Short-term effects of self-massage combined with home exercise on pain, daily activity, and autonomic function in patients with myofascial pain dysfunction syndrome

Abstract

[Purpose] The aim of the present was to investigate the short-term effects of a program combining self-massage and home exercise for patients with myofascial pain dysfunction syndrome (MPDS). [Subjects and Methods] In this retrospective study, 63 patients were allocated to the experimental (n = 32) and control (n = 31) groups. Both groups received 6 sessions of treatment with physical modalities over the course of two weeks. The experimental group completed an additional program with a combination of self-massage and home exercise. The outcome measurements included a pain scale, pressure pain threshold (PPT), neck disability index (NDI), patient-specific functional scales (PSFS), and heart rate variability (HRV). The interactions between the groups and over time were analyzed using two-way repeated measures ANOVA. [Results] Only the experimental group demonstrated significant improvements in the pain scale with varying conditions. The PPTs of the trigger points increased significantly in the experimental group, and significant functional improvements in NDI and PSFS were observed in the same group. There were significant increases in high-frequency HRV and high-frequency % in the experimental group. [Conclusion] Treatment with physical modalities plus combination of self-massage and home exercise is more effective than the physical modalities treatment alone.

Nociceptor interleukin 10 receptor 1 is critical for muscle analgesia induced by repeated bouts of eccentric exercise in the rat

“…Although regular exercise can provide relief for chronic muscle pain conditions such as fibromyalgia [8,29,38] and myofascial pain [10], unaccustomed exercise may produce intense muscle pain [4,24] (for a review, see [37]). Indeed, muscle pain due to exertion is a major cause of limited compliance in exercise therapy, leading to a dropout rate of up to 44% in patients with fibromyalgia [8].…”

Immediate effect of self-myofascial release on hamstring flexibility

“…One of the most common instruments for self-MFR is foam roller [5][6][7][8] and roller massage [9][10][11][12][13]. Self-MFR increases flexibility, reduces delayed onset muscle soreness [14], adjusts arterial function and hemangioendothelial function [15], and adjusts autonomic nervous system [16] on the continuous basis.…”

Efeito de exercícios motores orofaciais e laserterapia nos sintomas de desordem temporomandibular e funções orofaciais

“…A potencialização dos resultados do tratamento de pacientes com DTM por meio da associação de abordagens terapêuticas foi demonstrada previamente como: protocolos de técnicas mistas de terapia manual (Calixtre et al, 2015); exercícios associados à massagem (Chan et al, 2015), à LLLT (Hakgüder et al, 2003Dundar et al, 2007), ao ultrasom (Ucar et al, 2014)ou massagem e placa oclusal (Gomes et al, 2014b). Porém nenhum artigo publicado mostrou o efeito da associação de exercícios miofuncionais orofaciais à LLLT.…”

“…Protocolos de técnicas mistas de terapia manual apresentaram forte evidência em controlar os sintomas desta desordem. Outro estudos também verificaram a potencialização dos resultados por meio da associação de abordagens terapêuticas, como exercícios associados à massagem (Chan et al, 2015), à LLLT (Hakgüder et al, 2003;Dundar et al, 2007), ao ultrasom (Ucar et al, 2014) e à estimulação transcraniana por corrente direta .…”

“…Pacientes com síndrome de dor miofascial tratados com a combinação de automassagem e exercícios em casa associado a sessões de calor e Transcutaneous Electrical Nerve Stimulation (TENS) -Estimulação elétrica transcutânea do nervo apresentaram diminuição significante na intensidade da dor durante as atividades diárias mais efetiva do que àqueles tratados apenas com TENS (Chan et al, 2015).…”