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

Jeong, Seong-gwan (Dept. of Physical Therapy, Seoul Orthopedic Clinic)
Lee, Ho-jun (Dept. of Physical Therapy, Hansarang Clinic)
Publication Information
The Journal of Korean Academy of Orthopedic Manual Physical Therapy / v.27, no.2, 2021 , pp. 87-92 More about this Journal
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
Adhesive Capsulitis; Epinephrine; Myofascial release; Norepinephrine; Pressure Pain Threshold;
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