle fit[J].Veterinary Clinics of North America Equine Practice,1999,15(1):247.
[43]Jeffcott L B,Holmes M A,Townsend H G.Validity of saddle pressure measurements using force-sensing array technology-preliminary studies[J].Veterinary Journal,1999,158(2):113-119.
[44]Kosek E,Ekholm J,Hansson P.Pressure pain thresholds in different tissues in one body region.The influence of skin sensitivity in pressure algometry[J].Scandinavian Journal of Rehabilitation Medicine,1999,31(2):89.
[45]Sullivan K A,Hill A E,Haussler K K.The effects of chiropractic,massage and phenylbutazone on spinal mechanical nociceptive thresholds in horses without clinical signs[J].Equine Veterinary Journal,2008,40(1):14.
[46]Nussbaum E L,Downes L.Reliability of clinical pressure-pain algometric measurements obtained on consecutive days[J].Physical Therapy,1998,78(2):160.
[47]Pontinen P J.Reliability,validity,reproducibility of algometry in diagnosis of active and latent tender spots and trigger points[J].Journal of Musculoskeletal Pain,2008,6(1):61-71.
[48]Keating L,Lubke C,Powell V,et al.Mid-thoracic tenderness:a comparison of pressure pain threshold between spinal regions,in asymptomatic subjects[J].Manual Therapy,2001,6(1):34-9.
[49]段光友,郭珊娜,张昱昊,等.小面积探头测量人体压痛阈影响因素及正常参考值调查[J].中国疼痛医学杂志,2015,21:189-193.
[50]英英,段光友,郭珊娜,等.0.01cm2面积探头测量健康人群刺痛阈值得可行性研究[J].中国疼痛医学杂志,2016,22(10):754-758.
[51]Dhondt W,Willaeys T,Verbruggen L A,et al.Pain threshold in patients with rheumatoid arthritis and effect of manual oscillations[J].Acta Rheumatologica Scandinavica,1999,28(2):88-93.
[52]Vanderweёn L,Oostendorp R A,Vaes P,et al.Pressure algometry in manual therapy[J].Manual Therapy,1996,1(5):258-265.