| F1 | Refid | Quick Author | Author | Title | Publication Date | Periodical | F8 | Volume | F10 | Issue | F12 | Page Start-End | Group | F15 | Publication Data | Condition | Condition (to hide) | Outcome Measures | cleaned up results | Outcome Measures_ | Total Participants | Quality Assignment (SIGN 50) | Abstract | Keywords | Power | Power1 | Provider Type | Intervention Description: Number Assigned (Dropout Rate) | # Assigned (Dropout Rate)_ | double check # assign | Intervention Description: Dosages | Intervention Description: Dosages1 | *Meta-Analysis | Relevant Results _ | Conclusions | Adverse Events | PubMed Link |
| 1 |
52 |
Aguilera, 2009 |
F. J. M. Aguilera, D. P. Martin, R. A. Masanet, A. C. Botella, L. B. Soler and F. B. Morell |
Immediate effect of ultrasound and ischemic compression techniques for the treatment of trapezius latent myofascial trigger points in healthy subjects: a randomized controlled study |
2009 |
Journal of Manipulative & Physiological Therapeutics |
|
vol 32 |
vol 32 |
7 |
pages |
515-520 |
Group 1 (Musculoskeletal |
pages 515-520 |
Journal of Manipulative & Physiological Therapeutics, vol 32: 7, pages 515-520 |
Musculoskeletal Pain: Myofascial trigger points in the trapezius muscle |
66c (29M/37F) healthy volunteers with myofascial trigger points (MTrPs) in the trapezius muscle (mean age = 37.2 ± 7.6 yrs) |
Visual Analog Scale (Pain Pressure Threshold)
Active Range of Motion (Range of Motion)
Basal Electrical Activity (electrical activity) |
Visual Analog Scale (Pain Pressure Threshold)
Active Range of Motion (Range of Motion)
Basal Electrical Activity (electrical activity) |
Pain Pressure Threshold: Visual Analog Scale;
Activity: Active Range of Motion;
Physiological: Basal Electrical Activity. |
66 |
2-Acceptable |
OBJECTIVE: The purpose of this study was to determine immediate effects of ischemic compression (IC) and ultrasound (US) for the treatment of myofascial trigger points (MTrPs) in the trapezius muscle. METHODS: Sixty-six volunteers all CEU-Cardenal Herrera University Valencia Spain personnel participated in this study. Subjects were healthy individuals diagnosed with latent MTrPs in the trapezius muscle. Subjects were randomly placed into 3 groups: G1 which received IC treatment for MTrPs; G2 which received US; and G3 (control) which received sham US. The following data were recorded before and after each treatment: active range of motion (AROM) of cervical rachis measured with a cervical range of motion instrument basal electrical activity (BEA) of muscle trapezius measured with surface electromyography and pressure tolerance of MTrP measured with visual analogue scale assessing local pain evoked by the application of 2.5 kg/cm(2) of pressure using a pressure analog algometer. RESULTS: The results showed an immediate decrease in BEA of the trapezius muscle and a reduction of MTrP sensitivity after treatment with both therapeutic modalities. In the case of IC an improvement of AROM of cervical rachis was also been obtained. CONCLUSION: In this group of participants both treatments were shown to have an immediate effect on latent MTrPs. The results show a relation among AROM of cervical rachis BEA of the trapezius muscle and MTrP sensitivity of the trapezius muscle gaining short-term positive effects with use of IC. |
Manipulation, Chiropractic -- Evaluation |
Not Described |
ND |
Examiner/Operator |
Ischemic Compression: 22 (0%); Ultrasound: 22 (0%); Sham Ultrasound: 22 (0%). |
22 (0%)
22 (0%)
22 (0%) |
|
Ischemic Compression: 1 x 90s, 1x/d, 1x + ND;
Ultrasound: 1 x 2 mins, 1x/d, 1x + ND;
Sham Ultrasound: 1 x 5 mins, 1x/d, 1x + ND. |
1 x 90s, 1x/d, 1x + ND;
1 x 2 mins, 1x/d, 1x + ND;
1 x 5 mins, 1x/d, 1x + ND. |
No |
Visual Analog Scale (Pain Pressure Threshold): p = 0.035 (within groups) (Ischemic Compression), p = 0.000 (within groups) (Ultrasound), p = Not Significant (within groups) (sham Ultrasound) at pre / post; Active Range of Motion (Range of Motion): p = 0.020 (within groups) (Ischemic Compression), p = Not Significant (within groups) (Ultrasound), p = Not Significant (within groups) (sham Ultrasound) at pre / post; Basal Electrical Activity (electrical activity): p = 0.002 (within groups) (Ischemic Compression), p = 0.000 (within groups) (Ultrasound), p = Not Significant (within groups) (sham Ultrasound) at pre / post. |
Massage effective for: Pain Pressure Threshold, Activity,
Physiological. |
Authors report NO AEs occurred |
http://www.ncbi.nlm.nih.gov/pubmed/?term=aguilera+Im+Immediate+effect+of+ultrasound+and+ischemic+compression+techniques+for+the+treatment+of+trapeziu |
| F1 |
1 |
| Refid |
52 |
| Quick Author |
Aguilera, 2009 |
| Author |
F. J. M. Aguilera, D. P. Martin, R. A. Masanet, A. C. Botella, L. B. Soler and F. B. Morell |
| Title |
Immediate effect of ultrasound and ischemic compression techniques for the treatment of trapezius latent myofascial trigger points in healthy subjects: a randomized controlled study |
| Publication Date |
2009 |
| Periodical |
Journal of Manipulative & Physiological Therapeutics |
| F8 |
|
| Volume |
vol 32 |
| F10 |
vol 32 |
| Issue |
7 |
| F12 |
pages |
| Page Start-End |
515-520 |
| Group |
Group 1 (Musculoskeletal |
| F15 |
pages 515-520 |
| Publication Data |
Journal of Manipulative & Physiological Therapeutics, vol 32: 7, pages 515-520 |
| Condition |
Musculoskeletal Pain: Myofascial trigger points in the trapezius muscle |
| Condition (to hide) |
66c (29M/37F) healthy volunteers with myofascial trigger points (MTrPs) in the trapezius muscle (mean age = 37.2 ± 7.6 yrs) |
| Outcome Measures |
Visual Analog Scale (Pain Pressure Threshold)
Active Range of Motion (Range of Motion)
Basal Electrical Activity (electrical activity) |
| cleaned up results |
Visual Analog Scale (Pain Pressure Threshold)
Active Range of Motion (Range of Motion)
Basal Electrical Activity (electrical activity) |
| Outcome Measures_ |
Pain Pressure Threshold: Visual Analog Scale;
Activity: Active Range of Motion;
Physiological: Basal Electrical Activity. |
| Total Participants |
66 |
| Quality Assignment (SIGN 50) |
2-Acceptable |
| Abstract |
OBJECTIVE: The purpose of this study was to determine immediate effects of ischemic compression (IC) and ultrasound (US) for the treatment of myofascial trigger points (MTrPs) in the trapezius muscle. METHODS: Sixty-six volunteers all CEU-Cardenal Herrera University Valencia Spain personnel participated in this study. Subjects were healthy individuals diagnosed with latent MTrPs in the trapezius muscle. Subjects were randomly placed into 3 groups: G1 which received IC treatment for MTrPs; G2 which received US; and G3 (control) which received sham US. The following data were recorded before and after each treatment: active range of motion (AROM) of cervical rachis measured with a cervical range of motion instrument basal electrical activity (BEA) of muscle trapezius measured with surface electromyography and pressure tolerance of MTrP measured with visual analogue scale assessing local pain evoked by the application of 2.5 kg/cm(2) of pressure using a pressure analog algometer. RESULTS: The results showed an immediate decrease in BEA of the trapezius muscle and a reduction of MTrP sensitivity after treatment with both therapeutic modalities. In the case of IC an improvement of AROM of cervical rachis was also been obtained. CONCLUSION: In this group of participants both treatments were shown to have an immediate effect on latent MTrPs. The results show a relation among AROM of cervical rachis BEA of the trapezius muscle and MTrP sensitivity of the trapezius muscle gaining short-term positive effects with use of IC. |
| Keywords |
Manipulation, Chiropractic -- Evaluation |
| Power |
Not Described |
| Power1 |
ND |
| Provider Type |
Examiner/Operator |
| Intervention Description: Number Assigned (Dropout Rate) |
Ischemic Compression: 22 (0%); Ultrasound: 22 (0%); Sham Ultrasound: 22 (0%). |
| # Assigned (Dropout Rate)_ |
22 (0%)
22 (0%)
22 (0%) |
| double check # assign |
|
| Intervention Description: Dosages |
Ischemic Compression: 1 x 90s, 1x/d, 1x + ND;
Ultrasound: 1 x 2 mins, 1x/d, 1x + ND;
Sham Ultrasound: 1 x 5 mins, 1x/d, 1x + ND. |
| Intervention Description: Dosages1 |
1 x 90s, 1x/d, 1x + ND;
1 x 2 mins, 1x/d, 1x + ND;
1 x 5 mins, 1x/d, 1x + ND. |
| *Meta-Analysis |
No |
| Relevant Results _ |
Visual Analog Scale (Pain Pressure Threshold): p = 0.035 (within groups) (Ischemic Compression), p = 0.000 (within groups) (Ultrasound), p = Not Significant (within groups) (sham Ultrasound) at pre / post; Active Range of Motion (Range of Motion): p = 0.020 (within groups) (Ischemic Compression), p = Not Significant (within groups) (Ultrasound), p = Not Significant (within groups) (sham Ultrasound) at pre / post; Basal Electrical Activity (electrical activity): p = 0.002 (within groups) (Ischemic Compression), p = 0.000 (within groups) (Ultrasound), p = Not Significant (within groups) (sham Ultrasound) at pre / post. |
| Conclusions |
Massage effective for: Pain Pressure Threshold, Activity,
Physiological. |
| Adverse Events |
Authors report NO AEs occurred |
| PubMed Link |
http://www.ncbi.nlm.nih.gov/pubmed/?term=aguilera+Im+Immediate+effect+of+ultrasound+and+ischemic+compression+techniques+for+the+treatment+of+trapeziu |
|
| 2 |
60 |
Ajimsha, 2012 |
M. S. Ajimsha, S. Chithra and R. P. Thulasyammal |
Effectiveness of Myofascial Release in the Management of Lateral Epicondylitis in Computer Professionals |
2012 |
Archives of Physical Medicine & Rehabilitation |
|
vol 93 |
vol 93 |
4 |
pages |
604-609 |
Group 1 |
pages 604-609 |
Archives of Physical Medicine & Rehabilitation, vol 93: 4, pages 604-609 |
Musculoskeletal Pain: Epicondylitis |
68c (sex = ND) participants with later epicondylitis (Mean age = 22.9 ± 4.9 yrs) |
Patient-Related Tennis Elbow Evaluation (pain, functionality) |
Patient-Related Tennis Elbow Evaluation (pain, functionality) |
Pain: Patient-Related Tennis Elbow Evaluation. |
68 |
2-Acceptable |
Objective: To investigate whether myofascial release (MFR) reduces the pain and functional disability of lateral epicondylitis (LE) in comparison with a control group receiving sham ultrasound therapy in computer professionals. Design: Randomized controlled single blinded trial. Setting: Nonprofit research foundation clinic in Kerala India. Participants: Computer professionals (N=68) with LE. Interventions: MFR group or control group. The techniques were administered by certified MFR practitioners and consisted of 12 sessions per client over 4 weeks. Main Outcome Measure: The Patient-Rated Tennis Elbow Evaluation (PRTEE) scale was used to assess pain severity and functional disability. The primary outcome measure was the difference in PRTEE scale scores between week 1 (pretest score) week 4 (posttest score) and follow-up at week 12 after randomization. Results: The simple main effects analysis showed that the MFR group performed better than the control group in weeks 4 and 12 (P<.005). Patients in the MFR and control groups reported a 78.7% and 6.8% reduction respectively in their pain and functional disability in week 4 compared with that in week 1 which persisted as 63.1% in the follow-up at week 12 in the MFR group. Conclusions: This study provides evidence that MFR is more effective than a control intervention for LE in computer professionals. |
