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Effects of connective tissue massage on pain, sleep, and quality of life in individuals with myofascial pain syndrome: a randomized controlled study

Year 2019, Volume: 6 Issue: 1, 19 - 24, 12.04.2019

Abstract

Purpose: Myofascial pain syndrome (MPS) has been accepted as one of the pain categories in the musculoskeletal system. The aim of the study was to investigate the effect of connective tissue massage (CTM) in addition to exercise program in patients with MPS.

Methods: Twenty three female were attended this study and divided randomly into two groups (CTM Group, N=14; Control Group, N=13). In addition to the exercise program, 3 days a week CTM (18 sessions in total) was applied for 6 weeks. Pain severity (visual analog scale), sleep (Pittsburgh Sleep Quality Index) and quality of life (short form 36) were evaluated before and after the interventions.

Results: There was a significant difference between the pain severity, sleep quality and quality of life in the CTM group pre and post treatment (p<0.05). In control group, significant results were found in pain severity, sleep quality and quality of life (p<0.05).Comparisons between the groups, the severity, sleep quality and quality of life were found to be statistically significant in favor of CTM group (p<0.05).

Conclusion: With the application of CTM, it was determined that the decrease in pain intensity caused increase in sleep and quality of life in individuals with MPS. As a result, it is thought that this manual treatment can be used effectively in addition to other physiotherapy modalities as a complementary approach.

References

  • 1. Aydın R, Şen N, Ellialtıoğlu A. Eklem dışı romatizmal hastalıklar.In: Fiziksel Tıp ve Rehabilitasyon. Diniz F, Ketenci A, eds. İstanbul: Nobel Tıp Kitabevi; 2000:299-320.
  • 2. Tüzün F. Yumuşak doku romatizmaları. In: Hareket Sistemi Hastalıklar. Tüzün, F, Eryavuz M, Akarırırmak M, eds. İstanbul: Nobel Tıp Kitabevleri; 1997:159-173.
  • 3. Desai MJ, Saini V, Saini S. Myofascial Pain Syndrome:A Treatment Review. Pain Ther. 2013;2:21-36.
  • 4. Drewes AM, Jennum P. Epidemiology of myofascial pain, low back pain, morning stiffness and sleep-related complaints in the general population. J Musculoskelet Pain. 1995;3:121-127.
  • 5. Podichetty VK, Mazanec DJ, Biscup RS. Chronic non-malignant musculoskeletal pain in older adults: clinical issues and opioid intervention. Postgrad Med J. 2003;79:627-633.
  • 6. Yüksel İ. Masaj Teknikleri. Ankara: Alp Yayınevi; 2007.
  • 7. Holey LA, Dixon J, Selfe J. An exploratory thermographic investigation of the effects of connective tissue massage on autonomic function. J Manipulative Physiol Ther. 2011;34:457-462.
  • 8. Dixon JS, Bird HA. Reproducibility along a 10-cm vertical visual analogue scale. Ann Rheum Dis. 1981;40:87-89.
  • 9. Ağargün MY, Kara H, Anlar Ö. Pittsburgh Uyku Kalitesi İndeksinin Geçerliliği ve Güvenirliği. Turk Psikiyatri Derg. 1996; 2:107-115.
  • 10. Gómez-Besteiro MI, Santiago-Pérez MI, Alonso-Hernández A, et al. Validity and reliability of the SF-36 questionnaire in patients on the waiting list for a kidney transplant and transplant patients. Am J Nephrol. 2004;24:346-351.
  • 11. Kocyigit H, Aydemir O, Fisek G, et al. Validity and reliability of Turkish version of SF-36. İlaç ve Tedavi Dergisi. 1999;12:102-106.
  • 12. Hayran M, Özdemir O. Bilgisayar İstatistik ve Tıp. Ankara: Hekimler Yayın Birliği; 1996.
  • 13. Celenay ST, Kaya DO, Akbayrak T. Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neckpain: A prospective, randomised controlled trial. Man Ther. 2016;144-150.
  • 14. Ekici G, Unal E, Akbayrak T, et al. Effects of active/passive interventions on pain, anxiety, and quality of life in women with fibromyalgia: randomized controlled pilot trial. Women Health.2017;57:88-107.
  • 15. Muñoz-Muñoz S, Muñoz-García MT, Alburquerque-Sendín F, et al. Myofascial trigger points, pain, disability, and sleep quality in individuals with mechanical neck pain. J Manipulative Physiol Ther. 2012;35:608-613.
  • 16. Ruiz-Sáez M, Fernández-de-las-Peñas C, Blanco CR, et al. Changes in pressure pain sensitivity in latent myofascial trigger points in the upper trapezius muscle after a cervical spine manipulation in pain free subjects. J Manipulative Physiol Ther. 2007;30:578-583.
  • 17. Marin R, Cyhan T, Miklos W. Sleep disturbance in patients with chronic low back pain. Am J Phys Med Rehabil. 2006;85:430-435.

Konnektif doku masajının miyofasyal ağrı sendromlu bireylerde ağrı, uyku ve yaşam kalitesi üzerine etkisi: randomize kontrollü çalışma

Year 2019, Volume: 6 Issue: 1, 19 - 24, 12.04.2019

Abstract

Amaç: Miyofasyal ağrı sendromu (MAS) kas iskelet sistemindeki ağrı kategorilerinden birisi olarak kabul edilmiştir. Çalışmanın amacı, MAS tanılı bireylerde egzersiz programına ek olarak uygulanan konnektif doku masajının (KDM) etkisini araştırmaktı.

