A Comparative Randomized Controlled Trial Study: The Effects of Court-Type Traditional Thai Massage plus Meditation versus Court-Type Traditional Thai Massage Only on Reducing Pain among the Patients with Myofascial Pain Syndrome

Authors

  • Nunthiya Srikaew Chulabhorn International College of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Kammal Kumar Pawa Chulabhorn International College of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Somboon Kietinun Chulabhorn International College of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Kusuma Sriyakul Chulabhorn International College of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Junya Pattaraarchachai Chulabhorn International College of Medicine, Thammasat University, Pathum Thani 12120, Thailand

DOI:

https://doi.org/10.48048/tis.2022.4486

Keywords:

Court-type traditional Thai massage, Meditation, Myofascial pain syndrome, Visual analog scale, Cervical range of motion

Abstract

This study aimed to compare the effectiveness of Court-type traditional Thai massage (CTTM) with Meditation versus CTTM without meditation in decreasing pain stiffness and degree of cervical range of motion (CROM) on participants with myofascial pain syndrome (MPS) on the upper trapezius. The single-blind randomized controlled trial was conducted at Thammasat University Hospital comprising of 64 participants which equally divided into 2 groups. The treatment group received CTTM for 30 min plus meditation and the control group received only CTTM for 30 min each subject received the treatment twice a week for 4 weeks. Assessment of effectiveness was performed by comparing Visual analog scale (VAS), pressure pain threshold (PPT) and CROM were assessed at week 0 (baseline), week 1 - 4 (intervention) and week 6 (follow-up). The VAS and PPT pain score had shown significant differences in both the CTTM plus meditation and CTTM only groups (p < 0.05), whereas the CROM involving flexion, extension, left lateral flexion, and right lateral flexion increased significantly in the CTTM plus meditation but not in CTTM only groups at all assessment time points (p > 0.05). Moreover, all of the measurement were not significant between two groups. These findings showed that both CTTM paired with meditation and CTTM without meditation could alleviate MPS, as evidenced by improvements in VAS, PPT and CROM. Taken together, this research could provide an alternative for people who desire to improve their health by combining CTTM and meditation.

HIGHLIGHTS

  • This research insists that Court-type traditional Thai massage plus meditation using neural pathways that make the brain less sensitive to pain
  • Court-type traditional Thai massage combined with meditation has the positive effect pressure pain threshold and cervical range of motion
  • Court-type traditional Thai massage plus meditation may be involved three factors; neurological factors, physiological factors, and mechanical factors to be responsible for reducing pain levels, increasing in pressure pain threshold and improving cervical range of motion

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

R Kashyap, A Iqbal and AH Alghadir. Controlled intervention to compare the efficacies of manual pressure release and the muscle energy technique for treating mechanical neck pain due to upper trapezius trigger points. J. Pain Res. 2018; 11, 3151-60.

EF Wright. Referred craniofacial pain patterns in patients with temporomandibular disorder. J. Am. Dent. Assoc. 2000; 131, 1307-15.

P Tankitjanon, C Palanuvej, B Krobpradit and N Ruangrungsi. Court-type traditional Thai massage efficacy on quality of life among patients with frozen shoulder: A randomised controlled trial. J. Med. Assoc. Thai 2019; 102, 19.

P Côté, JD Cassidy and L Carroll. The factors associated with neck pain and its related disability in the Saskatchewan population. Spine 2000; 25, 1109-17.

J Barr, GL Fraser, K Puntillo, EW Ely, C Gélinas, JF Dasta, JE Davidson, JW Devlin, JP Kress, AM Joffe, DB Coursin, DL Herr, A Tung, BRH Robinson, DK Fontaine, MA Ramsay, RR Riker, CN Sessler, B Pun, Y Skrobik and R Jaeschke. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit. Care Med. 2013; 41, 263-306.

RD Blondell, M Azadfard and AM Wisniewski. Pharmacologic therapy for acute pain. Am. Fam. Physician 2013; 87, 766-72.

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. J. Bodyw. Mov. Ther. 2012; 16, 57-63.