Tennis Elbow -- Therapy |
Not Described |
ND |
Therapist (type not specified) |
Myofascial Release: 34 (3%);
Sham Ultrasound: 34 (6%). |
34 (3%);
34 (6%). |
|
Myofascial Release: 12 x 30 mins, 3x/w, 4w + ND;
Sham Ultrasound: ND x 30 mins, ND, ND + ND. |
12 x 30 mins, 3x/w, 4w + ND;
ND x 30 mins, ND, ND + ND. |
No |
Patient-Related Tennis Elbow Evaluation (pain, functionality): p < 0.001 (between groups) at 4w and 12w, p < 0.001 (between groups) over time. |
Massage effective for: Pain. |
Authors report NO AEs occurred |
http://www.ncbi.nlm.nih.gov/pubmed/?term=ajimsa++Effectiveness+of+Myofascial+Release+in+the+Management+of+Lateral+Epicondylitis+in+Computer+Professionals |
| F1 |
2 |
| Refid |
60 |
| Quick Author |
Ajimsha, 2012 |
| Author |
M. S. Ajimsha, S. Chithra and R. P. Thulasyammal |
| Title |
Effectiveness of Myofascial Release in the Management of Lateral Epicondylitis in Computer Professionals |
| Publication Date |
2012 |
| Periodical |
Archives of Physical Medicine & Rehabilitation |
| F8 |
|
| Volume |
vol 93 |
| F10 |
vol 93 |
| Issue |
4 |
| F12 |
pages |
| Page Start-End |
604-609 |
| Group |
Group 1 |
| F15 |
pages 604-609 |
| Publication Data |
Archives of Physical Medicine & Rehabilitation, vol 93: 4, pages 604-609 |
| Condition |
Musculoskeletal Pain: Epicondylitis |
| Condition (to hide) |
68c (sex = ND) participants with later epicondylitis (Mean age = 22.9 ± 4.9 yrs) |
| Outcome Measures |
Patient-Related Tennis Elbow Evaluation (pain, functionality) |
| cleaned up results |
Patient-Related Tennis Elbow Evaluation (pain, functionality) |
| Outcome Measures_ |
Pain: Patient-Related Tennis Elbow Evaluation. |
| Total Participants |
68 |
| Quality Assignment (SIGN 50) |
2-Acceptable |
| Abstract |
Objective: To investigate whether myofascial release (MFR) reduces the pain and functional disability of lateral epicondylitis (LE) in comparison with a control group receiving sham ultrasound therapy in computer professionals. Design: Randomized controlled single blinded trial. Setting: Nonprofit research foundation clinic in Kerala India. Participants: Computer professionals (N=68) with LE. Interventions: MFR group or control group. The techniques were administered by certified MFR practitioners and consisted of 12 sessions per client over 4 weeks. Main Outcome Measure: The Patient-Rated Tennis Elbow Evaluation (PRTEE) scale was used to assess pain severity and functional disability. The primary outcome measure was the difference in PRTEE scale scores between week 1 (pretest score) week 4 (posttest score) and follow-up at week 12 after randomization. Results: The simple main effects analysis showed that the MFR group performed better than the control group in weeks 4 and 12 (P<.005). Patients in the MFR and control groups reported a 78.7% and 6.8% reduction respectively in their pain and functional disability in week 4 compared with that in week 1 which persisted as 63.1% in the follow-up at week 12 in the MFR group. Conclusions: This study provides evidence that MFR is more effective than a control intervention for LE in computer professionals. |
| Keywords |
Tennis Elbow -- Therapy |
| Power |
Not Described |
| Power1 |
ND |
| Provider Type |
Therapist (type not specified) |
| Intervention Description: Number Assigned (Dropout Rate) |
Myofascial Release: 34 (3%);
Sham Ultrasound: 34 (6%). |
| # Assigned (Dropout Rate)_ |
34 (3%);
34 (6%). |
| double check # assign |
|
| Intervention Description: Dosages |
Myofascial Release: 12 x 30 mins, 3x/w, 4w + ND;
Sham Ultrasound: ND x 30 mins, ND, ND + ND. |
| Intervention Description: Dosages1 |
12 x 30 mins, 3x/w, 4w + ND;
ND x 30 mins, ND, ND + ND. |
| *Meta-Analysis |
No |
| Relevant Results _ |
Patient-Related Tennis Elbow Evaluation (pain, functionality): p < 0.001 (between groups) at 4w and 12w, p < 0.001 (between groups) over time. |
| Conclusions |
Massage effective for: Pain. |
| Adverse Events |
Authors report NO AEs occurred |
| PubMed Link |
http://www.ncbi.nlm.nih.gov/pubmed/?term=ajimsa++Effectiveness+of+Myofascial+Release+in+the+Management+of+Lateral+Epicondylitis+in+Computer+Professionals |
|
| 3 |
325 |
Berggreen, 2012 |
S. Berggreen, E. Wiik and H. Lund |
Treatment of myofascial trigger points in female patients with chronic tension-type headache - a randomized controlled trial |
2012 |
Advances in Physiotherapy |
|
vol 14 |
vol 14 |
1 |
pages |
10-17 |
Group 2 |
pages 10-17 |
Advances in Physiotherapy, vol 14: 1, pages 10-17 |
Headache: Chronic tension-type headache |
39bc women with chronic tension-type headache (mean age = massage, 38.8 ± 13.7 yrs; WLC = 42.3 ± 10.2 yrs) |
Pain: Visual Analog Scale, Number of Trigger Points, McGill Pain Questionnaire
Quality of Life: Short Form-36 Health Survey |
Pain: Visual Analog Scale, Number of Trigger Points, McGill Pain Questionnaire
Quality of Life: Short Form-36 Health Survey |
Pain: Visual Analog Scale, Number of Trigger; Points, McGill Pain Questionnaire;
Quality of Life: Short Form-36 Health Survey. |
39 |
2-Acceptable |
The aim of this study was to evaluate the efficacy of myofascial trigger point massage in the muscles of the head neck and shoulders regarding pain in the treatment of females with chronic tension-type headache. They were randomized into either a treatment group ( n == 20) (one session of trigger point massage per week for 10 weeks) or a control group receiving no treatment ( n == 19). The patients kept a diary to record their pain on a visual analogue scale (VAS) and the daily intake of drugs (mg) during the 4 weeks before and after the treatment period. The McGill Pain Questionnaire and the Short Form (SF-36) Questionnaire 1.1 were completed immediately before and after each treatment period. Morning pain measured on VAS was chosen as the primary outcome. A significant improvement in morning pain was recorded in the treatment group compared with the control group (difference of the change: 8.8 (95% CI 0.11-17.4) p == 0.047). Furthermore a significant decrease in the number of trigger points was observed in the treatment group compared with the control group. Myofascial trigger point massage has a beneficial effect on pain in female patients with chronic tension-type headache. |
Tension Headache -- Therapy |
No, power not achieved |
No, not achieved |
Physiotherapist |
Myofascial Trigger Point Therapy: 20 (5%);
Wait List Control: 19 (16%).
|
20 (5%);
19 (16%). |
|
Myofascial Trigger Point Therapy: 10 x 30-60s, 1x/w, 10w + ND;
Wait List Control: ND.
|
10 x 30-60s, 1x/w, 10w + ND;
ND.
|
No |
Visual Analog Scale (pain morning): p = 0.047 (between groups) over time; Visual Analog Scale (pain evening): p = Not Significant (between groups) over time; Visual Analog Scale (inconvenience morning): p = Not Significant (between groups) over time; Visual Analog Scale (inconvenience evening): p = Not Significant (between groups) over time; Number of Trigger Points (pain): p < 0.0001 (between groups) over time; McGill Pain Questionnaire (pain): p = Not Significant (between groups) over time; Short Form-36 Health Survey (treatment's effects on Quality of Life): p = Not Significant (between groups) over time. |
Massage effective for: Pain. |
One participant in the treatment group left the study after seven treatments because of unbearable pain. |
Not in PubMed |
| F1 |
3 |
| Refid |
325 |
| Quick Author |
Berggreen, 2012 |
| Author |
S. Berggreen, E. Wiik and H. Lund |
| Title |
Treatment of myofascial trigger points in female patients with chronic tension-type headache - a randomized controlled trial |
| Publication Date |
2012 |
| Periodical |
Advances in Physiotherapy |
| F8 |
|
| Volume |
vol 14 |
| F10 |
vol 14 |
| Issue |
1 |
| F12 |
pages |
| Page Start-End |
10-17 |
| Group |
Group 2 |
| F15 |
pages 10-17 |
| Publication Data |
Advances in Physiotherapy, vol 14: 1, pages 10-17 |
| Condition |
Headache: Chronic tension-type headache |
| Condition (to hide) |
39bc women with chronic tension-type headache (mean age = massage, 38.8 ± 13.7 yrs; WLC = 42.3 ± 10.2 yrs) |
| Outcome Measures |
Pain: Visual Analog Scale, Number of Trigger Points, McGill Pain Questionnaire
Quality of Life: Short Form-36 Health Survey |
| cleaned up results |
Pain: Visual Analog Scale, Number of Trigger Points, McGill Pain Questionnaire
Quality of Life: Short Form-36 Health Survey |
| Outcome Measures_ |
Pain: Visual Analog Scale, Number of Trigger; Points, McGill Pain Questionnaire;
Quality of Life: Short Form-36 Health Survey. |
| Total Participants |
39 |
| Quality Assignment (SIGN 50) |
2-Acceptable |
| Abstract |
The aim of this study was to evaluate the efficacy of myofascial trigger point massage in the muscles of the head neck and shoulders regarding pain in the treatment of females with chronic tension-type headache. They were randomized into either a treatment group ( n == 20) (one session of trigger point massage per week for 10 weeks) or a control group receiving no treatment ( n == 19). The patients kept a diary to record their pain on a visual analogue scale (VAS) and the daily intake of drugs (mg) during the 4 weeks before and after the treatment period. The McGill Pain Questionnaire and the Short Form (SF-36) Questionnaire 1.1 were completed immediately before and after each treatment period. Morning pain measured on VAS was chosen as the primary outcome. A significant improvement in morning pain was recorded in the treatment group compared with the control group (difference of the change: 8.8 (95% CI 0.11-17.4) p == 0.047). Furthermore a significant decrease in the number of trigger points was observed in the treatment group compared with the control group. Myofascial trigger point massage has a beneficial effect on pain in female patients with chronic tension-type headache. |
| Keywords |
Tension Headache -- Therapy |
| Power |
No, power not achieved |
| Power1 |
No, not achieved |
| Provider Type |
Physiotherapist |
| Intervention Description: Number Assigned (Dropout Rate) |
Myofascial Trigger Point Therapy: 20 (5%);
Wait List Control: 19 (16%).