Yöntem: Çalışmaya 27 kadın birey alındı. Bireyler rastgele yöntemle iki gruba ayrıldı (KDM, N=14; Kontrol, N=13). Bireylere egzersiz programına ek olarak altı hafta boyunca haftada üç gün KDM (toplam 18 seans) uygulandı. Yapılan uygulamaların öncesinde ve sonrasında bireylerin, ağrı şiddeti Vizüel Analog Skalası, uyku kalitesi Pittsburgh Uyku Kalite İndeksi ve yaşam kalitesi Kısa Form-36 ile değerlendirildi.

Bulgular: KDM grubunda bireylerin tedavi öncesi ve sonrası ağrı şiddeti, uyku kalitesi ve yaşam kalitesinin tüm alt parametrelerinde istatistiksel olarak anlamlı farklar kaydedildi (p<0,05). Kontrol grubunda ise ağrı şiddeti, uyku kalitesi ile yaşam kalitesinin fiziksel fonksiyon, emosyonel rol kısıtlılığı, sosyal fonksiyon ve ağrı alt parametrelerinde istatistiksel açıdan anlamlı farklar belirlendi (p<0,05). Gruplar arası karşılaştırmalarda ise ağrı şiddeti, uyku kalitesi ve yaşam kalitesinin genel sağlık parametresinde KDM grubu lehine istatistiksel anlamlılık bulundu (p<0,05).

Sonuç: KDM uygulaması, MAS’li bireylerde ağrı şiddetinde azalma, uyku ve yaşam kalitesi düzeylerinde ise artış sağladı. Çalışmanın sonuçları, MAS tedavisinde KDM’nin, egzersiz programının yanı sıra tamamlayıcı bir yöntem olarak kullanılabileceği düşünüldü.

References

  • 1. Aydın R, Şen N, Ellialtıoğlu A. Eklem dışı romatizmal hastalıklar.In: Fiziksel Tıp ve Rehabilitasyon. Diniz F, Ketenci A, eds. İstanbul: Nobel Tıp Kitabevi; 2000:299-320.
  • 2. Tüzün F. Yumuşak doku romatizmaları. In: Hareket Sistemi Hastalıklar. Tüzün, F, Eryavuz M, Akarırırmak M, eds. İstanbul: Nobel Tıp Kitabevleri; 1997:159-173.
  • 3. Desai MJ, Saini V, Saini S. Myofascial Pain Syndrome:A Treatment Review. Pain Ther. 2013;2:21-36.
  • 4. Drewes AM, Jennum P. Epidemiology of myofascial pain, low back pain, morning stiffness and sleep-related complaints in the general population. J Musculoskelet Pain. 1995;3:121-127.
  • 5. Podichetty VK, Mazanec DJ, Biscup RS. Chronic non-malignant musculoskeletal pain in older adults: clinical issues and opioid intervention. Postgrad Med J. 2003;79:627-633.
  • 6. Yüksel İ. Masaj Teknikleri. Ankara: Alp Yayınevi; 2007.
  • 7. Holey LA, Dixon J, Selfe J. An exploratory thermographic investigation of the effects of connective tissue massage on autonomic function. J Manipulative Physiol Ther. 2011;34:457-462.
  • 8. Dixon JS, Bird HA. Reproducibility along a 10-cm vertical visual analogue scale. Ann Rheum Dis. 1981;40:87-89.
  • 9. Ağargün MY, Kara H, Anlar Ö. Pittsburgh Uyku Kalitesi İndeksinin Geçerliliği ve Güvenirliği. Turk Psikiyatri Derg. 1996; 2:107-115.
  • 10. Gómez-Besteiro MI, Santiago-Pérez MI, Alonso-Hernández A, et al. Validity and reliability of the SF-36 questionnaire in patients on the waiting list for a kidney transplant and transplant patients. Am J Nephrol. 2004;24:346-351.
  • 11. Kocyigit H, Aydemir O, Fisek G, et al. Validity and reliability of Turkish version of SF-36. İlaç ve Tedavi Dergisi. 1999;12:102-106.
  • 12. Hayran M, Özdemir O. Bilgisayar İstatistik ve Tıp. Ankara: Hekimler Yayın Birliği; 1996.
  • 13. Celenay ST, Kaya DO, Akbayrak T. Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neckpain: A prospective, randomised controlled trial. Man Ther. 2016;144-150.
  • 14. Ekici G, Unal E, Akbayrak T, et al. Effects of active/passive interventions on pain, anxiety, and quality of life in women with fibromyalgia: randomized controlled pilot trial. Women Health.2017;57:88-107.
  • 15. Muñoz-Muñoz S, Muñoz-García MT, Alburquerque-Sendín F, et al. Myofascial trigger points, pain, disability, and sleep quality in individuals with mechanical neck pain. J Manipulative Physiol Ther. 2012;35:608-613.
  • 16. Ruiz-Sáez M, Fernández-de-las-Peñas C, Blanco CR, et al. Changes in pressure pain sensitivity in latent myofascial trigger points in the upper trapezius muscle after a cervical spine manipulation in pain free subjects. J Manipulative Physiol Ther. 2007;30:578-583.
  • 17. Marin R, Cyhan T, Miklos W. Sleep disturbance in patients with chronic low back pain. Am J Phys Med Rehabil. 2006;85:430-435.
There are 17 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Aslican Çağlar 0000-0001-6094-5098

İnci Yuksel This is me 0000-0002-9053-3948

Publication Date April 12, 2019
Submission Date November 14, 2018
Published in Issue Year 2019 Volume: 6 Issue: 1

Cite

Vancouver Çağlar A, Yuksel İ. Konnektif doku masajının miyofasyal ağrı sendromlu bireylerde ağrı, uyku ve yaşam kalitesi üzerine etkisi: randomize kontrollü çalışma. JETR. 2019;6(1):19-24.