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http://dx.doi.org/10.15268/ksim.2021.9.2.043

Effects of Application of Myofascial Release of Neck and Upper Trunk on the Pain, Insomnia and Sleep Disturbances in Patients with Chronic Neck Pain  

Bae, Kyeong (Research Team for Health and Safety Convergence, Korea Research Institute of Standards and Science)
Park, Se-Jin (Research Team for Health and Safety Convergence, Korea Research Institute of Standards and Science)
Chon, Seung-Chul (Dept. of Physical Therapy, College of Medical Science, Konyang University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.9, no.2, 2021 , pp. 43-52 More about this Journal
Abstract
Purpose : Chronic neck pain negatively impacts the quality of life and causes various problems in daily life due to pain, insomnia, and sleep disturbances in patients with this condition. Therapeutic interventions to solve these problems in rehabilitation and physical therapy are being introduced; however, the evidence of the efficacy of myofascial release (MFR) is still insufficient. This study aimed to investigate the effects of applying MFR on pain, insomnia, and sleep disturbances in patients with chronic neck pain. Methods : Ten patients with chronic neck pain were randomly selected and grouped into the experimental group (n1 = 10) and control group (n2 = 10) by cross-over design. Pain was measured before and after MFR intervention. Moreover, insomnia was measured only after MFR intervention. Polysomnography was performed after MFR intervention. Wilcoxon signed rank test and Mann-Whitney U test were used for the visual analog scale (VAS). Independent sample t-test was separately performed to measure insomnia and sleep. Results : After MFR intervention, the VAS score of the experimental group (p = 0.005) significantly decreased than that of the control group (p = 0.002). The insomnia score of the experimental group significantly decreased than that of the control group (p = 0.001). The total sleep time (p = 0.001), sleep efficiency (p = 0.001), and sleep latency (p = 0.001) of the experimental group significantly increased than those of the control group in the polysomnographic measurement. Conclusion : The application of MFR of the neck and upper trunk may have a positive effect on pain, insomnia, and sleep disturbances in patients with chronic neck pain. It was also suggested that an objective and quantitative polysomnography can be used more often in the field of rehabilitation and physical therapy.
Keywords
insomnia; myofascial release; neck pain; polysomnography; sleep;
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1 Park MS, Choi MN, Lee HK, et al(2015). Quality of sleep and heart rate variability by physical activity in high school students. Child Health Nurs Res, 24(3), 195-203. https://doi.org/10.4094/chnr.2015.21.3.195.   DOI
2 Park SY(2019). Associations between neurometabolites and cerebral blood flow in adults with subclinical insomnia: a multimodal neuroimaging study. Graduate school of Ewha Womans University, Republic of Korea, Doctoral dissertation.
3 Kim SY(2018). Factors related to sleep duration in Korean adults. Korean Data Inform Sci Soc, 29(1), 153-165. https://doi.org/10.7465/jkdi.2018.29.1.153.   DOI
4 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
5 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.00000000000000000790.   DOI
6 Ryu GH, Choi JH(2019). Interpretation of polysomnography. J Clinical Otolaryngol, 30(1), 12-19. https://doi.org/10.35420/jcohns.   DOI
7 Sohn SI, Kim DH, Lee MY, et al(2012). The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index. Sleep Breath, 16(3), 803-812. https://doi.org/10.1007/s11325-011-0579-9.   DOI
8 Kim MK, Lee WJ(2019). Effect of fascial distortion model on the pain and movement of neck patient. J Korean Phys Ther, 31(1), 24-30. https://doi.org/10.18857/jkpt.   DOI
9 Han MS, Lee KY(2012). The effect of back massage on degree of pain, state anxiety and quality of sleep of postoperative patients with gastrectomy. Asian Oncol Nurs, 12(1), 69-76. https://doi.org/10.5388/aon.2012.12.1.69.   DOI
10 Im YJ(2016). Psychological mediators of pain catastrophizing in patients with chronic back pain. Graduate school of Yonsei University, Republic of Korea, Doctoral dissertation.
11 Kim HJ, Park GH(2018). Relationships between symptoms of chronic pain and sleep disturbance in community-dwelling elderly with chronic diseases. J Korean Soc Living Environ Sys, 25(4), 424-431. https://doi.org/10.21086/ksles.2018.08.25.4.424.   DOI
12 Thompson WR, Carter R, Rohe B, et al(2011). A novel massage therapy technique for management of chronic cervical pain: a case series. Int J Ther Massage Bodyw, 4(3), 1-7. https://doi.org/10.3822/ijtmb.v4i3.137.   DOI
13 Park SJ, Lee R, Yoon DM, et al(2016). Factors associated with increased risk for pain catastrophizing in patients with chronic neck pain: a retrospective cross-sectional study. Medicine (Baltimore), 95(37), Printed Online. https://doi.org/10.1097/MD.0000000000004698.   DOI
14 Nam HC, Choi JY, Cho NJ(2019). The effect that the application of myofascial release has on neck pain of adults and joint range of motion. Arch Orthop Sports Phys Ther, 15(2), 117-126. https://doi.org/10.24332/aospt.   DOI
15 So YJ, Woo YG(2014). Effects of smartphone use on muscle fatigue and pain and, cervical range of motion among subjects with and without neck muscle pain. J Phys Ther Korea, 21(3), 28-37. https://doi.org/10.12674/ptk.2014.21.3.028.   DOI
16 Chung BY, Park HS(2017). Effects of non-pharmacological interventions for adults with insomnia in Korea: a meta-analysis. J Korea Acad-Industr Cooper Soc, 18(1), 95-106. https://doi.org/10.5762/KAIS.2017.18.1.95.   DOI
17 Kim MH, Han KS, Park MS(2002). A study on the sleep quality of the patients with temporomandibular disorders using Pittsburgh Sleep Quality Index. J Korean Acad Oral Med, 27, 89-105.