|
| # Assigned (Dropout Rate)_ |
20 (5%);
19 (16%). |
| double check # assign |
|
| Intervention Description: Dosages |
Myofascial Trigger Point Therapy: 10 x 30-60s, 1x/w, 10w + ND;
Wait List Control: ND.
|
| Intervention Description: Dosages1 |
10 x 30-60s, 1x/w, 10w + ND;
ND.
|
| *Meta-Analysis |
No |
| Relevant Results _ |
Visual Analog Scale (pain morning): p = 0.047 (between groups) over time; Visual Analog Scale (pain evening): p = Not Significant (between groups) over time; Visual Analog Scale (inconvenience morning): p = Not Significant (between groups) over time; Visual Analog Scale (inconvenience evening): p = Not Significant (between groups) over time; Number of Trigger Points (pain): p < 0.0001 (between groups) over time; McGill Pain Questionnaire (pain): p = Not Significant (between groups) over time; Short Form-36 Health Survey (treatment's effects on Quality of Life): p = Not Significant (between groups) over time. |
| Conclusions |
Massage effective for: Pain. |
| Adverse Events |
One participant in the treatment group left the study after seven treatments because of unbearable pain. |
| PubMed Link |
Not in PubMed |
|
| 4 |
395 |
Blikstad, 2008 |
A. Blikstad and H. Gemmell |
Immediate effect of activator trigger point therapy and myofascial band therapy on non-specific neck pain in patients with upper trapezius trigger points compared to sham ultrasound: a randomised controlled trial |
2008 |
Clinical Chiropractic |
|
vol 11 |
vol 11 |
1 |
pages |
23-29 |
Group 1 |
pages 23-29 |
Clinical Chiropractic, vol 11: 1, pages 23-29 |
Musculoskeletal Pain: Non-specific neck pain |
45c (20M/25F) participants with non-specific neck pain (mean age = 23.8 yrs) |
|
Numerical Rating Scale (pain)
Cervical Range of Motion Goniometer (Range of Motion)
Pain Pressure Algometer (Pain Pressure Threshold)
|
Pain: Numerical Rating Scale;
Activity: Cervical Range of Motion Goniometer;
Pain Pressure Threshold: Pain Pressure Algometer.
|
45 |
1-High |
Objective: To determine the immediate effect of activator trigger point therapy
(ATrPT) and myofascial band therapy (MBT) compared to sham ultrasound (SUS) on
non-specific neck pain, cervical lateral flexion and pain pressure threshold of upper
trapezius trigger points.
Design: Randomised, placebo-controlled clinical trial.
Setting: Anglo-European College of Chiropractic (AECC) in Bournemouth, England.
Subjects: Forty-five subjects between 18 and 55 years of age with non-specific neck
pain of at least 4 on an 11-point numerical rating scale (NRS), an upper trapezius
trigger point (TrP) and decreased cervical lateral flexion to the opposite side of the
active upper trapezius TrP were recruited from the AECC student body.
Methods: The subjects were randomly assigned to one of three treatment groups:
activator trigger point therapy, myofascial band therapy or sham ultrasound (control
group). Neck pain level was determined using a numerical rating scale, degree of
lateral flexion (LF) was determined using a cervical range of motion (CROM) goniometer
and pain pressure thresholds (PPT) were measured with a pain pressure
algometer. All subjects attended one treatment session and outcome measures were
repeated within 5 min after treatment.
Results: A one-way ANOVA indicated there was no statistically significant difference
between the groups at baseline in age, pain level, lateral cervical flexion or pain
pressure threshold ( p > 0.05). For the primary outcome measure of pain reduction
the odds of a patient improving with activator trigger point therapy was 7 times higher
than a patient treated with myofascial band therapy or sham ultrasound (95% CI:1.23—45.03). The number needed to treat (NNT) with activator trigger point therapy
for one patient to improve was 3 (95% CI: 1.4—10.6).
Conclusion: Activator trigger point therapy appears to be more effective than
myofascial band therapy or sham ultrasound in treating patients with non-specific
neck pain and upper trapezius trigger points. |
Myofascial Release |
Not Described |
ND |
Clinician |
Myofascial Band Therapy: 15 (0%);
Activator Trigger Point Therapy (Active Control): 15 (0%);
Sham Ultrasound: 15 (0%).
|
15 (0%);
15 (0%);
15 (0%). |
|
Myofascial Band Therapy: 1 x ND, 1x, 1d + ND;
Activator Trigger Point Therapy (Active Control): 1 x ND, 1x, 1d + ND;
Sham Ultrasound: ND.
|
1 x ND, 1x, 1d + ND;
1 x ND, 1x, 1d + ND;
ND. |
No |
Numerical Rating Scale (pain): p = Not Described (all groups); Cervical Range of Motion Goniometer (Range of Motion): p = Not Described (all groups); Pain Pressure Algometer (Pain Pressure Threshold): p = Not Described (all groups).
|
No relevant significant results. |
Authors do not report or mention anything about AEs |
Not in PubMed |
| F1 |
4 |
| Refid |
395 |
| Quick Author |
Blikstad, 2008 |
| Author |
A. Blikstad and H. Gemmell |
| Title |
Immediate effect of activator trigger point therapy and myofascial band therapy on non-specific neck pain in patients with upper trapezius trigger points compared to sham ultrasound: a randomised controlled trial |
| Publication Date |
2008 |
| Periodical |
Clinical Chiropractic |
| F8 |
|
| Volume |
vol 11 |
| F10 |
vol 11 |
| Issue |
1 |
| F12 |
pages |
| Page Start-End |
23-29 |
| Group |
Group 1 |
| F15 |
pages 23-29 |
| Publication Data |
Clinical Chiropractic, vol 11: 1, pages 23-29 |
| Condition |
Musculoskeletal Pain: Non-specific neck pain |
| Condition (to hide) |
45c (20M/25F) participants with non-specific neck pain (mean age = 23.8 yrs) |
| Outcome Measures |
|
| cleaned up results |
Numerical Rating Scale (pain)
Cervical Range of Motion Goniometer (Range of Motion)
Pain Pressure Algometer (Pain Pressure Threshold)
|
| Outcome Measures_ |
Pain: Numerical Rating Scale;
Activity: Cervical Range of Motion Goniometer;
Pain Pressure Threshold: Pain Pressure Algometer.
|
| Total Participants |
45 |
| Quality Assignment (SIGN 50) |
1-High |
| Abstract |
Objective: To determine the immediate effect of activator trigger point therapy
(ATrPT) and myofascial band therapy (MBT) compared to sham ultrasound (SUS) on
non-specific neck pain, cervical lateral flexion and pain pressure threshold of upper
trapezius trigger points.
Design: Randomised, placebo-controlled clinical trial.
Setting: Anglo-European College of Chiropractic (AECC) in Bournemouth, England.
Subjects: Forty-five subjects between 18 and 55 years of age with non-specific neck
pain of at least 4 on an 11-point numerical rating scale (NRS), an upper trapezius
trigger point (TrP) and decreased cervical lateral flexion to the opposite side of the
active upper trapezius TrP were recruited from the AECC student body.
Methods: The subjects were randomly assigned to one of three treatment groups:
activator trigger point therapy, myofascial band therapy or sham ultrasound (control
group). Neck pain level was determined using a numerical rating scale, degree of
lateral flexion (LF) was determined using a cervical range of motion (CROM) goniometer
and pain pressure thresholds (PPT) were measured with a pain pressure
algometer. All subjects attended one treatment session and outcome measures were
repeated within 5 min after treatment.
Results: A one-way ANOVA indicated there was no statistically significant difference
between the groups at baseline in age, pain level, lateral cervical flexion or pain
pressure threshold ( p > 0.05). For the primary outcome measure of pain reduction
the odds of a patient improving with activator trigger point therapy was 7 times higher
than a patient treated with myofascial band therapy or sham ultrasound (95% CI:1.23—45.03). The number needed to treat (NNT) with activator trigger point therapy
for one patient to improve was 3 (95% CI: 1.4—10.6).
