title: 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.
authors: Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, Taiwan ; Department of Physical Medicine and Rehabilitation, School of Medicine, National Defense Medical Center, Taiwan.
authors: Yuan-Chi
authors: YC
authors: Chan
authors: Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taiwan.
authors: Tzyy-Jiuan
authors: TJ
authors: Wang
authors: Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, Taiwan ; Department of Physical Medicine and Rehabilitation, School of Medicine, National Defense Medical Center, Taiwan.
authors: Cheng-Chiang
authors: CC
authors: Chang
authors: Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, Taiwan ; Department of Physical Medicine and Rehabilitation, School of Medicine, National Defense Medical Center, Taiwan.
authors: Liang-Cheng
authors: LC
authors: Chen
authors: Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, Taiwan ; Department of Physical Medicine and Rehabilitation, School of Medicine, National Defense Medical Center, Taiwan ; Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, Taiwan.
authors: Heng-Yi
authors: HY
authors: Chu
authors: Department of Physical Medicine and Rehabilitation, Hsin-Chu Armed Force Hospital, Taiwan ; Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taiwan ; Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, Taiwan.
authors: Shiou-Ping
authors: SP
authors: Lin
authors: Department of Physical Medicine and Rehabilitation, School of Medicine, National Defense Medical Center, Taiwan ; Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taiwan ; Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, Taiwan.
authors: Shin-Tsu
authors: ST
authors: Chang
keywords: Heart rate variability; Myofascial pain dysfunction syndrome; Pressure pain threshold
references: J Orofac Pain. 2004 Spring;18(2):114-25
references: 15250431
references: J Pain Symptom Manage. 2010 Jan;39(1):116-25
references: 19822404
references: J Phys Ther Sci. 2013 Jun;25(6):657-61
references: 24259822
references: Acupunct Med. 2004 Mar;22(1):2-12; discussion 12-3
references: 15077932
references: Cranio. 2008 Jul;26(3):202-10
references: 18686497
references: Arch Phys Med Rehabil. 2004 May;85(5):833-6
references: 15129409
references: Rheumatol Int. 2005 Oct;25(8):604-11
references: 15372199
references: Curr Pain Headache Rep. 2007 Oct;11(5):365-72
references: 17894927
references: Lasers Surg Med. 2003;33(5):339-43
references: 14677161
references: Am J Phys Med Rehabil. 2000 Jan-Feb;79(1):48-52
references: 10678603
references: J Back Musculoskelet Rehabil. 2002 Jan 1;16(1):11-6
references: 22387359
references: J Physiol Sci. 2009 May;59(3):191-7
references: 19340540
references: Arch Phys Med Rehabil. 2009 Aug;90(8):1332-9
references: 19651267
references: J Bodyw Mov Ther. 2011 Jan;15(1):15-23
references: 21147414
references: Auton Neurosci. 2005 Aug 31;121(1-2):101-9
references: 16081322
references: Pathophysiology. 2010 Feb;17(1):19-28
references: 19500953
references: Sleep. 2004 Jun 15;27(4):648-56
references: 15282999
references: Clin Rheumatol. 2009 Jun;28(6):647-54
references: 19224128
references: Am J Phys Med Rehabil. 2007 May;86(5):397-403
references: 17449984
references: Pain. 2008 Oct 15;139(2):260-6
references: 18508198
references: J Manipulative Physiol Ther. 2006 Oct;29(8):603-10
references: 17045093
references: Dent Clin North Am. 2001 Oct;45(4):701-13
references: 11699237
references: Phys Ther. 2000 Oct;80(10):997-1003
references: 11002435
references: Int J Neurosci. 2009;119(5):630-8
references: 19283590
references: Drugs. 2004;64(1):45-62
references: 14723558
references: Eur J Pain. 2007 Jul;11(5):519-27
references: 17071119
references: J Adv Nurs. 2002 Feb;37(4):364-71
references: 11872106