Department of Physical Therapy, Riphah International University, Lahore, Pakistan.
J Orthop Surg Res. 2023 Nov 24;18(1):895. doi: 10.1186/s13018-023-04379-z.
BACKGROUND: Thoracic myofascial pain syndrome is a clinical problem arising from the muscles and soft tissues of thoracic region, which include the mid and upper back area. Risk factors associated with myofascial pain syndrome are muscle overuse and repetitive strain, poor posture, trauma or injury, emotional and psychological stresses. The management of myofascial pain syndrome (MPS) typically involves a multidimensional approach that focuses on relieving pain, reducing muscle tension, and improving muscle function. Bowen therapy and tennis ball technique are also recommended for treating myofascial pain syndrome. OBJECTIVE: The objective of this study was to compare the effects of Bowen therapy and tennis ball technique on pain and functional disability in patients with thoracic myofascial pain syndrome. METHODS: It was a randomized clinical trial conducted on thirty patients. It was carried out in physiotherapy outpatient department of D.H.Q Hospital, Kasur. Non-probability convenience sampling technique was used. Data collection was done from the patients of thoracic myofascial pain syndrome by using Numeric Pain Rating Scale (NPRS) for pain and Pain Disability Questionnaire (PDQ) for functional disability. Participants were randomly allocated into two groups using computer generated random number method. Group A received Bowen therapy, and group B received tennis ball technique. Outcome measures were measured at baseline, after second week treatment session and after fourth week with three sessions in a week on alternate days. Data analysis was done by using Statistical Package for the Social Sciences (SPSS) version 26. RESULTS: There was significant difference between the mean values of NPRS and PDQ in both groups at baseline, second week and fourth week with p value < 0.05. The results indicated that both treatments were significant but Bowen therapy is more effective treatment than tennis ball technique. Within-group difference calculated with repeated-measure ANOVA indicated that there was significant difference from pre- to post-values of both groups. CONCLUSION: This study concluded that Bowen therapy produced statistically significant and clinically relavant results for all the outcome measures. TRIAL REGISTRATION: (IRCT20190717044238N7).
背景：胸肌筋膜疼痛综合征是一种源于胸区肌肉和软组织的临床问题，包括中背部和上背部区域。肌筋膜疼痛综合征的相关风险因素包括肌肉过度使用和重复性劳损、不良姿势、创伤或损伤、情绪和心理压力。肌筋膜疼痛综合征（MPS）的治疗通常涉及多维度的方法，重点是缓解疼痛、减轻肌肉紧张和改善肌肉功能。 Bowen 疗法和网球球技术也被推荐用于治疗肌筋膜疼痛综合征。
目的：本研究的目的是比较 Bowen 疗法和网球球技术对胸肌筋膜疼痛综合征患者疼痛和功能障碍的影响。
方法：这是一项在 Kasur 的 D.H.Q 医院理疗门诊进行的随机临床试验。采用非概率便利抽样技术。通过数字疼痛评分量表（NPRS）评估疼痛，通过疼痛残疾问卷（PDQ）评估功能障碍，对胸肌筋膜疼痛综合征患者进行数据收集。使用计算机生成的随机数方法将参与者随机分配到两组。A 组接受 Bowen 疗法，B 组接受网球球技术。每周隔一天进行三次治疗，在基线、第二次治疗后和第四次治疗后进行结局测量。数据使用统计软件包 for the Social Sciences (SPSS) 版本 26 进行分析。
结果：两组在基线、第二周和第四周时 NPRS 和 PDQ 的平均值均有显著差异（p 值均<0.05）。结果表明，两种治疗方法均有效，但 Bowen 疗法比网球球技术更有效。重复测量方差分析的组内差异表明，两组的前后值均有显著差异。
结论：本研究得出结论，Bowen 疗法在所有结局指标上均产生了统计学上显著且临床上相关的结果。
试验注册：IRCT20190717044238N7。
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