Conclusion: Activator trigger point therapy appears to be more effective than
myofascial band therapy or sham ultrasound in treating patients with non-specific
neck pain and upper trapezius trigger points. |
| Keywords |
Myofascial Release |
| Power |
Not Described |
| Power1 |
ND |
| Provider Type |
Clinician |
| Intervention Description: Number Assigned (Dropout Rate) |
Myofascial Band Therapy: 15 (0%);
Activator Trigger Point Therapy (Active Control): 15 (0%);
Sham Ultrasound: 15 (0%).
|
| # Assigned (Dropout Rate)_ |
15 (0%);
15 (0%);
15 (0%). |
| double check # assign |
|
| Intervention Description: Dosages |
Myofascial Band Therapy: 1 x ND, 1x, 1d + ND;
Activator Trigger Point Therapy (Active Control): 1 x ND, 1x, 1d + ND;
Sham Ultrasound: ND.
|
| Intervention Description: Dosages1 |
1 x ND, 1x, 1d + ND;
1 x ND, 1x, 1d + ND;
ND. |
| *Meta-Analysis |
No |
| Relevant Results _ |
Numerical Rating Scale (pain): p = Not Described (all groups); Cervical Range of Motion Goniometer (Range of Motion): p = Not Described (all groups); Pain Pressure Algometer (Pain Pressure Threshold): p = Not Described (all groups).
|
| Conclusions |
No relevant significant results. |
| Adverse Events |
Authors do not report or mention anything about AEs |
| PubMed Link |
Not in PubMed |
|
| 5 |
404 |
Bodes-Pardo, 2013 |
G. Bodes-Pardo, D. Pecos-MartinT. Gallego-Izquierdo, J. Salom-Moreno, C. Fernández-de-Las-Peñas, R. Ortega-Santiago |
Manual Treatment for Cervicogenic Headache and Active Trigger Point in the Sternocleidomastoid Muscle: A Pilot Randomized Clinical Trial |
2013 |
Journal of Manipulative & Physiological Therapeutics |
vol |
36 |
vol 36 |
7 |
pages |
403-411 |
Group 2 |
pages 403-411 |
Journal of Manipulative & Physiological Therapeutics, vol 36: 7, pages 403-411 |
Headache: Cervicogenic headache |
20c (7M/13F) participants with cervicogenic headache (mean age = 39.0 ± 13.0 yrs) |
|
Numerical Rating Scale (headache intensity, neck pain intensity)
Pain: Headache Frequency (headache frequency)
Headache Duration (headache duration)
Cervical Range of Motion (Range of Motion)
Activity: Craniocervical Flexor Test (motor performance)
Pain Pressure Threshold (Pain Pressure Threshold) |
Pain: Numerical Rating Scale, Headache Frequency, Headache Duration;
Activity: Cervical Range of Motion, Craniocervical Flexor Test;
Pain Pressure Threshold: Analogical Algometer. |
20 |
2-Acceptable |
OBJECTIVE: The purpose of this preliminary study was to determine feasibility of
a clinical trial to measure the effects of manual therapy on sternocleidomastoid
active trigger points (TrPs) in patients with cervicogenic headache (CeH).
METHODS: Twenty patients, 7 males and 13 females (mean ± SD age, 39 ± 13 years),
with a clinical diagnosis of CeH and active TrPs in the sternocleidomastoid
muscle were randomly divided into 2 groups. One group received TrP therapy
(manual pressure applied to taut bands and passive stretching), and the other
group received simulated TrP therapy (after TrP localization no additional
pressure was added, and inclusion of longitudinal stroking but no additional
stretching). The primary outcome was headache intensity (numeric pain scale)
based on the headaches experienced in the preceding week. Secondary outcomes
included neck pain intensity, cervical range of motion (CROM), pressure pain
thresholds (PPT) over the upper cervical spine joints and deep cervical flexors
motor performance. Outcomes were captured at baseline and 1 week after the
treatment.
RESULTS: Patients receiving TrP therapy showed greater reduction in headache and
neck pain intensity than those receiving the simulation (P < .001). Patients
receiving the TrP therapy experienced greater improvements in motor performance
of the deep cervical flexors, active CROM, and PPT (all, P < .001) than those
receiving the simulation. Between-groups effect sizes were large (all,
standardized mean difference, >0.84).
CONCLUSION: This study provides preliminary evidence that a trial of this nature
is feasible. The preliminary findings show that manual therapy targeted to active
TrPs in the sternocleidomastoid muscle may be effective for reducing headache and
neck pain intensity and increasing motor performance of the deep cervical
flexors, PPT, and active CROM in individuals with CeH showing active TrPs in this
muscle. Studies including greater sample sizes and examining long-term effects
are needed. |
Headache -- Therapy |
Not Described |
ND |
Clinician |
Active Trigger Point Therapy: 10 (ND);
Simulated Trigger Point Therapy (Sham): 10 (ND). |
10 (ND);
10 (ND). |
|
Active Trigger Point Therapy: 3 x ND, 3x/w, 1w + ND;
Simulated Trigger Point Therapy (Sham): ND. |
3 x ND, 3x/w, 1w + ND;
ND. |
No |
Numerical Rating Scale (headache intensity, neck pain intensity): p < 0.001 (between groups) (sham) over time, Effect Size = -3.7, pre / post; Headache Frequency (headache frequency): p = Not Described; Headache Duration (headache duration): p = Not Described; Cervical Range of Motion (Range of Motion): p < 0.001 (between groups) over time; Craniocervical Flexor Test (motor performance): p < 0.001 (between groups) over time; Analogical Algometer (Pain Pressure Threshold):p < 0.001 (between groups) over time. |
Massage effective for: Pain,
Activity, Pain Pressure Threshold. |
Authors do not report or mention anything about AEs |
http://www.ncbi.nlm.nih.gov/pubmed/?term=bodes-pardoManual+Treatment+for+Cervicogenic+Headache+and+Active+Trigger+Point+in+the+Sternocleidomastoid+Muscle%3A+A+Pilot+Randomized+Clinical+Trial |
| F1 |
5 |
| Refid |
404 |
| Quick Author |
Bodes-Pardo, 2013 |
| Author |
G. Bodes-Pardo, D. Pecos-MartinT. Gallego-Izquierdo, J. Salom-Moreno, C. Fernández-de-Las-Peñas, R. Ortega-Santiago |
| Title |
Manual Treatment for Cervicogenic Headache and Active Trigger Point in the Sternocleidomastoid Muscle: A Pilot Randomized Clinical Trial |
| Publication Date |
2013 |
| Periodical |
Journal of Manipulative & Physiological Therapeutics |
| F8 |
vol |
| Volume |
36 |
| F10 |
vol 36 |
| Issue |
7 |
| F12 |
pages |
| Page Start-End |
403-411 |
| Group |
Group 2 |
| F15 |
pages 403-411 |
| Publication Data |
Journal of Manipulative & Physiological Therapeutics, vol 36: 7, pages 403-411 |
| Condition |
Headache: Cervicogenic headache |
| Condition (to hide) |
20c (7M/13F) participants with cervicogenic headache (mean age = 39.0 ± 13.0 yrs) |
| Outcome Measures |
|
| cleaned up results |
Numerical Rating Scale (headache intensity, neck pain intensity)
Pain: Headache Frequency (headache frequency)
Headache Duration (headache duration)
Cervical Range of Motion (Range of Motion)
Activity: Craniocervical Flexor Test (motor performance)
Pain Pressure Threshold (Pain Pressure Threshold) |
| Outcome Measures_ |
Pain: Numerical Rating Scale, Headache Frequency, Headache Duration;
Activity: Cervical Range of Motion, Craniocervical Flexor Test;
Pain Pressure Threshold: Analogical Algometer. |
| Total Participants |
20 |
| Quality Assignment (SIGN 50) |
2-Acceptable |
| Abstract |
OBJECTIVE: The purpose of this preliminary study was to determine feasibility of
a clinical trial to measure the effects of manual therapy on sternocleidomastoid
active trigger points (TrPs) in patients with cervicogenic headache (CeH).
METHODS: Twenty patients, 7 males and 13 females (mean ± SD age, 39 ± 13 years),
with a clinical diagnosis of CeH and active TrPs in the sternocleidomastoid
muscle were randomly divided into 2 groups. One group received TrP therapy
(manual pressure applied to taut bands and passive stretching), and the other
group received simulated TrP therapy (after TrP localization no additional
pressure was added, and inclusion of longitudinal stroking but no additional
stretching). The primary outcome was headache intensity (numeric pain scale)
based on the headaches experienced in the preceding week. Secondary outcomes
included neck pain intensity, cervical range of motion (CROM), pressure pain
thresholds (PPT) over the upper cervical spine joints and deep cervical flexors
motor performance. Outcomes were captured at baseline and 1 week after the
treatment.
RESULTS: Patients receiving TrP therapy showed greater reduction in headache and
neck pain intensity than those receiving the simulation (P < .001). Patients
receiving the TrP therapy experienced greater improvements in motor performance
of the deep cervical flexors, active CROM, and PPT (all, P < .001) than those
receiving the simulation. Between-groups effect sizes were large (all,
standardized mean difference, >0.84).
