Browse > Article
http://dx.doi.org/10.15268/ksim.2021.9.2.035

Addition of Myofascial Release Therapy to Therapeutic Exercise for Management of Nonspecific Neck Pain  

Ha, Yangsun (Major in Integrative Medicine, Dept. of Medicine, Graduate School of CHA University)
Hahm, Suk-Chan (Graduate School of Integrative Medicine, CHA University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.9, no.2, 2021 , pp. 35-41 More about this Journal
Abstract
Purpose : It is necessary to demonstrate the effect of non-invasive and non-pharmacological interventions such as manual therapy and therapeutic exercise for the management of nonspecific neck pain. In the present study, we aimed to investigate the efficacy of myofascial release therapy plus therapeutic exercise for disability owing to neck pain and quality of life in individuals with nonspecific neck pain. Methods : Eighteen participants with nonspecific neck pain were randomly allocated to intervention (n=9) and control groups (n=9). The intervention group received a myofascial release therapy for 20 min and performed neck stabilization exercises for 30 min twice a week for 4 weeks. The control group performed neck stabilization exercises for 30 min twice a week for 4 weeks at the same time points as the intervention group. Disability owing to neck pain and quality of life were quantified using the neck disability index (NDI) and the Korean version of the World Health Organization Quality of Life Brief Version (WHOQOL-BREF), respectively. NDI and WHOQOL-BREF were assessed before and after intervention. Results : The disability owing to neck pain significantly changed between the groups over time (total score of NDI, p=.049). There were significant time and group interactions in pain (pain intensity of NDI, p=.035) and concentration (concentration of NDI, p=.049). Personal care, lifting, reading, headaches, work, driving, sleeping, and recreation did not show significant improvement between the groups over time. Total score, overall quality of life and general health, physical health domain, psychological domain, social relationships domain, and environmental domain quantified by WHOQOL-BREF did not show significant improvements between the groups over time. Conclusion : These results suggest the clinical use of myofascial release therapy in addition to therapeutic exercise for the management of nonspecific neck pain. Further studies are needed to generalize the findings of this study.
Keywords
myofascial release therapy; neck disability index; neck stabilization exercise; nonspecific neck pain; quality of life;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Bier JD, Scholten-Peeters WGM, Staal JB, et al(2018). Clinical practice guideline for physical therapy assessment and treatment in patients with nonspecific neck pain. Phys Ther, 98(3), 162-171. https://doi.org/10.1093/ptj/pzx118.   DOI
2 Celenay ST, Akbayrak T, Kaya DO(2016a). A comparison of the effects of stabilization exercises plus manual therapy to those of stabilization exercises alone in patients with nonspecific mechanical neck pain: a randomized clinical trial. J Orthop Sports Phys Ther, 46(2), 44-55. https://doi.org/10.2519/jospt.2016.5979.   DOI
3 Ajimsha MS, Chithra S, Thulasyammal RP(2012). Effectiveness of myofascial release in the management of lateral epicondylitis in computer professionals. Arch Phys Med Rehabil, 93(4), 604-609. https://doi.org/10.1016/j.apmr.2011.10.012.   DOI
4 Ajimsha MS, Daniel B, Chithra S(2014). Effectiveness of myofascial release in the management of chronic low back pain in nursing professionals. J Bodyw Mov Ther, 18(2), 273-281. https://doi.org/10.1016/j.jbmt.2013.05.007.   DOI
