Effects of Royal Thai Traditional Massage Combined with Thai Yoga Exercise among Thai Patients with Office Syndrome
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Abstract
Introduction: Given the increasing prevalence of office syndrome and the concerns about medicinal treatments or innovative treatments that are accessible, cost-effective, and safe over the long-term are necessary. A combination therapy, such as the Royal Thai Traditional Massage combined with Thai Yoga Exercise (RTTM – TYE), is introduced to treat people suffering from office syndrome in this study, and that would fill this research gap. The study aimed to examine the effects of RTTM-TYE on pain levels and neck range of motion (NROM) by comparing two treatment methods: RTTM-TYE and RTTM alone.
Methods: A quasi-experimental, pretest-posttest research design was conducted on 60 participants diagnosed with office syndrome from the Thai traditional medicine clinic at Luangphopern Hospital in Nakhon Pathom province. Participants were assigned to two groups for a 2-week intervention period (3 sessions per week, totaling 6 sessions. While the control group of 30 received a 45-minute RTTM, the experimental group of 30 received RTTM the same as the control group and followed by a 30-minute TYE per session. Pain intensity was assessed using a Visual Analog Scale (VAS), and neck range of motion (NROM) was measured using a goniometer for precision in four directions: flexion, extension, and bilateral flexion. Data on pain levels and NROM were measured before and after treatments. Descriptive statistics and inferential statistics were used for data analysis.
Results: When comparing pre-post treatment, within the group of both the experimental and control groups, the findings indicated that pain levels and NROM of post-treatment were better than those of pre-treatment at the significant level of 0.05. The comparison between groups suggested that the experimental group demonstrated significantly lower pain levels and increased NROM for all positions than the control group at the significant level of 0.05.
Conclusions: Participants in the experimental group experienced better improvement in pain levels and neck mobility than those in the control group. This research suggests that using RTTM with TYE should be promoted as the combined treatment can reduce pain and increase neck movement more than RTTM alone.
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References
Demissie B, Bayih ET, Demmelash AA. A systematic review of work-related musculoskeletal disorders and risk factors among computer users. Heliyon. 2024; 10(3):e25075.
World Health Organization (WHO). Musculoskeletal health. 2022. Available from: https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions
The Rheumatologist. Global prevalence and burden of musculoskeletal disorders. Available from:https://www.the-rheumatologist.org/article/global-prevalence-burden-of-musculoskeletal-disorders/
Gosain L, Ahmad I, Rizvi MR, Sharma A, Saxena S. Prevalence of musculoskeletal pain among computer users working from home during the COVID-19 pandemic: a cross-sectional survey. Bull Fac Phys Ther. 2022;27(1):51. DOI: 10.1186/s43161-022-00110-x.
Okezue OC, Anamezie TH, Nene JJ, Okwudili JD. Work-related musculoskeletal disorders among office workers in higher education institutions: a cross-sectional study. Ethiop J Health Sci. 2020;30(5):715–24.
Putsa B, Jalayondeja W, Mekhora K, Bhuanantanondh P, Jalayondeja C. Factors associated with reduced risk of musculoskeletal disorders among office workers: a cross-sectional study 2017 to 2020. BMC Public Health. 2022;22(1):1503. DOI: 10.1186/s12889=022=13940-0.
AlOmar RS, AlShamlan NA, Alawashiz S, Badawood Y, Ghwoidi BA, Abugad H. Musculoskeletal symptoms and associated risk factors among Saudi office workers: a cross-sectional study. BMC Musculoskelet Disord. 2021;22 (1):763. DOI: 10.1186/s12891-021-04652-4.
Jacquier-Bret J, Gorce P. Work-related musculoskeletal disorder prevalence by body area among nurses in Asia: a systematic review and meta-analysis. Int J Environ Res Public Health. 2025;22(4):652–74.
Dong H, Zhang Q, Liu G, Shao T, Xu Y. Prevalence and associated factors of musculoskeletal disorders among Chinese healthcare professionals working in tertiary hospitals: a cross-sectional study. BMC Musculoskelet Disord. 2019;20 (1):175. DOI: 10.1186/s12891-01902557-5.
Luan HD, Hai NT, Xanh PT, Giang HT, Thuc PV, Hong NM, et al. Musculoskeletal disorders: prevalence and associated factors among district hospital nurses in Haiphong, Vietnam. Biomed Res Int. 2018: 3162564. DOI: 10.1155/2018/3162564.
Bosari SR, Sabet MS, Leyli EK, Sedighi-Chafjiri A. Prevalence of work-related musculoskeletal disorders and related factors among nurses: a cross-sectional study. J Nurs Rep Clin Pract. 2025;3(1):23–35.
Putsa N. Prevalence of work-related musculoskeletal disorders, pain in different body areas, and stress level in office workers. Thai J Ergonomics. 2021;4(2):51–64.
Mongkonkansai J, Madardam U. Factors related to musculoskeletal disorders among office workers at Walailak University. J Health Sci Thai. 2019; 28(1):37–44.