CONCLUSION: This study provides preliminary evidence that a trial of this nature
is feasible. The preliminary findings show that manual therapy targeted to active
TrPs in the sternocleidomastoid muscle may be effective for reducing headache and
neck pain intensity and increasing motor performance of the deep cervical
flexors, PPT, and active CROM in individuals with CeH showing active TrPs in this
muscle. Studies including greater sample sizes and examining long-term effects
are needed. |
| Keywords |
Headache -- Therapy |
| Power |
Not Described |
| Power1 |
ND |
| Provider Type |
Clinician |
| Intervention Description: Number Assigned (Dropout Rate) |
Active Trigger Point Therapy: 10 (ND);
Simulated Trigger Point Therapy (Sham): 10 (ND). |
| # Assigned (Dropout Rate)_ |
10 (ND);
10 (ND). |
| double check # assign |
|
| Intervention Description: Dosages |
Active Trigger Point Therapy: 3 x ND, 3x/w, 1w + ND;
Simulated Trigger Point Therapy (Sham): ND. |
| Intervention Description: Dosages1 |
3 x ND, 3x/w, 1w + ND;
ND. |
| *Meta-Analysis |
No |
| Relevant Results _ |
Numerical Rating Scale (headache intensity, neck pain intensity): p < 0.001 (between groups) (sham) over time, Effect Size = -3.7, pre / post; Headache Frequency (headache frequency): p = Not Described; Headache Duration (headache duration): p = Not Described; Cervical Range of Motion (Range of Motion): p < 0.001 (between groups) over time; Craniocervical Flexor Test (motor performance): p < 0.001 (between groups) over time; Analogical Algometer (Pain Pressure Threshold):p < 0.001 (between groups) over time. |
| Conclusions |
Massage effective for: Pain,
Activity, Pain Pressure Threshold. |
| Adverse Events |
Authors do not report or mention anything about AEs |
| PubMed Link |
http://www.ncbi.nlm.nih.gov/pubmed/?term=bodes-pardoManual+Treatment+for+Cervicogenic+Headache+and+Active+Trigger+Point+in+the+Sternocleidomastoid+Muscle%3A+A+Pilot+Randomized+Clinical+Trial |
|
| 6 |
450 |
Brattberg, 1999 |
G. Brattberg |
Connective tissue massage in the treatment of fibromyalgia |
1999 |
European Journal of Pain |
vol |
3 |
vol 3 |
3 |
pages |
235-244 |
Group 4 |
pages 235-244 |
European Journal of Pain, vol 3: 3, pages 235-244 |
Chronic Pain: Fibromyalgia |
48 (1M/47F) participants with fibromyalgia (mean age = 48.0 ± 12.4 yrs) |
|
Visual Analog Scale (pain)
Activity: Disability Rating Index (disability)
Sleep Disturbance (sleep)
Hospital Anxiety and Depression Scale (anxiety, depression)
QOL?: Ordinal Scale (satisfaction with life)
Fibrositis impact questionnaire (Quality of Life)
Quality of Life scale (Quality of Life) |
Pain: Visual Analog Scale;
Activity: Disability Rating Index;
Sleep: Sleep Disturbance;
Mood: Hospital Anxiety and Depression Scale;
Quality of Life: Ordinal Scale, Fibrositis impact questionnaire, Quality of Life scale. |
48 |
3-Low |
The aim of this study was to investigate the effect of connective tissue massage in the treatment of individuals with fibromyalgia. The results of this random study of 48 individuals diagnosed with fibromyalgia (23 in the treatment group and 25 in the reference group) show that a series of 15 treatments with connective tissue massage conveys a pain relieving effect of 37% reduces depression and the use of analgesics and positively effects quality of life. The treatment effects appeared gradually during the 10-week treatment period. Three months after the treatment period about 30% of the pain relieving effect was gone and 6 months after the treatment period pain was back to about 90% of the basic value. As long as there is a lack of effective medical treatment for individuals with fibromyalgia they ought to be offered treatments with connective tissue massage. However further studies are needed in the mechanisms behind the treatment effects. (PsycINFO Database Record (c) 2013 APA all rights reserved) (journal abstract) |
connective tissue massage |
Not Described |
ND |
Massage therapist |
Connective Tissue Manipulation / Wait List Control (No Treatment): 52 (8%) (Crossover) |
Crossover:
52 (8%)
|
|
Connective Tissue Manipulation: 15 x ND, ND, 10w + neck, low back and breathing exercises at home;
Wait List Control (No Treatment): ND. |
15 x ND, ND, 10w + neck, low back and breathing exercises at home;
ND. |
No |
Visual Analog Scale (pain): p = 0.00 (between groups) at post, Effect Size = -1.32, pre / post; Disability Rating Index (disability): p = Not Significant (between groups) at all time points; Sleep Disturbance (sleep): p = Not Significant (between groups) at all time points; Hospital Anxiety and Depression Scale (anxiety, depression): p = Not Significant (between groups) at all time points; Ordinal Scale (satisfaction with life): p = Not Described; Fibrositis impact questionnaire (Quality of Life): p = 0.02 (between groups) at post; Quality of Life scale (Quality of Life): p = Not Significant (between groups) at all time points. |
Massage effective for: Pain, Quality of Life. |
Authors do not report or mention anything about AEs |
http://www.ncbi.nlm.nih.gov/pubmed/?term=brattberg++Connective+tissue+massage+in+the+treatment+of+fibromyalgia |
| F1 |
6 |
| Refid |
450 |
| Quick Author |
Brattberg, 1999 |
| Author |
G. Brattberg |
| Title |
Connective tissue massage in the treatment of fibromyalgia |
| Publication Date |
1999 |
| Periodical |
European Journal of Pain |
| F8 |
vol |
| Volume |
3 |
| F10 |
vol 3 |
| Issue |
3 |
| F12 |
pages |
| Page Start-End |
235-244 |
| Group |
Group 4 |
| F15 |
pages 235-244 |
| Publication Data |
European Journal of Pain, vol 3: 3, pages 235-244 |
| Condition |
Chronic Pain: Fibromyalgia |
| Condition (to hide) |
48 (1M/47F) participants with fibromyalgia (mean age = 48.0 ± 12.4 yrs) |
| Outcome Measures |
|
| cleaned up results |
Visual Analog Scale (pain)
Activity: Disability Rating Index (disability)
Sleep Disturbance (sleep)
Hospital Anxiety and Depression Scale (anxiety, depression)
QOL?: Ordinal Scale (satisfaction with life)
Fibrositis impact questionnaire (Quality of Life)
Quality of Life scale (Quality of Life) |
| Outcome Measures_ |
Pain: Visual Analog Scale;
Activity: Disability Rating Index;
Sleep: Sleep Disturbance;
Mood: Hospital Anxiety and Depression Scale;
Quality of Life: Ordinal Scale, Fibrositis impact questionnaire, Quality of Life scale. |
| Total Participants |
48 |
| Quality Assignment (SIGN 50) |
3-Low |
| Abstract |
The aim of this study was to investigate the effect of connective tissue massage in the treatment of individuals with fibromyalgia. The results of this random study of 48 individuals diagnosed with fibromyalgia (23 in the treatment group and 25 in the reference group) show that a series of 15 treatments with connective tissue massage conveys a pain relieving effect of 37% reduces depression and the use of analgesics and positively effects quality of life. The treatment effects appeared gradually during the 10-week treatment period. Three months after the treatment period about 30% of the pain relieving effect was gone and 6 months after the treatment period pain was back to about 90% of the basic value. As long as there is a lack of effective medical treatment for individuals with fibromyalgia they ought to be offered treatments with connective tissue massage. However further studies are needed in the mechanisms behind the treatment effects. (PsycINFO Database Record (c) 2013 APA all rights reserved) (journal abstract) |
| Keywords |
connective tissue massage |
| Power |
Not Described |
| Power1 |
ND |
| Provider Type |
Massage therapist |
| Intervention Description: Number Assigned (Dropout Rate) |
Connective Tissue Manipulation / Wait List Control (No Treatment): 52 (8%) (Crossover) |
| # Assigned (Dropout Rate)_ |
Crossover:
52 (8%)
|
| double check # assign |
|
| Intervention Description: Dosages |
Connective Tissue Manipulation: 15 x ND, ND, 10w + neck, low back and breathing exercises at home;
Wait List Control (No Treatment): ND. |
| Intervention Description: Dosages1 |
15 x ND, ND, 10w + neck, low back and breathing exercises at home;
ND. |
| *Meta-Analysis |
No |
| Relevant Results _ |
Visual Analog Scale (pain): p = 0.00 (between groups) at post, Effect Size = -1.32, pre / post; Disability Rating Index (disability): p = Not Significant (between groups) at all time points; Sleep Disturbance (sleep): p = Not Significant (between groups) at all time points; Hospital Anxiety and Depression Scale (anxiety, depression): p = Not Significant (between groups) at all time points; Ordinal Scale (satisfaction with life): p = Not Described; Fibrositis impact questionnaire (Quality of Life): p = 0.02 (between groups) at post; Quality of Life scale (Quality of Life): p = Not Significant (between groups) at all time points. |
| Conclusions |
Massage effective for: Pain, Quality of Life. |
| Adverse Events |
Authors do not report or mention anything about AEs |
| PubMed Link |
http://www.ncbi.nlm.nih.gov/pubmed/?term=brattberg++Connective+tissue+massage+in+the+treatment+of+fibromyalgia |
|
| 7 |
499 |
Buttagat, 2012* |
V. Buttagat, W. Eungpinichpong, U. Chatchawan and P. Arayawichanon |
Therapeutic effects of traditional Thai massage on pain, muscle tension and anxiety in patients with scapulocostal syndrome: A randomized single-blinded pilot study |
2012 |
Journal of Bodywork & Movement Therapies |
vol |
16 |
vol 16 |
1 |
pages |
57-63 |
Group 1 |
pages 57-63 |
Journal of Bodywork & Movement Therapies, vol 16: 1, pages 57-63 |
Musculoskeletal Pain: Scapuloscostal syndrome |
20c (3M/17F) scapuloscostal syndrome patients (mean age = 24.9 yrs) |
|
Visual Analog Scale (pain intensity)
Visual Analog Scale (muscle tension)
State-Trait Anxiety Inventory (anxiety)
?Patient Satisfaction Questionnaire (satisfaction)
Pressure Algometry (Pain Pressure Threshold) |
Pain: Visual Analog Scale;
Mood: State-Trait Anxiety Inventory;
Quality of Life: Patient Satisfaction Questionnaire;
Pain Pressure Threshold: Pressure Algometry. |
20 |
2-Acceptable |
Summary: The purpose of this study was to investigate the therapeutic effects of traditional Thai massage (TTM) on pain intensity pressure pain threshold (PPT) muscle tension and anxiety associated with scapulocostal syndrome (SCS). Twenty patients were randomly allocated to receive a 30-min session of either TTM or physical therapy modalities (PT: ultrasound therapy and hot pack) for 9 sessions over a period of 3 weeks. Pain intensity PPT muscle tension and anxiety were measured before and immediately after the first treatment session 1 day after the last treatment session and 2 weeks after the last treatment session. Results indicated that the TTM group showed a significant improvement in all parameters after the first treatment session and at 1 day and 2 weeks after the last treatment session (p 0.05). We therefore suggest that TTM could be an alternative treatment for the patient with SCS. |
