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Myofascial Pain Syndrome Focused on the Upper Trapezius Muscle: A Comparative Randomized Controlled Trial of the Court-Type Traditional Thai Massage versus the Thai Hermit.

Journal of evidence-based integrative medicine
January 1, 2021
Jurairat Boonruab et al. (4 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the efficacy of court-type traditional Thai massage (CTTM) and Thai hermit exercise (THE) in improving cervical range of motion (CROM) and reducing pain in the upper trapezius muscle for patients with myofascial pain syndrome.

Results Summary

Both CTTM and THE significantly reduced pain and improved CROM, with CTTM showing a greater reduction in pain levels compared to THE. No significant difference was found in CROM improvement between the two treatments.

Population

46 patients with myofascial pain syndrome in the upper trapezius muscle.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
court-type traditional Thai massage (CTTM)
decrease
pain
patient subjects with myofascial pain syndrome in the upper trapezius muscle
-
significantly lower
#1
court-type traditional Thai massage (CTTM)
increase
cervical range of motion (CROM)
patient subjects with myofascial pain syndrome in the upper trapezius muscle
-
significantly better
#2
Thai hermit exercise (THE)
decrease
pain
patient subjects with myofascial pain syndrome in the upper trapezius muscle
-
significantly lower
#3
Thai hermit exercise (THE)
increase
cervical range of motion (CROM)
patient subjects with myofascial pain syndrome in the upper trapezius muscle
-
significantly better
#4
court-type traditional Thai massage (CTTM)
no change
range of motion
-
-
not found to differ
#5
Thai hermit exercise (THE)
no change
range of motion
-
-
not found to differ
#6
court-type traditional Thai massage (CTTM)
decrease
pain level measured by VAS
-
-
provides a better way of reducing pain
#7
Thai hermit exercise (THE)
decrease
pain level measured by VAS
-
-
provides a better way of reducing pain
#8
Abstract

Myofascial pain syndrome is a common problem that can develop at any age. This study compares the efficacy of the court-type traditional Thai massage (CTTM) to the Thai hermit exercise (THE) in improving the cervical range of motion (CROM) and reducing pain in the upper trapezius muscle. In this study, 46 patient subjects were randomized into 2 groups, with 1 group administered CTTM and the other administered THE. Prior to and following the experiment, their demographic characteristics, pain levels and CROM were measured using a visual analog scale (VAS) and a goniometer, respectively. Data was then analyzed using descriptive statistics, percentage, mean, and standard deviation, as well as inferential statistics. The findings indicate that subjects in both groups demonstrated significantly lower pain and significantly better CROM (P < 0.05). In terms of comparative treatment between the CTTM and THE groups, the results were not found to differ in the range of motion, but a clear difference in pain level measured by VAS was found, in which CTTM provides a better way of reducing pain at the trigger point than THE (P < 0.05). From the findings, it can be concluded that both CTTM and THE are comparably efficacious therapies for myofascial pain in the upper trapezius muscle.

Medical Subject Headings (MeSH)
Exercise TherapyHumansMassageMyofascial Pain SyndromesNeck PainPain MeasurementRange of Motion, ArticularSuperficial Back Muscles
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations6
Citations/Year1.5
Relative Citation Ratio1.02
NIH Percentile50.8%
Research Impact Scores
APT Score0.50
Weight Score2.29
Normalized Score0.69
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