Cervical Myofascial Pain Syndrome Treatment Outcomes: A Comparison between Physical Therapy combined Specific Neck Exercise and Physical Therapy
Cervical Myofascial Pain Syndrome Treatment Outcomes
Keywords:
neck pain, specific neck exercise, myofascial pain syndrome, physical therapyAbstract
Cervical pain caused by myofascial pain syndrome (MPS) was found first among patients who received physical therapy services. This experimental study aimed to compare therapeutic effect between physical therapy combined with specific neck exercise and physical therapy in cervical myofascial pain syndrome patients in Buddhachinaraj Phitsanulok Hospital during October 2020 to June 2021. These patients were divided into two groups, 29 patients in each group. The first group underwent physical therapy combined with specific neck exercise and another underwent physical therapy alone. The results of treatment were compared by chi-square test, chi-square test for linear trend, Mann Whitney U test and Wilcoxon signed rank test with significant level at 0.05. There were no difference in sex, ages, education, occupation, average pre-treatment pain and disability scores in both groups. There were statistically significant differences in pain scores and disability scores after treatment for both groups. The post-treatment reductions in pain scores and disability scores were greater in group 1 than in group 2, no patients had to discontinue this study. In conclusion, physical therapy combined with specific neck exercise is more effective than physical therapy alone.
References
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29. Wannapira W, Wannapira P. Prevalence and factors associated with neck and shoulder pain among hospital personnel. Buddhachinaraj Med J 2008;25(1):34-41.
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33. Picavate HSJ, Schouten JSAG. Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC3- study. Pain 2003;102(1-2):167-78.
34. Nolet PS, Cote P, Kristman VL, Rezai M, Carroll LJ, Cassidy JD. Is neck pain associated with worse health-related quality of life 6 months later? a populationbased cohort study. Spine J 2015;15(4):675-84.
35. Leroux I, Dionne CE, Bourbonnais R, Brisson C. Prevalence of musculoskeletal pain and associated factors in the Quebec working population. Int Arch Occup Environ Health 2005;78(5):379-86.
2. Kent PM, Keating JL.The epidemiology of low back pain in primary care. Chiropr Osteopat 2005;13:13. doi: 10.1186/1746-1340-13-13
3. Zoer I, Frings-Dresen MH, Sluiter JK. Are musculoskeletal complaints, related work impairment and desirable adjustments in work age-specific?. Int Arch Occup Environ Health 2014;87(6):647-54.
4. Rachlin ES, Rachlin IS. Myofascial pain and fibromyalgia trigger point managements. 2nd ed. St Louis, Missouri State, USA: Mosby;2002.
5. Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum 2012;64(6):2028-37.
6. Oha K, Animagi L, Paasuke M, Coggon D, Merisalu E. Individual and work-related risk factors for musculoskeletal paina cross-sectional study among Estonian computer users. BMC Musculoskelet Disord 2014;15:181. doi: 10.1186/1471-2474-15-181
7. Paksaichol A, Janwantanakul P, Purepong N, Pensri P. Office workers' risk factors for the development of non-specific neck pain: a systematic review of prospective cohort studies. Occup Environ Med 2012;69(9):610-8.
8. Janwantanakul P, Pensri P, Jiamjarasrangsri V, Sinsongsook T. Prevalence of selfreported musculoskeletal symptoms among office workers. Occup Med (Lond) 2008;58(6):436-8.
9. Lotters F, Meerding WJ, Burdorf A. Reduced productivity after sickness absence due to musculoskeletal disorders and its relation to health outcomes. Scand J Work Environ Health 2005;31(5):367-74.
10. Pensri P, Foster NE, Srisuk S, Baxter GD, McDonugh SM. Physiotherapy management of low back pain in Thailand: a study of practice. Physiother Res Int 2005;10(4):201-12.
11. Gam AN, Warming S, Larsen LH, Jensen B, Hoydalsmo O, Allon I, et al. Treatment of myofascial trigger-points with ultrasound combined with massage and exercise-a randomized controlled trial. Pain 1998;77(1):73-9. doi: 10.1016/S0304-3559(98)00084-0
12. Majlesi J, Unalan H. High power pain threshold ultrasound technique in the treatment of active myofascial trigger points: a randomized, double blind, case control study. Arch Phys Med Rehabil 2004;85(5):833-6.
13. Hecox B, Mehreteab TA, Weisberg J. Physical agents: a comprehensive text for physical therapists. Norwalk, Connecticut State, USA: Appleton & Lange; 1994. p.163-91.
