Buttagat Vitsarut, Eungpinichpong Wichai, Chatchawan Uraiwon, Arayawichanon Preeda
Division of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen 40002, Thailand.
J Bodyw Mov Ther. 2012 Jan;16(1):57-63. doi: 10.1016/j.jbmt.2011.04.005. Epub 2011 Jun 22.
The purpose of this study was to investigate the therapeutic effects of traditional Thai massage (TTM) on pain intensity, pressure pain threshold (PPT), muscle tension and anxiety associated with scapulocostal syndrome (SCS). Twenty patients were randomly allocated to receive a 30-min session of either TTM or physical therapy modalities (PT: ultrasound therapy and hot pack) for 9 sessions over a period of 3 weeks. Pain intensity, PPT, muscle tension and anxiety were measured before and immediately after the first treatment session, 1 day after the last treatment session and 2 weeks after the last treatment session. Results indicated that the TTM group showed a significant improvement in all parameters after the first treatment session and at 1 day and 2 weeks after the last treatment session (p < 0.05). For all outcomes, similar changes were observed in the PT group except for PPT (p < 0.05). The adjusted post-test mean values of each assessment time point for pain intensity and muscle tension were significantly lower in the TTM group than those of the PT group (p < 0.01). In addition, the values for PPT were significantly higher in the TTM group (p > 0.05). We therefore suggest that TTM could be an alternative treatment for the patient with SCS.
本研究旨在探讨传统泰式按摩（TTM）对与肩胛胸壁综合征（SCS）相关的疼痛强度、压痛阈（PPT）、肌肉紧张度及焦虑的治疗效果。20名患者被随机分为两组，一组接受为期3周、共9节的30分钟传统泰式按摩，另一组接受物理治疗方式（PT：超声治疗和热敷）。在第一次治疗前、第一次治疗后即刻、最后一次治疗后1天及最后一次治疗后2周测量疼痛强度、PPT、肌肉紧张度及焦虑情况。结果显示，传统泰式按摩组在第一次治疗后以及最后一次治疗后1天和2周时，所有参数均有显著改善（p<0.05）。对于所有结果，物理治疗组除PPT外（p<0.05），其他方面观察到类似变化。传统泰式按摩组疼痛强度和肌肉紧张度各评估时间点的调整后测试平均值显著低于物理治疗组（p<0.01）。此外，传统泰式按摩组的PPT值显著更高（p>0.05）。因此，我们认为传统泰式按摩可为肩胛胸壁综合征患者提供一种替代治疗方法。