18 Lee CH, Kwon JW, Kim GD, et al(2009). A study on EEG based concentration transmission and brain computer interface application. J Institute Electronics Engineers Korea SC, 46(2), 41-46.
19 Bijur PE, Silver W, Gallagher EJ(2001). Reliabiity of the visual scale for measurement of acute pain. Acad Emerg Med, 8(12), 1153-1157. https://doi.org/10.1111/j.1553-2712.2001.tb01132.x.   DOI
20 Song KJ, Choi BW, Kim SJ, et al(2009). Cross-cultural adaptation and validation of the Korean Version of the Neck Disability Index. J Korean Orthop Assoc, 44(3), 350-359. https://doi.org/10.1097/BRS.0b013e3181df78e9.   DOI
21 Vernon H, Mior S(1991). The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther, 14(7), 409-415.
22 Yang CS, Kim IT, Kim YE, et al(2017). A systematic review of acupuncture-moxibustion treatments for nonspecific chronic neck pain. Korean J Acupunct, 34(4), 209-230. https://doi.org/10.14406/acu.2017.026.   DOI
23 So MA(2018). Mortality among patients with sleep disorders in South Korea. Graduate school of Yonsei University, Republic of Korea, Doctoral dissertation.
24 Lee HS, Park YS, Yu ES(2018). Moderation effects of emotion regulation strategies in the relationship between insomnia and aggression. Korean J Ind Organ Psychol, 23(4), 981-999.
25 Kim L(1994). Polysomnographic evaluation for disorders of initiating and maintaining sleep. Sleep Med Psychophysiol, 1(1), 9-19.
26 Kim IG, Lee SY(2019). 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, 29(1), 7-20. https://doi.org/10.18325/jkmr.2019.29.1.7.   DOI
27 Kim SH, Lee DH, Yoon KB, et al(2015). Factors associated with increased risk for clinical insomnia in patients with chronic neck pain. Pain Physician, 18(6), 593-598.
28 Lee MH, Park RJ(2004). The effect of MFR and taping on the pain level in whiplash injury. J Korean Phys Ther, 22(1), 81-97.
29 Lee JS, Jeong DW(2012). Sleep and pain. Sleep Med, 19(2), 63-67.
30 Lim SW, Kim L(2005). Insomnia in medical illnesses: the secondary insomnia. Sleep Med, 12(1), 11-16.
31 Choi JY(2003). Reliability of Visual Analog Scale in assessment of acute pain. J Korean Acad Soc Nurs Edu, 9(1), 136-143.
32 Yoon JW, Chung CY, Lee DW, et al(2019). Reliability and validity of the Brief Schema Questionnaire for Adult. J Korean Neuropsychiatr Assoc, 58(2), 138-145. https://doi.org/10.4306/jknpa.   DOI
33 Yu ES, Ko YG, Sung GH, et al(2009). Validation of the Korean Version of Dysfunctional Beliefs and Attitudes about Sleep (K-DBAS-16). J Clin Psychol, 28(1), 309-320.
34 Buysse DJ, Reynolds CF, Monk TH, et al(1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatr Res, 28, 193-213. https://doi.org/10.1016/0165-1781(89)90047-4.   DOI
35 Cha SY(2017). Effects of posterior neck myofascia release therapy and massage therapy on muscles tension, pain, sleep, and quality of life in casino workers. Graduate school of Namseoul University, Republic of Korea, Master's thesis.
36 Cho SH(2019). Effects of myofascial release and posture correction exercise on the neck movement and the quality of sleep inpatients with chronic tension-type headaches. J Int Acad Phys Ther Res, 10(4), 1897-1902. https://doi.org/10.20540/JIAPTR.2019.10.4.1897.   DOI
37 Choi SJ, Yun SH, Joo EY(2018). Effects of electrical automatic massage of whole body at bedtime on sleep and fatigue. Sleep Med, 14(1), 10-17. https://doi.org/10.13078/jsm.17002.   DOI
38 Chon SC, Chang KY(2010). Effect of craniocervical flexion exercise on pain and cross sectional area of longus colli muscle in workers with chronic neck pain. J Ergon Soc Korea, 29(6), 889-895. https://doi.org/10.5143/JESK.2010.29.6.889.   DOI
39 Kang JI, Jeong DK(2016). The effect of abdominal drawing-in maneuver for the wellness of patients with chronic neck pain-focused on neck muscle fatigue and Neck Disability Index. J KOEN, 10(6), 389-396.