Massage -- Methods -- Thailand |
Not Described |
ND |
Massage therapist |
Traditional Thai Massage: 10 (ND);
Physical Therapy (Active Control): 10 (ND). |
10 (ND);
10 (ND). |
|
Traditional Thai Massage: 9 x 30 mins, ND, 3w + ND;
Physical Therapy (Active Control): 9 x 30 mins, ND, 3w + ND. |
9 x 30 mins, ND, 3w + ND;
9 x 30 mins, ND, 3w + ND. |
Yes |
*Visual Analog Scale (pain intensity): p < 0.05 (within groups) (Traditional Thai Massage) at all time points, p < 0.05 (within groups) (Physical Therapy) at post 1 and 2, Effect Size = -1.40, Active Control, pre / post; Visual Analog Scale (muscle tension): p < 0.05 (within groups) (both groups) at all time points; *State-Trait Anxiety Inventory (anxiety): p < 0.05 (within groups) (both groups) at all time points; Patient Satisfaction Questionnaire (satisfaction): p = Not Described (both groups); Pressure Algometry (Pain Pressure Threshold): p < 0.05 (within groups) (Traditional Thai Massage) at all time points, p = Not Significant (within groups) (Physical Therapy) at all time points. |
Massage effective for: Pain,
Mood, Pain Pressure Threshold. |
Authors report NO AEs occurred |
http://www.ncbi.nlm.nih.gov/pubmed/?term=buttagat++Therapeutic+effects+of+traditional+Thai+massage+on+pain%2C+muscle+tension+and+anxiety+in+patients+with+scapulocostal+syndrome%3A+A+randomized+single-blinded+pilot+study |
| F1 |
7 |
| Refid |
499 |
| Quick Author |
Buttagat, 2012* |
| Author |
V. Buttagat, W. Eungpinichpong, U. Chatchawan and P. Arayawichanon |
| Title |
Therapeutic effects of traditional Thai massage on pain, muscle tension and anxiety in patients with scapulocostal syndrome: A randomized single-blinded pilot study |
| Publication Date |
2012 |
| Periodical |
Journal of Bodywork & Movement Therapies |
| F8 |
vol |
| Volume |
16 |
| F10 |
vol 16 |
| Issue |
1 |
| F12 |
pages |
| Page Start-End |
57-63 |
| Group |
Group 1 |
| F15 |
pages 57-63 |
| Publication Data |
Journal of Bodywork & Movement Therapies, vol 16: 1, pages 57-63 |
| Condition |
Musculoskeletal Pain: Scapuloscostal syndrome |
| Condition (to hide) |
20c (3M/17F) scapuloscostal syndrome patients (mean age = 24.9 yrs) |
| Outcome Measures |
|
| cleaned up results |
Visual Analog Scale (pain intensity)
Visual Analog Scale (muscle tension)
State-Trait Anxiety Inventory (anxiety)
?Patient Satisfaction Questionnaire (satisfaction)
Pressure Algometry (Pain Pressure Threshold) |
| Outcome Measures_ |
Pain: Visual Analog Scale;
Mood: State-Trait Anxiety Inventory;
Quality of Life: Patient Satisfaction Questionnaire;
Pain Pressure Threshold: Pressure Algometry. |
| Total Participants |
20 |
| Quality Assignment (SIGN 50) |
2-Acceptable |
| Abstract |
Summary: The purpose of this study was to investigate the therapeutic effects of traditional Thai massage (TTM) on pain intensity pressure pain threshold (PPT) muscle tension and anxiety associated with scapulocostal syndrome (SCS). Twenty patients were randomly allocated to receive a 30-min session of either TTM or physical therapy modalities (PT: ultrasound therapy and hot pack) for 9 sessions over a period of 3 weeks. Pain intensity PPT muscle tension and anxiety were measured before and immediately after the first treatment session 1 day after the last treatment session and 2 weeks after the last treatment session. Results indicated that the TTM group showed a significant improvement in all parameters after the first treatment session and at 1 day and 2 weeks after the last treatment session (p 0.05). We therefore suggest that TTM could be an alternative treatment for the patient with SCS. |
| Keywords |
Massage -- Methods -- Thailand |
| Power |
Not Described |
| Power1 |
ND |
| Provider Type |
Massage therapist |
| Intervention Description: Number Assigned (Dropout Rate) |
Traditional Thai Massage: 10 (ND);
Physical Therapy (Active Control): 10 (ND). |
| # Assigned (Dropout Rate)_ |
10 (ND);
10 (ND). |
| double check # assign |
|
| Intervention Description: Dosages |
Traditional Thai Massage: 9 x 30 mins, ND, 3w + ND;
Physical Therapy (Active Control): 9 x 30 mins, ND, 3w + ND. |
| Intervention Description: Dosages1 |
9 x 30 mins, ND, 3w + ND;
9 x 30 mins, ND, 3w + ND. |
| *Meta-Analysis |
Yes |
| Relevant Results _ |
*Visual Analog Scale (pain intensity): p < 0.05 (within groups) (Traditional Thai Massage) at all time points, p < 0.05 (within groups) (Physical Therapy) at post 1 and 2, Effect Size = -1.40, Active Control, pre / post; Visual Analog Scale (muscle tension): p < 0.05 (within groups) (both groups) at all time points; *State-Trait Anxiety Inventory (anxiety): p < 0.05 (within groups) (both groups) at all time points; Patient Satisfaction Questionnaire (satisfaction): p = Not Described (both groups); Pressure Algometry (Pain Pressure Threshold): p < 0.05 (within groups) (Traditional Thai Massage) at all time points, p = Not Significant (within groups) (Physical Therapy) at all time points. |
| Conclusions |
Massage effective for: Pain,
Mood, Pain Pressure Threshold. |
| Adverse Events |
Authors report NO AEs occurred |
| PubMed Link |
http://www.ncbi.nlm.nih.gov/pubmed/?term=buttagat++Therapeutic+effects+of+traditional+Thai+massage+on+pain%2C+muscle+tension+and+anxiety+in+patients+with+scapulocostal+syndrome%3A+A+randomized+single-blinded+pilot+study |
|
| 8 |
500 |
Buttagat, 2011* |
V. Buttagat, W. Eungpinichpong, U. Chatchawan and S. Kharmwan |
The immediate effects of traditional Thai massage on heart rate variability and stress-related parameters in patients with back pain associated with myofascial trigger points |
2011 |
J Bodyw Mov Ther |
vol |
15 |
vol 15 |
1 |
pages |
15-23 |
Group 1 |
pages 15-23 |
J Bodyw Mov Ther, vol 15: 1, pages 15-23 |
Musculoskeletal Pain: Back pain associated with myofascial trigger points |
36ac (16M/20F) participants with back pain associated with myofascial trigger points (mean age = 22.6 ± 2.9 yrs) |
|
Visual Analog Scale (pain intensity)
Visual Analog Scale (muscle tension)
State-Trait Anxiety Inventory (anxiety)
Physiological: Heart Rate Variability (Heart Rate)
Pain Pressure Threshold (Pain Pressure Threshold) |
Pain: Visual Analog Scale;
Activity: Visual Analog Scale, Sit-and-reach box;
Mood: State-Trait Anxiety Inventory;
Physiological: Heart Rate Variability;
Pain Pressure Threshold: Pressure Algometry.
|
36 |
1-High |
The purpose of this study was to investigate the immediate effects of traditional Thai massage (TTM) on stress-related parameters including heart rate variability (HRV) anxiety muscle tension pain intensity pressure pain threshold and body flexibility in patients with back pain associated with myofascial trigger points. Thirty-six patients were randomly allocated to receive a 30-min session of either TTM or control (rest on bed) for one session. Results indicated that TTM was associated with significant increases in HRV (increased total power frequency (TPF) and high frequency (HF)) pressure pain threshold (PPT) and body flexibility (p<0.05) and significant decreases in self-reported pain intensity anxiety and muscle tension (p<0.001). For all outcomes similar changes were not observed in the control group. The adjusted post-test mean values for TPF HF PPT and body flexibility were significantly higher in the TTM group when compared with the control group (p<0.01) and the values for pain intensity anxiety and muscle tension were significantly lower. We conclude that TTM can increase HRV and improve stress-related parameters in this patient population. |
Adult |
Yes, power achieved |
Yes, 36 patients were needed to achieve power calculation, and 36 patients were recruited/treated with no dropout. |
Massage therapist |
Traditional Thai Massage: 18 (0%);
Rest (Active Control): 18 (0%). |
18 (0%);
18 (0%). |
|
Traditional Thai Massage: 1 x 30 mins, 1x, 1d + ND;
Rest (Active Control): ND x 30 mins, ND, ND. |
1 x 30 mins, 1x, 1d + ND;
ND x 30 mins, ND, ND. |
Yes |
*Visual Analog Scale (pain intensity): p < 0.001 (between groups) at post, p < 0.001 (within groups) (Traditional Thai Massage), p = Not Significant (within groups) (Active Control) over time, Effect Size = -1.61, Active Control, pre / post; Visual Analog Scale (muscle tension): p < 0. 001 (between groups) at post, p < 0.001 (within groups) (Traditional Thai Massage), p = Not Significant (within groups) (Active Control) over time; Sit-and-reach box (body flexibility): p < 0.001 (between groups) at post, p < 0.001 (within groups) (both groups) over time; State-Trait Anxiety Inventory (anxiety): p = .03 (between groups) at post, p < 0.001 (within groups) (Traditional Thai Massage), p = Not Significant (within groups) (Active Control) over time; Heart Rate Variability (Heart Rate): p = 0.006 (between groups) at post, p < 0.001 (within groups) (Traditional Thai Massage), p = Not Significant (within groups) (Active Control) over time; Pressure Algometry (Pain Pressure Threshold): p < 0.001 (between groups) at post, p < 0.001 (within groups) (Traditional Thai Massage), p = Not Significant (within groups) (Active Control) over time. |
Massage effective for: Pain,
Activity, Mood, Physiological, Pain Pressure Threshold. |
Authors do not report or mention anything about AEs |
http://www.ncbi.nlm.nih.gov/pubmed/?term=buttagat++The+immediate+effects+of+traditional+Thai+massage+on+heart+rate+variability+and+stress-related+parameters+in+patients+with+back+pain+associated+wi |
| F1 |
8 |
| Refid |
500 |
| Quick Author |
Buttagat, 2011* |
| Author |
V. Buttagat, W. Eungpinichpong, U. Chatchawan and S. Kharmwan |
| Title |
The immediate effects of traditional Thai massage on heart rate variability and stress-related parameters in patients with back pain associated with myofascial trigger points |
| Publication Date |
2011 |
| Periodical |
J Bodyw Mov Ther |
| F8 |
vol |
| Volume |
15 |
| F10 |
vol 15 |
| Issue |
1 |
| F12 |
pages |
| Page Start-End |
15-23 |
| Group |
Group 1 |
| F15 |
pages 15-23 |
| Publication Data |
J Bodyw Mov Ther, vol 15: 1, pages 15-23 |
| Condition |
Musculoskeletal Pain: Back pain associated with myofascial trigger points |
| Condition (to hide) |
36ac (16M/20F) participants with back pain associated with myofascial trigger points (mean age = 22.6 ± 2.9 yrs) |
| Outcome Measures |
|
| cleaned up results |
Visual Analog Scale (pain intensity)
Visual Analog Scale (muscle tension)
State-Trait Anxiety Inventory (anxiety)
Physiological: Heart Rate Variability (Heart Rate)
Pain Pressure Threshold (Pain Pressure Threshold) |
| Outcome Measures_ |
Pain: Visual Analog Scale;
Activity: Visual Analog Scale, Sit-and-reach box;
Mood: State-Trait Anxiety Inventory;
Physiological: Heart Rate Variability;
Pain Pressure Threshold: Pressure Algometry.