K Sitikaipong, P Tangsukruthai, P Noothim, W Siriwong, P Onmuk and A Limtiyayothin. Comparative study the efficacy of Thai massage and analgesic drug (diclofenac) to relief shoulder pain (in Thai). J. Health Sci. 2014; 23, 842-9.

F Antonaci, T Sand and GA Lucas. Pressure algometry in healthy subjects: Inter-examiner variability. Scand. J. Rehabil. Med. 1998; 30, 3-8.

PC Gotzsche. Non-steroidal anti-inflammatory drugs. Br. Med. J. 2000; 320, 1058-61.

JA Cambron, J Dexheimer, P Coe and R Swenson. Side-effects of massage therapy: A cross-sectional study of 100 clients. J. Altern. Complement. Med. 2007; 13, 793-6.

P Sananpanichkul, C Sawadhichai, Y Leaungsomnapa and P Yapanya. Possible role of court-type Thai traditional massage during parturition: A randomized controlled trial. Int. J. Ther. Massage Bodyw. 2019; 12, 23-8.

S Mackawan, W Eungpinichpong, R Puntumetakul, U Chatchawan, T Hunsawong and P Arayawichanon. Effects of traditional Thai massage versus joint mobilization on substance P and pain perception in patients with non-specific low back pain. J. Bodyw. Mov. Ther. 2007; 11, 9-16.

J Boonrua, S Niempoog, J Pattaraarchachai, C Palanuvej and N Ruangrungsi. Effectiveness of the Court-type traditional Thai massage versus topical diclofenac in treating patients with myofascial pain syndrome in the upper trapezius. Indian J. Tradit. Knowl. 2016; 15, 30-4.

U Chatchawan, B Thinkhamrop, S Kharmwan, J Knowles and W Eungpinichpong. Effectiveness of traditional Thai massage versus Swedish massage among patients with back pain associated with myofascial trigger points. J. Bodyw. Mov. Ther. 2005; 9, 298-309.

EL Garland and MO Howard. Mindfulness-oriented recovery enhancement reduces pain attentional bias in chronic pain patients. Psychother. Psychosom. 2013; 82, 311-8.

M Ussher, A Spatz, C Copland, A Nicolaou, A Cargill, N Amini-Tabrizi and LM McCracken. Immediate effects of a brief mindfulness-based body scan on patients with chronic pain. J. Behav. Med. 2014; 37, 127-34.

CA Brown and AK Jones. Meditation experience predicts less negative appraisal of pain: Electrophysiological evidence for the involvement of anticipatory neural responses. Pain 2010; 150, 428-38.

JL Burns, RM Lee and LJ Brown. The effect of meditation on self-reported measures of stress, anxiety, depression, and perfectionism in a college population. J. College Stud. Psychother. 2011; 25, 132-44.

N Thibodeaux and MJ Rossano. Meditation and immune function: The impact of stress management on the immune system. OBM Integr. Complement. Med. 2018; 3, 032.

DS Black and GM Slavich. Mindfulness meditation and the immune system: A systematic review of randomized controlled trials. Ann. N Y Acad. Sci. 2016; 1373, 13-24.

P Wamontree, N Kanchanakhan, W Eungpinichpong and A Jeensawek. Effects of traditional Thai self-massage using a Wilai massage stick(TM) versus ibuprofen in patients with upper back pain associated with myofascial trigger points: A randomized controlled trial. J. Phys. Ther. Sci. 2015; 27, 3493-7.

DH Glueck. Sample size calculations in clinical research 2nd edition by CHOW, S.-C., SHAO, J., and WANG, H. Biometrics 2008; 64, 1307-8.

M Haefeli and A Elfering. Pain assessment. Eur. Spine J. 2006; 15, S17-S24.

G Park, CW Kim, SB Park, MJ Kim and SH Jang. Reliability and usefulness of the pressure pain threshold measurement in patients with myofascial pain. Ann. Rehabil. Med. 2011; 35, 412-7.

O Dagtekin, E Konig, HJ Gerbershagen, H Marcus, R Sabatowski and F Petzke. [Measuring pressure pain thresholds. Comparison of an electromechanically controlled algometer with established methods]. Schmerz 2007; 21, 439-44.

