Physical therapy intervention in patients with non-cardiac chest pain following a recent cardiac event: A randomized controlled trial

Berg, Astrid Tarlebø; Stafne, Signe Nilssen; Hiller, A. D.; Slørdahl, Stig A.; Aamot, Inger Lise

doi:10.1177/2050312115580799

Cited by 6 publications

(3 citation statements)

References 18 publications

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“…The initial search retrieved 15,071 studies, from which 37 RCTs26,37–72 involving a total sample of 1574 participants aged from 18 to 76 years were included in this NMA (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

Comparative Effectiveness of Manual Therapy Interventions on Pain and Pressure Pain Threshold in Patients With Myofascial Trigger Points

Pavon

Redondo

Vizcaíno

et al. 2022

The Clinical Journal of Pain

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Objectives: Myofascial trigger points (MTPs) are one of the most important causes of musculoskeletal pain. Evidence has suggested a positive effect of manual therapy in the treatment of MTPs. However, a comprehensive review comparing the effect of different manual therapy techniques are lacking. Thus, we conducted a network meta-analysis of randomized controlled trials to determine the type of manual therapy technique that has the greatest positive influence in patients with MTPs.Materials and Methods: PubMed, Web of Science, Cochrane Library, and Scopus databases were searched to identify direct and indirect evidence comparing the effectiveness of different types of manual therapy interventions on pain intensity and pressure pain threshold (PPT) in patients with MTPs. Risk of bias was assessed using the Cochrane RoB2 tool. A pairwise meta-analysis for direct and indirect comparisons between intervention and control/nonintervention groups was carried out.Results: A total of 37 studies were eligible for analysis. Combined interventions had the highest effect size for pain (−1.40; 95% CI, −2.34, −0.47), and the highest probability to be the best intervention and the highest Surface Under the Cumulative Ranking (64.7% and 87.9%, respectively). Afferent reduction techniques, understood as the interventions aimed to restore muscle spindles helping to dictate sarcomere length and tone in MTPs, had the highest effect size for PPT (0.93; 95% CI, 0.47, 1.39), and the highest probability to be the best intervention and the highest Surface Under the Cumulative Ranking (34.7% and 71.2%, respectively). The results were consistent in sensitivity analyses, with minimal inconsistencies between direct and indirect results.Discussion: Manual therapy interventions should be considered an effective strategy for pain and PPT in patients with MTPs. The results suggest that among the different manual therapy modalities, combined and afferent reduction techniques are the most effective for pain and PPT, respectively.

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“…The initial search retrieved 15,071 studies, from which 37 RCTs26,37–72 involving a total sample of 1574 participants aged from 18 to 76 years were included in this NMA (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

Comparative Effectiveness of Manual Therapy Interventions on Pain and Pressure Pain Threshold in Patients With Myofascial Trigger Points

Pavon

Redondo

Vizcaíno

et al. 2022

The Clinical Journal of Pain

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“…Specific cardiovascular sequelae of Long COVID Syndrome may benefit from massage therapy, which can ameliorate chest pain; ( 57 , 58 ) however, there were no studies within our selection criteria demonstrating the relationship between massage therapy and palpitations. While the exact mechanism of chest pain in the context of Long COVID Syndrome is not yet clear, elevated concentrations of C-reactive protein (CRP) and creatine during acute COVID-19 infection have been associated with prolonged cardiovascular symptoms.…”

Section: Resultsmentioning

confidence: 99%

The Multisystem effects of Long COVID Syndrome and Potential Benefits of Massage Therapy in Long COVID Care

Wheibe,

Dalkin,

Meltzer

et al. 2024

IJTMB

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Background: A major complication of infection with Severe Acute Respiratory Coronavirus 2 (SARS-CoV-2), the virus responsible for COVID-19, is the potential for Long COVID Syndrome. While the pathophysiology of Long COVID Syndrome has yet to be described, the disease presentation is characterized by long-term symptoms with debilitating effects on human health. A better understanding of Long COVID symptomology may open up new avenues for patient treatment such as massage therapy. Methods: From the PubMed database, cohort studies that examined post-infection COVID sequelae published between January 1st, 2021 and April 30th, 2021 were selected to investigate patient demographics and symptoms. A review of massage therapy literature since 2000 in conjunction with identified Long COVID symptoms was performed. Results: This systematic review identified 17 cohort studies across the world that investigated the symptomatology of patients suffering from post-COVID sequelae in multiple organ systems. We identified the pulmonary and nervous systems to be the organ systems most affected with post-COVID sequelae, with PTSD, fatigue, dyspnea, cough, sleep disturbances, loss of smell, abdominal pain, and decreased appetite as the most common symptoms reported by >20% of Long COVID patients. Massage therapy was historically found to provide benefits to patients experiencing similar symptoms to those identified in Long COVID. Conclusions: Recognizing the need for new approaches to treatment for Long COVID Syndrome, we identify massage therapy as a potential therapeutic treatment to positively impact the organ systems affected by Long COVID, especially the high-incident symptoms, and improve patient quality of life.

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“…Berg et al[ 18 ] found in a randomized controlled trial that treatment with deep friction massage with heat pack was significantly more efficient than heat pack alone to decrease musculoskeletal chest pain. Healthrelated quality of life scores showed no differences between groups.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of trigger point injection therapy in noncardiac chest pain: A randomized controlled trial

Şengül,

Tekeli Şengül

2024

Turk J Phys Med Rehab

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Objectives: This study aimed to compare the effects of trigger point injections and stretching exercises in patients with noncardiac chest pain (NCCP) associated with myofascial pain syndrome. Patients and methods: This prospective randomized controlled trial included 50 patients with noncardiac chest pain and trigger points in the pectoralis muscles between October 2019 and June 2020. The patients were randomly assigned to receive trigger point injections into the pectoralis muscles and exercise (n=25; 15 males, 10 females; mean age: 42.8±9.2 years; range, 25 to 57 years) or only perform exercise (n=25; 11 males, 14 females; mean age: 41.8±11.2 years; range, 18 to 60 years). The primary outcome was pain intensity at the first month and three months after the first treatment session, measured using the Visual Analog Scale from 0 to 100. The secondary outcome was the Nottingham Health Profile score. Results: Treatment with stretching exercises and trigger point injection resulted in significant pain reduction compared to stretching exercises alone, and the reduction was persistent at the three-month follow-up (p<0.001). A between-group comparison showed no significant difference in the Nottingham Health Profile (p=0.522). Complications related to the procedure or severe adverse events attributable to treatment were not reported. Conclusion: Trigger point injection combined with stretching exercises is an efficient treatment for noncardiac chest pain related to myofascial pain syndrome compared to exercise treatment alone.

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Physical therapy intervention in patients with non-cardiac chest pain following a recent cardiac event: A randomized controlled trial

Cited by 6 publications

References 18 publications

Comparative Effectiveness of Manual Therapy Interventions on Pain and Pressure Pain Threshold in Patients With Myofascial Trigger Points

Comparative Effectiveness of Manual Therapy Interventions on Pain and Pressure Pain Threshold in Patients With Myofascial Trigger Points

The Multisystem effects of Long COVID Syndrome and Potential Benefits of Massage Therapy in Long COVID Care

Efficacy of trigger point injection therapy in noncardiac chest pain: A randomized controlled trial

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