|
| Total Participants |
36 |
| Quality Assignment (SIGN 50) |
1-High |
| Abstract |
The purpose of this study was to investigate the immediate effects of traditional Thai massage (TTM) on stress-related parameters including heart rate variability (HRV) anxiety muscle tension pain intensity pressure pain threshold and body flexibility in patients with back pain associated with myofascial trigger points. Thirty-six patients were randomly allocated to receive a 30-min session of either TTM or control (rest on bed) for one session. Results indicated that TTM was associated with significant increases in HRV (increased total power frequency (TPF) and high frequency (HF)) pressure pain threshold (PPT) and body flexibility (p<0.05) and significant decreases in self-reported pain intensity anxiety and muscle tension (p<0.001). For all outcomes similar changes were not observed in the control group. The adjusted post-test mean values for TPF HF PPT and body flexibility were significantly higher in the TTM group when compared with the control group (p<0.01) and the values for pain intensity anxiety and muscle tension were significantly lower. We conclude that TTM can increase HRV and improve stress-related parameters in this patient population. |
| Keywords |
Adult |
| Power |
Yes, power achieved |
| Power1 |
Yes, 36 patients were needed to achieve power calculation, and 36 patients were recruited/treated with no dropout. |
| Provider Type |
Massage therapist |
| Intervention Description: Number Assigned (Dropout Rate) |
Traditional Thai Massage: 18 (0%);
Rest (Active Control): 18 (0%). |
| # Assigned (Dropout Rate)_ |
18 (0%);
18 (0%). |
| double check # assign |
|
| Intervention Description: Dosages |
Traditional Thai Massage: 1 x 30 mins, 1x, 1d + ND;
Rest (Active Control): ND x 30 mins, ND, ND. |
| Intervention Description: Dosages1 |
1 x 30 mins, 1x, 1d + ND;
ND x 30 mins, ND, ND. |
| *Meta-Analysis |
Yes |
| Relevant Results _ |
*Visual Analog Scale (pain intensity): p < 0.001 (between groups) at post, p < 0.001 (within groups) (Traditional Thai Massage), p = Not Significant (within groups) (Active Control) over time, Effect Size = -1.61, Active Control, pre / post; Visual Analog Scale (muscle tension): p < 0. 001 (between groups) at post, p < 0.001 (within groups) (Traditional Thai Massage), p = Not Significant (within groups) (Active Control) over time; Sit-and-reach box (body flexibility): p < 0.001 (between groups) at post, p < 0.001 (within groups) (both groups) over time; State-Trait Anxiety Inventory (anxiety): p = .03 (between groups) at post, p < 0.001 (within groups) (Traditional Thai Massage), p = Not Significant (within groups) (Active Control) over time; Heart Rate Variability (Heart Rate): p = 0.006 (between groups) at post, p < 0.001 (within groups) (Traditional Thai Massage), p = Not Significant (within groups) (Active Control) over time; Pressure Algometry (Pain Pressure Threshold): p < 0.001 (between groups) at post, p < 0.001 (within groups) (Traditional Thai Massage), p = Not Significant (within groups) (Active Control) over time. |
| Conclusions |
Massage effective for: Pain,
Activity, Mood, Physiological, Pain Pressure Threshold. |
| Adverse Events |
Authors do not report or mention anything about AEs |
| PubMed Link |
http://www.ncbi.nlm.nih.gov/pubmed/?term=buttagat++The+immediate+effects+of+traditional+Thai+massage+on+heart+rate+variability+and+stress-related+parameters+in+patients+with+back+pain+associated+wi |
|
| 9 |
501 |
Buttagat, 2012* |
V. Buttagat, W. Eungpinichpong, D. Kaber, U. Chatchawan and P. Arayawichanon |
Acute effects of traditional Thai massage on electroencephalogram in patients with scapulocostal syndrome |
2012 |
Complementary Therapies in Medicine |
vol |
20 |
vol 20 |
4 |
pages |
167-174 |
Group 1 |
pages 167-174 |
Complementary Therapies in Medicine, vol 20: 4, pages 167-174 |
Musculoskeletal Pain: Scapulocostal syndrome |
40a (8M/32F) participants with scapulocostal syndrome (mean age = 27.5 ± 7.6 yrs) |
|
Visual Analog Scale (pain intensity)
State-Trait Anxiety Inventory (anxiety)
Electroencephalogram signals (brain electrical activity) |
Pain: Visual Analog Scale;
Mood: State-Trait Anxiety Inventory;
Physiological: Electroencephalogram signals. |
40 |
1-High |
OBJECTIVE: To investigate acute effects of traditional Thai massage (TTM) on brain electrical activity (electroencephalogram (EEG) signals) anxiety and pain in patients with scapulocostal syndrome (SCS). DESIGN: A single-blind randomized clinical trial. SETTING: The School of Physical Therapy Faculty of Associated Medical Sciences Khon Kaen University Thailand. INTERVENTION: Forty patients who were diagnosed with SCS were randomly allocated to receive a 30-min session of either TTM or physical therapy (PT) using ultrasound therapy and hot packs. OUTCOMES: Electroencephalogram (EEG) State Anxiety Inventory (STAI) and pain intensity rating. RESULTS: Results showed that both TTM and PT were associated with significant decreases in anxiety and pain intensity (p<0.01). However there was a significantly greater reduction in anxiety and pain intensity for the TTM group when compared with the PT group. Analysis of EEG in the TTM group showed a significant increase in relaxation manifested as an increase in delta activity (p<0.05) and a decrease in theta alpha and beta activity (p<0.01). Similar changes were not found in the PT group. The EEG measures were also significantly different when compared between the groups (p<0.01) except for delta activity (p=0.051) indicating lower states of arousal with the TTM treatment. CONCLUSION: It is suggested that TTM provides acute neural effects that increase relaxation and decrease anxiety and pain intensity in patients with SCS. |
Anxiety -- Therapy |
Yes, power achieved |
Yes, Needed 40 to achieve power calculation and recruited 40 with no dropouts: "Sample size was calculated using an analysis of covariance (ANCOVA) formula.... According to these criteria, 40 patients were recruited." (pg.169) |
Massage therapist |
Traditional Thai Massage: 20 (0%);
Physical Therapy (Active Control): 20 (0%). |
20 (0%);
20 (0%). |
|
Traditional Thai Massage: 1 x 30 mins, 1x, 1d + ND;
Physical Therapy (Active Control): 1 x 30 mins, 1x, 1d + ND. |
1 x 30 mins, 1x, 1d + ND;
1 x 30 mins, 1x, 1d + ND. |
Yes |
*Visual Analog Scale (pain intensity): p < 0.001 (within groups) (both groups) at post, Effect Size = -0.57, Active Control, pre / post; *State-Trait Anxiety Inventory (anxiety): p < 0.001 (within groups) (both groups) at post; Electroencephalogram signals (brain electrical activity): p < 0.05 (within groups) (both groups) at post. |
Massage effective for: Pain,
Mood, Physiological. |
Authors do not report or mention anything about AEs |
http://www.ncbi.nlm.nih.gov/pubmed/?term=buttagat++Acute+effects+of+traditional+Thai+massage+on+electroencephalogram+in+patients+with+scapulocostal+syndrome |
| F1 |
9 |
| Refid |
501 |
| Quick Author |
Buttagat, 2012* |
| Author |
V. Buttagat, W. Eungpinichpong, D. Kaber, U. Chatchawan and P. Arayawichanon |
| Title |
Acute effects of traditional Thai massage on electroencephalogram in patients with scapulocostal syndrome |
| Publication Date |
2012 |
| Periodical |
Complementary Therapies in Medicine |
| F8 |
vol |
| Volume |
20 |
| F10 |
vol 20 |
| Issue |
4 |
| F12 |
pages |
| Page Start-End |
167-174 |
| Group |
Group 1 |
| F15 |
pages 167-174 |
| Publication Data |
Complementary Therapies in Medicine, vol 20: 4, pages 167-174 |
| Condition |
Musculoskeletal Pain: Scapulocostal syndrome |
| Condition (to hide) |
40a (8M/32F) participants with scapulocostal syndrome (mean age = 27.5 ± 7.6 yrs) |
| Outcome Measures |
|
| cleaned up results |
Visual Analog Scale (pain intensity)
State-Trait Anxiety Inventory (anxiety)
Electroencephalogram signals (brain electrical activity) |
| Outcome Measures_ |
Pain: Visual Analog Scale;
Mood: State-Trait Anxiety Inventory;
Physiological: Electroencephalogram signals. |
| Total Participants |
40 |
| Quality Assignment (SIGN 50) |
1-High |
| Abstract |
OBJECTIVE: To investigate acute effects of traditional Thai massage (TTM) on brain electrical activity (electroencephalogram (EEG) signals) anxiety and pain in patients with scapulocostal syndrome (SCS). DESIGN: A single-blind randomized clinical trial. SETTING: The School of Physical Therapy Faculty of Associated Medical Sciences Khon Kaen University Thailand. INTERVENTION: Forty patients who were diagnosed with SCS were randomly allocated to receive a 30-min session of either TTM or physical therapy (PT) using ultrasound therapy and hot packs. OUTCOMES: Electroencephalogram (EEG) State Anxiety Inventory (STAI) and pain intensity rating. RESULTS: Results showed that both TTM and PT were associated with significant decreases in anxiety and pain intensity (p<0.01). However there was a significantly greater reduction in anxiety and pain intensity for the TTM group when compared with the PT group. Analysis of EEG in the TTM group showed a significant increase in relaxation manifested as an increase in delta activity (p<0.05) and a decrease in theta alpha and beta activity (p<0.01). Similar changes were not found in the PT group. The EEG measures were also significantly different when compared between the groups (p<0.01) except for delta activity (p=0.051) indicating lower states of arousal with the TTM treatment. CONCLUSION: It is suggested that TTM provides acute neural effects that increase relaxation and decrease anxiety and pain intensity in patients with SCS. |
| Keywords |
Anxiety -- Therapy |
| Power |
Yes, power achieved |
| Power1 |
Yes, Needed 40 to achieve power calculation and recruited 40 with no dropouts: "Sample size was calculated using an analysis of covariance (ANCOVA) formula.... According to these criteria, 40 patients were recruited." (pg.169) |
| Provider Type |
Massage therapist |
| Intervention Description: Number Assigned (Dropout Rate) |
Traditional Thai Massage: 20 (0%);
Physical Therapy (Active Control): 20 (0%). |
| # Assigned (Dropout Rate)_ |
20 (0%);
20 (0%). |
| double check # assign |
|
| Intervention Description: Dosages |
Traditional Thai Massage: 1 x 30 mins, 1x, 1d + ND;
Physical Therapy (Active Control): 1 x 30 mins, 1x, 1d + ND. |
| Intervention Description: Dosages1 |
1 x 30 mins, 1x, 1d + ND;
1 x 30 mins, 1x, 1d + ND. |
| *Meta-Analysis |
Yes |
| Relevant Results _ |
*Visual Analog Scale (pain intensity): p < 0.001 (within groups) (both groups) at post, Effect Size = -0.57, Active Control, pre / post; *State-Trait Anxiety Inventory (anxiety): p < 0.001 (within groups) (both groups) at post; Electroencephalogram signals (brain electrical activity): p < 0.05 (within groups) (both groups) at post. |
