School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen 40002, Thailand.
Research Institute for Human High Performance and Health Promotion, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
Int J Environ Res Public Health. 2021 Aug 12;18(16):8533. doi: 10.3390/ijerph18168533.
Modified-active release therapy (mART) was developed to treat patients experiencing upper quarter pain. The objective of the study was to determine the effectiveness of the mART in treating pain, promoting function, and measuring emotions in patients with scapulocostal syndrome (SCS) and masticatory myofascial pain (MMP). A stratified-randomized controlled trial was employed in 38 participants separated into two groups. All participants underwent the same series visual analog scale (VAS), pressure pain threshold (PPT), mouth opening (MO), maximum mouth opening (MMO), craniovertebral angle (CV-angle), and pain catastrophizing scale Thai version (PCS-Thai-version) at the baseline. The mART group underwent the mART program three times a week for 4 weeks with a hot pack and an educational briefing while the control group received only a hot pack and the educational briefing. After treatment, both groups showed significant improvement ( < 0.05) in all parameters except MO, MMO, and CV-angle. When comparing outcomes between the groups, the mART group showed a statistically significant greater number of improvements than did the control group. In conclusion, the mART program can improve pain experienced by patients with SCS and MMP and it can be used as an adjuvant technique with conservative treatment.
改良式主动释放疗法（mART）用于治疗上半身疼痛的患者。本研究旨在评估 mART 对治疗肩胛胸壁综合征（SCS）和咀嚼肌筋膜疼痛（MMP）患者疼痛、功能改善和情绪的效果。38 名参与者被分为两组，采用分层随机对照试验。所有参与者在基线时都进行相同的视觉模拟评分（VAS）、压力疼痛阈值（PPT）、张口度（MO）、最大张口度（MMO）、颅颈角（CV 角）和泰国版疼痛灾难化量表（PCS-Thai-version）。mART 组每周接受 3 次 mART 治疗，共 4 周，包括热敷和教育简报，而对照组仅接受热敷和教育简报。治疗后，两组除 MO、MMO 和 CV 角外，所有参数均有显著改善（ < 0.05）。组间结果比较，mART 组的改善例数明显多于对照组。总之，mART 方案可改善 SCS 和 MMP 患者的疼痛，并可作为保守治疗的辅助技术。
