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Short-term effects of traditional Thai massage on electromyogram, muscle tension and pain among patients with upper back pain associated with myofascial trigger points.

Complementary therapies in medicine
October 1, 2016
Vitsarut Buttagat et al. (4 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

To investigate the effects of traditional Thai massage (TTM) on electromyographic activity, muscle tension, and pain intensity in patients with upper back pain associated with myofascial trigger points.

Results Summary

TTM significantly reduced EMG activity, muscle tension, and pain intensity compared to the control group, which showed no significant changes except for muscle tension. The TTM group demonstrated greater reductions in all measured parameters.

Population

Fifty patients with upper back pain associated with myofascial trigger points.

Effective Dosage

One 30-minute session of TTM.

Duration

Single 30-minute session.

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
traditional Thai massage (TTM)
decrease
EMG
patients with upper back pain associated with myofascial trigger points (MTrPs)
-
significant decreases
#1
traditional Thai massage (TTM)
decrease
muscle tension
patients with upper back pain associated with myofascial trigger points (MTrPs)
-
significant decreases
#2
traditional Thai massage (TTM)
decrease
pain intensity
patients with upper back pain associated with myofascial trigger points (MTrPs)
-
significant decreases
#3
control (sham microwave diathermy)
no change
EMG
patients with upper back pain associated with myofascial trigger points (MTrPs)
-
similar changes were not observed
#4
control (sham microwave diathermy)
no change
pain intensity
patients with upper back pain associated with myofascial trigger points (MTrPs)
-
similar changes were not observed
#5
control (sham microwave diathermy)
decrease
muscle tension
patients with upper back pain associated with myofascial trigger points (MTrPs)
-
p<0.05
#6
traditional Thai massage (TTM)
decrease
all parameters
patients with upper back pain associated with myofascial trigger points (MTrPs)
-
significantly greater reduction
#7
traditional Thai massage (TTM)
increase
physical relaxation
patients with upper back pain associated with myofascial trigger points (MTrPs)
-
can increase
#8
traditional Thai massage (TTM)
decrease
pain
patients with upper back pain associated with myofascial trigger points (MTrPs)
-
reduce
#9
Abstract

OBJECTIVE: To investigate effects of traditional Thai massage (TTM) on electromyographic (EMG) activity, muscle tension and pain intensity in patients with upper back pain associated with myofascial trigger points (MTrPs). DESIGN: A single-blind, randomized clinical trial. SETTING: The Department of Physical Therapy, School of Health Science, Mae Fah Luang University, Thailand. INTERVENTION: Fifty patients were randomly assigned to receive a 30-min session of either TTM or control (sham microwave diathermy). OUTCOMES: Electromyogram (EMG), Muscle tension rating, and pain intensity rating RESULTS: TTM were associated with significant decreases in EMG, muscle tension and pain intensity after the end of treatment session (p<0.05). For all outcomes, similar changes were not observed in the control group (p>0.05) except for muscle tension (p<0.05). In addition, there was a significantly greater reduction in all parameters for the TTM group when compared with the control group. CONCLUSION: We therefore suggest that TTM can increase physical relaxation and reduce pain in patients with upper back pain associated with MTrPs. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02067325.

Medical Subject Headings (MeSH)
AdolescentAdultBack PainElectromyographyFemaleHumansMaleMassageMuscle TonusMusculoskeletal ManipulationsMyofascial Pain SyndromesPain MeasurementPain ThresholdPhysical Therapy ModalitiesProspective StudiesRelaxationSingle-Blind MethodThailandTreatment OutcomeTrigger PointsYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations15
Citations/Year1.7
Relative Citation Ratio1.00
NIH Percentile50.1%
Research Impact Scores
APT Score0.50
Weight Score1.75
Normalized Score0.69
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