Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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Immediate Effects of Muscle Tension and Pain to Myofascial Release and Duoball Assisted Self-Relaxation Techniques in Patients Experiencing Chronic Cervical Pain

  • Kyeong Bae (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Changho Song (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
  • Received : 2024.03.17
  • Accepted : 2024.03.28
  • Published : 2024.03.31
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Abstract

Objective: This study aims to investigate the immediate effects of myofascial release and Duoball assisted self-relaxation (DASR) techniques on pain and muscle tension in patients experiencing chronic cervical pain. Design: A randomized controlled trial. Methods: This study is a randomized controlled experimental study. Eighteen patients with chronic neck pain who met the selection criteria were randomly assigned to myofascial release group and myofascial release group using Duoball. Results: The frequency results for assessment muscle tension showed a decrease of about 10% in the suboccipital muscle, SCM, Pect m, UT, and LS in both the MFR and DASR groups, and the stiffness results showed a decrease in all muscles except the upper trapezius in the MFR group and the DASR group. All were found to decrease by about 10% in the suboccipital muscle, SCM, Pect m, UT, and LS, and the decrement results showed an increase of about 15% in the suboccipital muscle, SCM, Pect m, UT, and LS in both the MFR and DASR groups(p<0.05). Conclusions: In patients experiencing chronic neck pain, application of MFR and duoball assisted self relaxion was shown to be effective on pain and muscle tension. MFR is a non-pharmacological intervention method with few potential side effects and is considered a universal and easily applicable treatment method.

