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Short-term effects of traditional Thai massage on electromyogram, muscle tension and pain among patients with upper back pain associated with myofascial trigger points
Buttagat V, Narktro T, Onsrira K, Pobsamai C
Complementary Therapies in Medicine 2016 Oct;28:8-12
clinical trial
8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: Yes; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To investigate effects of traditional Thai massage (TTM) on electromyographic (EMG) activity, muscle tension and pain intensity in patients with upper back pain associated with myofascial trigger points (MTrPs). DESIGN: A single-blind, randomized clinical trial. SETTING: The Department of Physical Therapy, School of Health Science, Mae Fah Luang University, Thailand. INTERVENTION: Fifty patients were randomly assigned to receive a 30-min session of either TTM or control (sham microwave diathermy). OUTCOMES: Electromyogram (EMG), Muscle tension rating, and pain intensity rating RESULTS: TTM were associated with significant decreases in EMG, muscle tension and pain intensity after the end of treatment session (p < 0.05). For all outcomes, similar changes were not observed in the control group (p > 0.05) except for muscle tension (p < 0.05). In addition, there was a significantly greater reduction in all parameters for the TTM group when compared with the control group. CONCLUSION: We therefore suggest that TTM can increase physical relaxation and reduce pain in patients with upper back pain associated with MTrPs. TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT02067325.

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