14. Martin BI, Deyo RA, Mirza S, Turner JA, Comstock B, Hollingworth W, et al. Expenditures and health status among adults with back and neck problems. JAMA 2008;299(6):656-64.
15. Cote P, van der Velde G, Cassidy JD, Carroll LJ, Hogg-Jonhson S, Holm LW, et al. The burden and determinants of neck pain in workers; results of the bone and joint decade 2000-2010 task force on neck pain and its associated disorders. JMPT 2009;32(2 Suppl):S70-86.
16. Hush JM, Michaleff Z, Maher CG, Refshauge K. Individual, physical and psychological risk factors for neck pain in Australian office workers: a 1-year longitudinal study. Eur Spine J 2009;18(10):1532-40.
17. Buddhachinaraj Phitsanulok Hospital. Annual-reports [cited 2021 Jul 15]. Available from: URL: http://192.168.50.58/Budhosp App Center/annual-reports/2562
18. Simon DG, Travell JG. Myofascial pain and dysfunction: the trigger point manual. Vol. 1. upper half of body. 2nd ed. Baltimore, Maryland State, USA: Williams and Wilkins;1999.
19. Palaviwat K. Electrotherapeutic equipments for physical therapy. Bangkok, Thailand: The Books Publishing; 2000. p.260-343.
20. Janwantanakul P, Pensri P, Jiamjarasrangsi W, Sinsongsook T. Prevalence, contributors and economic loss of work-related musculoskeletal symptoms among office workers in company in Bangkok Metropolis area. Bangkok, Thailand: Research and Development Division, The Social Security Officer;2005.
21. Bijur PE, Latimer CT, Callagher EJ. Validation of a verbally administered numerical rating scale of acute pain for use in the emergency department. Acad Emerg Med 2003;10(4):390-2.
22. Bendinger T, Plunkett N. Measurement in pain medicine. BJA Educ 2016;16(9): 310-5.
23. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. JMPT 1991;14(7):409-15.
24. Ngamjarus C, Chongsuvivatwong V. N4Studies: sample size and power calculations for IOS [online]. 2014 [cited 2019 June 12]. Available from: URL: https://apps.apple.com/th/app/n4studies/id680516901
25. Korhonen T, Ketola R, Toivonen R, Luukkonen R, Hakkanen M, Viikari-Juntura E. Work related and individual predictors for incident neck pain among office employees working with video display units. Occup Environ Med 2003l;60(7):475-82.
26. Ming Z, Narhi M, Siivola J. Neck and shoulder pain related to computer use. Pathophysiology 2004;11(1):51-6.
27. Wilson A. Ergonomicfactors. Effective management of musculoskeletal injury: a clinical ergonomics approach to prevention, treatment and rehabilitation. Edinburgh, United Kingdom: Churchill Livingstone; 2001.
28. Wahlstrom J, Hagberg M, Toomingas A, Tornqvist EW. Perceived muscular tension, job strain, physical exposure, and associations with neck pain among VDU users; a prospective cohort study. Occup Environ Med 2004;61(6):523-8.
29. Wannapira W, Wannapira P. Prevalence and factors associated with neck and shoulder pain among hospital personnel. Buddhachinaraj Med J 2008;25(1):34-41.
30. Walker MJ. The effectiveness of manual physical therapy and exercise for mechanical neck pain: a randomized clinical trial. Spine 2008;33(22):2371-8.
31. Kaka B, Ogwumike OO, Adeniyi AF, Maharaj SS, Ogunlade SO, Bello B. Effectiveness of neck stabilization and dynamic exercises on pain intensity, depression and anxiety among patients with non-specific neck pain: a randomised controlled trial. Scand J Pain 2018;18(2):321-31.
32. Buyukturan O, Buyukturan B, Sas S, Karati C, Ceylan I. The effect of Mulligan mobilization technique in older adults with neck pain: a randomized controlled, double-blind study. Pain Res Manag 2018;2018:2856375.doi: 10.1155/2018/2856375
33. Picavate HSJ, Schouten JSAG. Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC3- study. Pain 2003;102(1-2):167-78.
34. Nolet PS, Cote P, Kristman VL, Rezai M, Carroll LJ, Cassidy JD. Is neck pain associated with worse health-related quality of life 6 months later? a populationbased cohort study. Spine J 2015;15(4):675-84.
35. Leroux I, Dionne CE, Bourbonnais R, Brisson C. Prevalence of musculoskeletal pain and associated factors in the Quebec working population. Int Arch Occup Environ Health 2005;78(5):379-86.
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Published
2021-08-24
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