| Conclusions |
Massage effective for: Pain,
Mood, Physiological. |
| Adverse Events |
Authors do not report or mention anything about AEs |
| PubMed Link |
http://www.ncbi.nlm.nih.gov/pubmed/?term=buttagat++Acute+effects+of+traditional+Thai+massage+on+electroencephalogram+in+patients+with+scapulocostal+syndrome |
|
| 10 |
547 |
Castro-Sanchez, 2011 |
A. M. Castro-Sanchez, G. A. Mataran-Penarrocha, M. Arroyo-Morales, M. Saavedra-Hernandez, C. Fernandez-Sola and C. Moreno-Lorenzo |
Effects of myofascial release techniques on pain, physical function, and postural stability in patients with fibromyalgia: a randomized controlled trial |
2011 |
Clin Rehabil |
vol |
25 |
vol 25 |
9 |
pages |
800-13 |
Group 4 |
pages 800-13 |
Clin Rehabil, vol 25: 9, pages 800-13 |
Chronic Pain: Fibromyalgia |
94c (sex = ND) participants with fibromyalgia (mean age = 54.4 yrs) |
|
McGill Pain Questionnaire (multidimensional perception of pain including sensory-discriminative, motivational-affective, and cognitive-evaluative)
Number of tender points (tender points)
Postural Stability (stability)
Fibromyalgia Impact Questionnaire (physical function)
Clinical Global Impression Severity Scale (physical state)
Clinical Global Impression of Improvement Scale (overall clinical improvement) |
Pain: McGill Pain Questionnaire,
Number of tender points;
Activity: Postural Stability, Fibromyalgia Impact Questionnaire;
Quality of Life: Clinical Global Impression Severity Scale, Clinical Global Impression of Improvement Scale. |
94 |
2-Acceptable |
OBJECTIVE: To determine the effect of myofascial release techniques on pain symptoms postural stability and physical function in fibromyalgia syndrome. DESIGN: A randomized placebo-controlled trial was undertaken. SUBJECTS: Eighty-six patients with fibromyalgia syndrome were randomly assigned to an experimental group and a placebo group. INTERVENTIONS: Patients received treatments for 20 weeks. The experimental group underwent 10 myofascial release modalities and the placebo group received sham short-wave and ultrasound electrotherapy. MAIN MEASURES: Outcome variables were number of tender points pain postural stability physical function clinical severity and global clinical assessment of improvement. Outcome measures were assessed before and immediately after at six months and one year after the last session of the corresponding intervention. RESULTS: After 20 weeks of myofascial therapy the experimental group showed a significant improvement (P < 0.05) in painful tender points McGill Pain Score (20.6 +/- 6.3 P < 0.032) physical function (56.10 +/- 17.3 P < 0.029) and clinical severity (5.08 +/- 1.03 P < 0.039). At six months post intervention the experimental group had a significantly lower mean number of painful points pain score (8.25 +/- 1.13 P < 0.048) physical function (58.60 +/- 16.30 P < 0.049) and clinical severity (5.28 +/- 0.97 P < 0.043). At one year post intervention the only significant improvements were in painful points at second left rib and left gluteal muscle affective dimension number of days feeling good and clinical severity. CONCLUSION: The results suggest that myofascial release techniques can be a complementary therapy for pain symptoms physical function and clinical severity but do not improve postural stability in patients with fibromyalgia syndrome. |
Aged |
Not Described |
ND |
Physiotherapist |
Myofascial Release: 47 (4%);
Ultrasound (Sham): 47 (13%). |
47 (4%);
47 (13%). |
|
Myofascial Release: 40 x 60 mins, 2x/w, 20w + ND;
Ultrasound (Sham): ND x 30 mins, 2x/w, 20w + ND. |
40 x 60 mins, 2x/w, 20w + ND;
ND x 30 mins, 2x/w, 20w + ND. |
No |
McGill Pain Questionnaire (multidimensional perception of pain including sensory-discriminative, motivational-affective, and cognitive-evaluative): p < 0.05 (within groups) (Myofascial Release), p = Not Significant (within groups) (sham) at 20w and 1y FU, p < 0.05 (between groups) at all time points, Effect Size = -1.05, pre/post; Effect Size = -0.38, 6 mos FU; Number of tender points (tender points): p < 0.05 (within groups) (Myofascial Release), p = Not Significant (within groups) (sham) at 20w and 6 mos FU, p < 0.05 (between groups) at all time points; Postural Stability (stability): p = Not Significant (within groups) (between groups) at all time points; Fibromyalgia Impact Questionnaire (physical function): p < 0.05 (within groups) (Myofascial Release), p = Not Significant (within groups) (sham) at 20w and 6 mos FU, p < 0.05 (between groups) at all time points; Clinical Global Impression Severity Scale (physical state): p < 0.05 (within groups) (Myofascial Release), p = Not Significant (within groups) (sham) at 20w, 6 mos FU and 1y FU, p < 0.05 (between groups) at all time points; Clinical Global Impression of Improvement Scale (overall clinical improvement): p < 0.05 (between groups) at all time points. |
Massage effective for: Pain,
Activity, Quality of Life. |
Authors report NO AEs occurred |
http://www.ncbi.nlm.nih.gov/pubmed/?term=castro-sanchez+Effects+of+myofascial+release+techniques+on+pain%2C+physical+function%2C+and+postural+stability+in+patients+with+fibromyalgia%3A+a+randomized+controlled+trial |
| F1 |
10 |
| Refid |
547 |
| Quick Author |
Castro-Sanchez, 2011 |
| Author |
A. M. Castro-Sanchez, G. A. Mataran-Penarrocha, M. Arroyo-Morales, M. Saavedra-Hernandez, C. Fernandez-Sola and C. Moreno-Lorenzo |
| Title |
Effects of myofascial release techniques on pain, physical function, and postural stability in patients with fibromyalgia: a randomized controlled trial |
| Publication Date |
2011 |
| Periodical |
Clin Rehabil |
| F8 |
vol |
| Volume |
25 |
| F10 |
vol 25 |
| Issue |
9 |
| F12 |
pages |
| Page Start-End |
800-13 |
| Group |
Group 4 |
| F15 |
pages 800-13 |
| Publication Data |
Clin Rehabil, vol 25: 9, pages 800-13 |
| Condition |
Chronic Pain: Fibromyalgia |
| Condition (to hide) |
94c (sex = ND) participants with fibromyalgia (mean age = 54.4 yrs) |
| Outcome Measures |
|
| cleaned up results |
McGill Pain Questionnaire (multidimensional perception of pain including sensory-discriminative, motivational-affective, and cognitive-evaluative)
Number of tender points (tender points)
Postural Stability (stability)
Fibromyalgia Impact Questionnaire (physical function)
Clinical Global Impression Severity Scale (physical state)
Clinical Global Impression of Improvement Scale (overall clinical improvement) |
| Outcome Measures_ |
Pain: McGill Pain Questionnaire,
Number of tender points;
Activity: Postural Stability, Fibromyalgia Impact Questionnaire;
Quality of Life: Clinical Global Impression Severity Scale, Clinical Global Impression of Improvement Scale. |
| Total Participants |
94 |
| Quality Assignment (SIGN 50) |
2-Acceptable |
| Abstract |
OBJECTIVE: To determine the effect of myofascial release techniques on pain symptoms postural stability and physical function in fibromyalgia syndrome. DESIGN: A randomized placebo-controlled trial was undertaken. SUBJECTS: Eighty-six patients with fibromyalgia syndrome were randomly assigned to an experimental group and a placebo group. INTERVENTIONS: Patients received treatments for 20 weeks. The experimental group underwent 10 myofascial release modalities and the placebo group received sham short-wave and ultrasound electrotherapy. MAIN MEASURES: Outcome variables were number of tender points pain postural stability physical function clinical severity and global clinical assessment of improvement. Outcome measures were assessed before and immediately after at six months and one year after the last session of the corresponding intervention. RESULTS: After 20 weeks of myofascial therapy the experimental group showed a significant improvement (P < 0.05) in painful tender points McGill Pain Score (20.6 +/- 6.3 P < 0.032) physical function (56.10 +/- 17.3 P < 0.029) and clinical severity (5.08 +/- 1.03 P < 0.039). At six months post intervention the experimental group had a significantly lower mean number of painful points pain score (8.25 +/- 1.13 P < 0.048) physical function (58.60 +/- 16.30 P < 0.049) and clinical severity (5.28 +/- 0.97 P < 0.043). At one year post intervention the only significant improvements were in painful points at second left rib and left gluteal muscle affective dimension number of days feeling good and clinical severity. CONCLUSION: The results suggest that myofascial release techniques can be a complementary therapy for pain symptoms physical function and clinical severity but do not improve postural stability in patients with fibromyalgia syndrome. |
| Keywords |
Aged |
| Power |
Not Described |
| Power1 |
ND |
| Provider Type |
Physiotherapist |
| Intervention Description: Number Assigned (Dropout Rate) |
Myofascial Release: 47 (4%);
Ultrasound (Sham): 47 (13%). |
| # Assigned (Dropout Rate)_ |
47 (4%);
47 (13%). |
| double check # assign |
|
| Intervention Description: Dosages |
Myofascial Release: 40 x 60 mins, 2x/w, 20w + ND;
Ultrasound (Sham): ND x 30 mins, 2x/w, 20w + ND. |
| Intervention Description: Dosages1 |
40 x 60 mins, 2x/w, 20w + ND;
ND x 30 mins, 2x/w, 20w + ND. |
| *Meta-Analysis |
No |
| Relevant Results _ |
McGill Pain Questionnaire (multidimensional perception of pain including sensory-discriminative, motivational-affective, and cognitive-evaluative): p < 0.05 (within groups) (Myofascial Release), p = Not Significant (within groups) (sham) at 20w and 1y FU, p < 0.05 (between groups) at all time points, Effect Size = -1.05, pre/post; Effect Size = -0.38, 6 mos FU; Number of tender points (tender points): p < 0.05 (within groups) (Myofascial Release), p = Not Significant (within groups) (sham) at 20w and 6 mos FU, p < 0.05 (between groups) at all time points; Postural Stability (stability): p = Not Significant (within groups) (between groups) at all time points; Fibromyalgia Impact Questionnaire (physical function): p < 0.05 (within groups) (Myofascial Release), p = Not Significant (within groups) (sham) at 20w and 6 mos FU, p < 0.05 (between groups) at all time points; Clinical Global Impression Severity Scale (physical state): p < 0.05 (within groups) (Myofascial Release), p = Not Significant (within groups) (sham) at 20w, 6 mos FU and 1y FU, p < 0.05 (between groups) at all time points; Clinical Global Impression of Improvement Scale (overall clinical improvement): p < 0.05 (between groups) at all time points. |
| Conclusions |
Massage effective for: Pain,
Activity, Quality of Life. |
| Adverse Events |
Authors report NO AEs occurred |
| PubMed Link |
http://www.ncbi.nlm.nih.gov/pubmed/?term=castro-sanchez+Effects+of+myofascial+release+techniques+on+pain%2C+physical+function%2C+and+postural+stability+in+patients+with+fibromyalgia%3A+a+randomized+controlled+trial |
|