GF Carvalho, TC Chaves, MC Goncalves, LL Florencio, CA Braz, F Dach, CFDL Peñas and D Bevilaqua-Grossi. Comparison between neck pain disability and cervical range of motion in patients with episodic and chronic migraine: A cross-sectional study. J. Manipulative Physiol. Ther. 2014; 37, 641-6.

T Thanakiatpinyo, S Suwannatrai, U Suwannatrai, P Khumkaew, D Wiwattamongkol, M Vannabhum, S Pianmanakit and V Kuptniratsaikul. The efficacy of traditional Thai massage in decreasing spasticity in elderly stroke patients. Clin. Interv. Aging 2014; 9, 1311-9.

SG Salvo. Clinical massage. In: Massage therapy: Principles and practice. 5th eds. Elsevier, Canada, 2016, p. 824.

C Kruapanich, U Chatchawan, W Eungpinichpong and K Kongbunkiat. The immediate effects of traditional Thai massage for reducing pain on patients related with episodic tension-type headache. J. Med. Tech. Phys. Ther. 2011; 20, 57-70.

MJD Boer, HE Steinhagen, GJ Versteegen, MM Struys and R Sanderman. Mindfulness, acceptance and catastrophizing in chronic pain. PLoS One 2014; 9, e87445.

DM Perlman, TV Salomons, RJ Davidson and A Lutz. Differential effects on pain intensity and unpleasantness of two meditation practices. Emotion 2010; 10, 65-71.

JA Grant, J Courtemanche, EG Duerden, GH Duncan and P Rainville. Cortical thickness and pain sensitivity in zen meditators. Emotion 2010; 10, 43-53.

F Zeidan, JA Grant, CA Brown, JG McHaffie and RC Coghill. Mindfulness meditation-related pain relief: Evidence for unique brain mechanisms in the regulation of pain. Neurosci. Lett. 2012; 520, 165-73.

TM Field, W Sunshine, M Hernandezreif, O Quintino, S Schanberg, C Kuhn and I Burman. Massage Therapy effects on depression and somatic symptoms in chronic fatigue syndrome. J. Chronic Fatigue Syndr. 1997; 3, 43-51.

Y Bakar, M Sertel, A Ozturk, ET Yumin, N Tatarli and H Ankarali. Short term effects of classic massage compared to connective tissue massage on pressure pain threshold and muscle relaxation response in women with chronic neck pain: A preliminary study. J. Manipulative Physiol. Ther. 2014; 37, 415-21.

L Hodgson and G Fryer. The effect of manual pressure release on myofascial trigger points in the upper trapezius muscle. J. Bodyw. Mov. Ther. 2005; 9, 248-55.

K Kassolik, W Andrzejewski, M Brzozowski, I Wilk, L Gorecka-Midura, B Ostrowska, D Krzyżanowski and D Kurpas. Comparison of massage based on the tensegrity principle and classic massage in treating chronic shoulder pain. J. Manipulative Physiol. Ther. 2013; 36, 418-27.

DG Simons. Understanding effective treatments of myofascial trigger points. J. Bodyw. Mov. Ther. 2002; 6, 81-8.

R Puntumetakul, R Pithak, S Namwongsa, P Saiklang and R Boucaut. The effect of massage technique plus thoracic manipulation versus thoracic manipulation on pain and neural tension in mechanical neck pain: A randomized controlled trial. J. Phys. Ther. Sci. 2019; 31, 195-201.

Downloads

Published

2022-05-31

How to Cite

Srikaew, N. ., Pawa, K. K. ., Kietinun, S. ., Sriyakul, K. ., & Pattaraarchachai, J. . (2022). A Comparative Randomized Controlled Trial Study: The Effects of Court-Type Traditional Thai Massage plus Meditation versus Court-Type Traditional Thai Massage Only on Reducing Pain among the Patients with Myofascial Pain Syndrome. Trends in Sciences, 19(11), 4486. https://doi.org/10.48048/tis.2022.4486