The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
권호 표지

The Effects of Myofascial Release on Pain Threshold and Sympathetic Hyperactivity in Patients with Adhesive Capsulitis: Case Study

근막이완술이 유착성 관절낭염 환자의 통증 역치와 교감신경계 과활동에 미치는 효과: 사례연구

  • Received : 2021.08.03
  • Accepted : 2021.08.17
  • Published : 2021.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to investigate the effects of myofascial release technique on pain threshold and hormonal changes in patients with adhesive capsulitis of the shoulder. Methods: Eight patients with adhesive capsulitis were treated with the myofascial release technique. Myofascial release is a form of manual therapy that involves the application of a low load, long duration stretch to the myofascial complex, intended to restore optimal length, decrease pain, and improve function. Blood tests and pressure pain threshold (PPT) examinations were performed on their first visit. On their second visit, the myofascial release technique was applied to the shoulder for 20 min. Then, blood tests and PPT were re-evaluated to determine the effects of the myofascial release technique on pain threshold and hormonal changes. Results: Pain threshold increased from 2.92 to 24.13 lb after treatment. Epinephrine decreased from .13 to .08 ng/mL whereas norepinephrine increased from .25 to .41ng/㎖ after treatment. Conclusion: Myofascial release technique in patients with adhesive capsulitis increased pain thresholds, norepinephrine and decreased epinephrine levels.

Keywords

References

  1. Abrahams MJ. Neuropathic pain in soft tissue complaints. Best Practice & Research Clinical Rheumatology. 2007;21(2):223-244. https://doi.org/10.1016/j.berh.2006.12.005
  2. Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: Systematic review of randomized controlled trials. J Bodyw Mov Ther. 2015;19(1):102-112. https://doi.org/10.1016/j.jbmt.2014.06.001
  3. Burnstock G. Handbook of the autonomic nervous system in health and disease. New York, Marcel Dekke. 2002:1-53.
  4. Catherine Bushnell M, Ceko M, Low A. Cognitive and emotional control of pain and its disruption in chronic pain. Nat Rev Neurosci. 2013;14(7):502-511. https://doi.org/10.1038/nrn3516
  5. Choi WH. The Effects of the Range of Motion of Joint with Vibratory Stimulation of the Patients of Adhesive Capsulitis of the Shoulder. Master's Degree. Daegu University. 2013.
  6. Choi WJ, Nam EJ, Kim HJ. Effects of extracorporeal shock wave therapy with myofascial release techniques on pain, movement, and function in patients with myofascial pain syndrome. PNF and Movement. 2020;18(2):245-254. http://doi.org/10.21598/JKPNF.2002.18.2.245
  7. Grubbs N. Frozen shoulder syndrome: A review of literature. 1993;18(3):479-487. https://doi.org/10.2519/jospt.1993.18.3.479
  8. Fisher JP. Young CN, Fadel PJ. Central sympathetic overactivity: Maladies and mechanisms. Auton Neurosci. 2009;148(1-2):5-15. https://doi.org/10.1016/j.autneu.2009.02.003
  9. Grassi G. Counteracting the sympathetic nervous system in essential hypertension. Curr Opin Nephrol Hypertens. 2004;13(5):513-519. https://doi.org/10.1097/00041552-200409000-00006
  10. Grouzmann E, Lamine F. Determination of catecholamines in plasma and urine. Best Pract Res Clin Endocrinol Metab. 2013;27(5):713-723. https://doi.org/10.1016/j.beem.2013.06.004
  11. Hand GC, Athanasou NA, Matthews T, et al. The pathology of frozen shoulder. J Bone Joint Surg Br. 2007;89(7):928-932. https://doi.org/10.1302/0301-620X.89B7.19097
  12. Hunt SP, Manthy PW. The moleclar dynamics of pain control. Nat Rev Neurosci. 2001;2(2):83-91. https://doi.org/10.1038/35053509
  13. Kim JG. Effect of ROM(range of motion) and VAS(visual analogue scale) on MET exercise and massage therapy in frozen shoulder patients. J Basic Sciences. 2010;27:45-55.
  14. Kosek E, Hansson P. The influence of experimental pain intensity in the local and referred pain area on somatosensory perception in the area of referred pain. Eur J Pain. 2002;6(6):413-425. https://do- https://doi.org/10.1016/S1090-3801(02)00041-1
  15. Kosek E, Ordeberg G. Abnomalities of somatosensory perception in patients with painful osteoarthritis normalize following successful treatment. European Journal of Pain. 2000;4(3):229-238. https://doi.org/10.1053/eujp.2000.0175
  16. Lee DS. A Study on the Effects of Myofascial Release and Electroacupuncture on the Myofascial Trigger Point of the Upper Trapezius of Patient With Shoulder Pain. Dong Bang University. 2009.
  17. Roh DH, Kwon YB, Kim HW. Acupoint stimulation with diluted bee venom(apipuncture) alleviates thermal hyperalgesia in a rodent neuropathic pain model: Involvement of spinal alpha 2-adrenoceptors. J Pain. 2004;5(6):297-303. https://doi.org/10.1016/j.jpain.2004.05.003
  18. Sokk J, Gapeyeva H, Ereline J, et al. Shoulder muscle isometric strength and active range of motion in patients with frozen shoulder syndrome after manipulation under anesthesia. Medicina (Kaunas). 2012;48(7):331-337. https://doi.org/10.3390/medicina48070049
  19. Vallbo AB, Hagbarth KE, Torebjork H, et al. Somatosensory, proprioceptive, and sympathetic activity in human peripheral nerves. Physiol. Rev. 1979;(59):919-957. https://doi.org/10.1152/physrev.1979.59.4.919
  20. Vermeulen HM, Obermann WR, Burger BJ, et al. End-range mobilization techniques in adhesive capsulitis of the shoulder joint: A multiple-subject case report. Phys Ther. 2000;80(12):1204-1213. https://doi.org/10.1093/ptj/80.12.1204
  21. Walton A. Efficacy of myofascial release techniques in the treatment of primary Raynaud's phenomenon. J Bodyw Mov Ther. 2008;12(3):274-280. https://doi.org/10.1016/j.jbmt.2007.12.002
  22. Yang JL, Jan MH, Chang CW, et al. Effectiveness of the end-range mobilization and scapular mobilization approach in a subgroup of subjects with frozen shoulder syndrome: A randomized control trial. Man Ther. 2012;17(1):47-52. https://doi.org/10.1016/j.math.2011.08.006
  23. Yoon JS, Jung HI. The influence of treatment in patients with shoulder adhesive capsulitis for the proprioceptive neuromuscular facilitation and self-assistive ROM exercise. J Korean Soc Phys Med. 2013;8(2):219-229. https://doi.org/10.13066/kspm.2013.8.2.219