Jalayondeja W, Mekhora K, Jalayondeja C, Samae H, Bhuanantanondh P. Upper and lower crossed syndromes among computer and manual material handling workers in an oil and gas company. Thai J Ergonomics. 2019;2(1):30–41.
Waersted M, Hanvold TN, Veiersted KB. Computer work and musculoskeletal disorders of the neck and upper extremity: a systematic review. BMC Musculoskelet Disord. 2010;11(1):79. DOI: 10.1186/1471-2474-11-79.
Leesiriwattanagul S, Charoenkit K, Pibanwong W. The effects of a Thai massage program on office syndrome among personnel. Nurs J Minist Public Health. 2019;29(2):129–41.
Chaiyachit P, Chantachon P, Reveepong T, Nithikathkul C. Thai massage in patients with office syndrome in Khon Kaen Hospital, Thailand. NeuroQuantology. 2022;20(10):6888–902.
Sucharit W, Roberts N, Eungpinichpong W, Hunsawong T, Chatchawan U. Standardised 25-step traditional Thai massage protocol for treating office syndrome. Int J Environ Res Public Health. 2023;20(12):6159.
Nanbancha A, Tharawadeepimuk K, Limroongreungrat W, Leelawapa N, Wongsawat Y, Sroykham W. Impact of Reusi Dat Ton (Thai yoga) on office syndrome: a study utilizing IMU technology and stress management tools. 2024. Available from SSRN : https://ssrn.com/abstract=4912242 [Accessed 2025, Jun 15].
Kongkaew C, Lertsinthai P, Jampachaisri K, Mongkhon P, Meesomperm P, Kornkaew K, et al. The effects of Thai yoga on physical fitness: a meta-analysis of randomized controlled trials. J Altern Complement Med. 2018;24(6):541–51.
Thanasilungkoon B, Niempoog S, Sriyakul K, Tungsukruthai P, Kamalashiran C, Kietinun S. The efficacy of Ruesi Dadton and yoga on reducing neck and shoulder pain in office workers. Int J Exerc Sci. 2023;16(7):1113–30.
Boonruab J, Poonsuk P, Damjuti W, Supamethangkura W. Myofascial pain syndromes focused on the upper trapezius muscle: a comparative randomized controlled trial of court-type traditional Thai massage versus Thai hermit exercise. J Evid Based Integr Med. 2021;26. DOI: 10.1177/2515690x211030852.
Watcharasirikul N, Vannabhum M, Yamthed R, Srikhlo T, Akarasereenont P, Harnphadungkit K. Comparative effectiveness of court-type Thai traditional massage and ultrasound therapy in patients with neck pain: a randomized controlled trial. Siriraj Med J. 2023;75(1):29–37.
Juntakarn C, Prasartritha T, Petrakard P. The effectiveness of Thai massage and joint mobilization. Int J Ther Massage Bodywork. 2017;10(2):1–8.
Boonruen S, Wirattanapokin S, Sawangjit W. Comparison between royal Thai traditional massage with and without Maneeveda exercise among patients with frozen shoulder at Dontum Hospital, Nakhonpathom Province. J Health Sci Thailand. 2024;33(1):74–84.
Fayrach K, Saendung P. Effects of Thai massage with Thai yoga exercise in office syndrome patients at Chonburi Hospital. Chonburi Hosp J. 2024;49(3):287–92.
Wilhelm M, Cleland J, Carroll A, Marinch M, Imhoff M, Severini N, Donaldson M. The combined effects of manual therapy and exercise on pain and related disability for individuals with nonspecific neck pain: a systematic review with meta-analysis. J Man Manip Ther. 2023;31(6):393-407.
Sucharit W, Eungpinichpong W, Hunsawong T, Pungsuwan P, Bennett S, Hojo E, et al. Pre-and post-treatment study of the application of a traditional Thai massage protocol for treating office syndrome. Asia Pac J Sci Technol. 2023;28(3):1–9.
Rawal G, Kumar R, Yadav S, Sujana R. Pain management in intensive care unit: a brief review. Med Res Chronicles. 2019;6(6):302–309.
Srisawat P. Effectiveness of Thai royal massage, herbal compression, and seven Thai yoga postures on migraine. Dissertation, Master’s Degree of Higher Education. Rajamangala University of Technology Isan; 2014.
Department of Thai Traditional and Alternative Medicine, Ministry of Public Health. Rusie Dotton [The Hermit's Body Twist: 15 Standard Positions]. Nonthaburi: The Department, 2017. Available from: https://digital.nlt.go.th/dlib/files/original/f6bdf6281b17259d176eebcef8dc9cb8.pdf
Keeratitanont K, Jensen MP, Chatchawan U, Auvichayapat P. The efficacy of traditional Thai massage for the treatment of chronic pain: a systematic review. Complement Ther Clin Pract. 2015;21(1):26–32.
Boonruen S. The effect of royal Thai traditional massage with Maneeveda exercise in office syndrome patients at Dontum Hospital, Nakhonpathom Province. J Nurs Educ. 2021;14(1):91–105.