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References

  1. Carlos BU, Juan JG, Ernesto AL, Cleofas RB. Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial. Trials. 2020;21(1):1-10.
  2. Kang JI, Baek SY, Jeong DK. Effects of McKenzie Exercise on the Neck Muscles Fatigue, and Neck Disability Index in Chronic Neck Pain Patients. J Korean Soc Phys Med. 2019;14(4):93-101.
  3. Safiri S, Kolahi AA, Hoy D, Buchbinder R, Mansournia MA, Bettampadi D, et al. Global, regional, and national burden of neck pain in the general population, 1990-2017: systematic analysis of the Global Burden of Disease Study 2017. BMJ. 2020; 368.
  4. Kim JH, Lee HS, Park SW. Effects of the active release technique on pain and range of motion of patients with chronic neck pain. J Phy Ther Sci. 2015;27(8):2461-2464.
  5. Cha SY. Effects of posterior neck myofascial release therapy and massage therapy on muscles tension, pain, sleep, and quality of life in casino workers. Seoul:Sahmyook University; 2017.
  6. Shewail F, Abdelmajeed S, Farouk M, Abdelmegeed M. Instrument-assisted soft tissue mobilization versus myofascial release therapy in treatment of chronic neck pain: a randomized clinical trial. BMC. 2023;24(1):1-8.
  7. Shaheen HM, Shameh RA, Shaheen AM. Release Techniques in Rehabilitation of Trapezius Muscle among Patients with Chronic Neck Pain. Int J Res Phys Med Rehabil. 2023;1(1):1-5.
  8. Rodriguez-Huguet M, Gil-Salu JL, Rodriguez-Huguet P, Cabrera-Afonso JR, Lomas-Vega R. Effects of myofascial release on pressure pain thresholds in patients with neck pain: a single-blind randomized controlled trial. Am J Phys Med Rehabil. 2018;97(1):16-22.
  9. Min IG, Park JH, Park HS. Effects of Myofascial Release Exercise using an Inflatable Compression Therapy Ball on Spinal Flexibility in Adults. The Journal of Korean Academy of Orthopedic Manual Physical Therapy, 2020;26(2):73-80.
  10. Mohr AR, Long BC, Goad CL. Effect of foam rolling and static stretching on passive hip-flexion range of motion. Journal of sport rehabilitation. 2014;23(4): 296-299.
  11. Jun HJ. The Effects of Self-myofascial Release Therapy with Foam Roller on the Balance of Patients with DOMS. Arch Ortho Sports Phys Ther. 2017;13(2):55-64.
  12. Shalfawi SA, Enoksen E, Myklebust H. Acute effect of quadriceps myofascial tissue rolling using a mechanical self-myofascial release roller-massager on performance and recovery in young elite speed skaters. Sports. 2019;7(12):246.
  13. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power3:AG*Power3:A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175-191.
  14. Bae K, Park SJ, Chon SC. Effects of Application of Myofascial Release of Neck and Upper Trunk on the Pain, Insomnia and Sleep Disturbances in Patients with Chronic Neck Pain. Journal of The Korean Society of Integrative Medicine. 2021;9(2):43-52.
  15. Kim IG, Lee SY. Effects of muscle relaxation approach and joint movement approach on neck movement and comfort of daily living in patients with tension-type headache of forward head posture. J Korean Med Rehabil. 2019;29(1):7-20.
  16. Eom JR, Kim KH. Compairison of Effect of Manual Myofascial Release and Self Myofascial Release Technique Using a Foam Roller on Pain Thresholds and Body Schema in Subjects with Chronic Tension-type Headache. Journal of The Korean Society of Integrative Medicine. 2023;11(4):147-155.
  17. Wagner DR, Tatsugawa K, Parker D, Young TA. Reliability and utility of a visual analog scale for the assessment of acute mountain sickness. High Alt Med Biol. 2007;8(1):27-31.
  18. Park SJ. The immediate effect of Maitland cervical spine mobilization on tone and stiffness of upper limb muscles in chronic stroke patients. Phys Ther Korea. 2018;25(2):13-21.
  19. El-Gendy M, Lasheen Y, Rezkalla W. Multimodal approach of electrotherapy versus myofascial release in patients with chronic mechanical neck pain: a randomized controlled trial. Physiotherapy Quarterly. 2019;27(4):6-12.
  20. Mishra D, Prakash RH, Mehta J, Dhaduk A. Comparative Study of Active Release Technique and Myofascial Release Technique in Treatment of Patients with Upper Trapezius Spasm. Journal of Clinical & Diagnostic Research. 2018;12(11).
  21. Oh S, Kim M, Lee M. Kim T, Lee D, Yoon B. Effect of myofascial trigger point therapy with an inflatable ball in elderlies with chronic non-specific low back pain. Journal of Back and Musculoskeletal Rehabilitation. 2018;31(1):119-126.
  22. Lukas K, Gutschmidt K, Schoser B, Wenninger S. Evaluation of myotonometry for myotonia, muscle stiffness and elasticity in neuromuscular disorders. Journal of Neurology. 2023;270(11):5398-5407.
  23. Tas S, Yasar U, Kaynak BA. Interrater and intra-rater reliability of a handheld myotonometer in measuring mechanical properties of the neck and orofacial muscles. Journal of Manipulative and Physiological Therapeutics. 2021;44(1):42-48.
  24. Lee K, Chon S. Comparison and Correlation on Muscle Thickness and Muscle Tone of Masseter Muscle and Sternocleidomastoid Muscle, Maximum Jaw Opening in Subjects With and Without Temporomandibular Joint Disorder. Journal of The Korean Society of Integrative Medicine. 2020;8(3):93-101. https://doi.org/10.15268/KSIM.2020.8.3.093
  25. Cabrera-Martos I, Rodriguez-Torres J, Lopez-Lopez L, Prados-Roman E, Granados-Santiago M, Valenza MC. Effects of an active intervention based on myofascial release and neurodynamics in patients with chronic neck pain: a randomized controlled trial. Physiotherapy Theory and Practice. 2022;38(9):1145-1152.
  26. Amjad F, Khalid A. Comparative effects of Bowen therapy and tennis ball technique on pain and functional disability in patients with thoracic myofascial pain syndrome. Journal of Orthopaedic Surgery and Research. 2023;18(1):895.
  27. Olesiejuk M, Marusiak J, Chalimoniuk M. Myofascial Trigger Points therapy decreases myotonometric tone and stiffness of trapezius muscle, benefits headaches and muscle pain in migraine. Neurorehabilitation. 2023;52(2), 299-310.
  28. Bohlen L, Schwarze J, Richter J, Gietl B, Lazarov C, Kopyakova A et al. Effect of osteopathic techniques on human resting muscle tone in healthy subjects using myotonometry: a factorial randomized trial. Scientific Reports, 2022;12(1):16953.