5 Bernal-Utrera C, Gonzalez-Gerez JJ, Saavedra-Hernandez M, et al(2019). Manual therapy versus therapeutic exercise in non-specific chronic neck pain: study protocol for a randomized controlled trial. Trials, 20, Printed Online. https://doi.org/10.1186/s13063-019-3598-7.   DOI
6 Celenay ST, Kaya DO, Akbayrak T(2016b). Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain: A prospective, randomised controlled trial. Man Ther, 21, 144-150. https://doi.org/10.1016/j.math.2015.07.003.   DOI
7 Diab RH, Hamed RH, Mustafa IM(2016). Efficacy of McKenzie protocol on non-specific neck pain. Int J Physiother Res, 4(5), 1631-1638. https://doi.org/10.16965/ijpr.2016.140.   DOI
8 Vincent K, Maigne JY, Fischhoff C, et al(2013). Systematic review of manual therapies for nonspecific neck pain. Joint Bone Spine, 80(5), 508-515. https://doi.org/10.1016/j.jbspin.2012.10.006.   DOI
9 Bertozzi L, Gardenghi I, Turoni F, et al(2013). Effect of therapeutic exercise on pain and disability in the management of chronic nonspecific neck pain: systematic review and meta-analysis of randomized trials. Phys Ther, 93(8), 1026-1036. https://doi.org/10.2522/ptj.20120412.   DOI
10 Rodriguez-Fuentes I, De Toro FJ, Rodriguez-Fuentes G, et al(2016). Myofascial release therapy in the treatment of occupational mechanical neck pain: a randomized parallel group study. Am J Phys Med Rehabil, 95(7), 507-515. https://doi.org/10.1097/PHM.0000000000000425.   DOI
11 Cohen SP(2015). Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc, 90(2), 284-299. https://doi.org/10.1016/j.mayocp.2014.09.008.   DOI
12 Shin HJ, Kim SH, Hahm SC, et al(2020). Thermotherapy plus neck stabilization exercise for chronic nonspecific neck pain in elderly: a single-blinded randomized controlled trial. Int J Environ Res Public Health, 17(15), Printed Online. https://doi.org/10.3390/ijerph17155572.   DOI
13 Rodriguez-Huguet M, Gil-Salu JL, Rodriguez-Huguet P, et al(2018). Effects of myofascial release on pressure pain thresholds in patients with neck pain: a single-blind randomized controlled trial. Am J Phys Med Rehabil, 97(1), 16-22. https://doi.org/10.1097/PHM.0000000000000790.   DOI
14 Hidalgo B, Hall T, Bossert J, et al(2017). The efficacy of manual therapy and exercise for treating non-specific neck pain: a systematic review. J Back Musculoskelet Rehabil, 30(6), 1149-1169. https://doi.org/10.3233/BMR-169615.   DOI
15 Dusunceli Y, Oztrurk C, Atamaz F, et al(2009). Efficacy of neck stabilization exercises for neck pain: a randomized controlled study. J Rehabil Med, 41(8), 626-631. https://doi.org/10.2340/16501977-0392.   DOI
16 Kim J, Shin W(2014). How to do random allocation (randomization). Clin Orthop Surg, 6(1), 103-109. https://doi.org/10.4055/cios.2014.6.1.103.   DOI
17 Min SK, Kim KI, Lee CI, et al(2002). Development of the Korean versions of WHO quality of life scale and WHOQOL-BREF. Qual Life Res, 11(6), 593-600. https://doi.org/10.1023/a:1016351406336.   DOI
18 Perez-Martinez C, Gogorza-Arroitaonandia K, Heredia-Rizo AM, et al(2020). INYBI: A new tool for self-myofascial release of the suboccipital muscles in patients with chronic non-specific neck pain: a randomized controlled trial. Spine, 45(21), E1367-E1375. https://doi.org/10.1097/BRS.0000000000003605.   DOI
19 Song KJ, Choi BW, Choi BR, et al(2010). Cross-cultural adaptation and validation of the Korean Version of the Neck Disability Index. Spine, 35(20), E1045-1049. https://doi.org/10.1097/BRS.0b013e3181df78e9.   DOI
20 Tozzi P, Bongiorno D, Vitturini C(2011). Fascial release effects on patients with non-specific cervical or lumbar pain. J Bodyw Mov Ther, 15(4), 405-416. https://doi.org/10.1016/j.jbmt.2010.11.003.   DOI