5
Siriraj Medical Bulletin
Case Series: The Eect of Court-Type
Thai Traditional Massage and Hot
Herbal Compression Combined with
Standard Rehabilitation Treatment
in Stroke Patients
Wipavee Jongkoldee*, Chanticha Darunsawat*, Thanapak Chaowpeerapong*, Supakij
Suwannatrai*, Kamontip Harnphadungkit**, Pravit Akarasereenont*
*Center of Applied Thai Traditional Medicine, **Department of Rehabilitation Medicine, Faculty of Medicine
Siriraj Hospital, Mahidol University, Bangkok, Thailand
Siriraj Medical Bulletin 2022;15(1): 5-11
Abstract
Objective: To study the effect of Court-type Thai Traditional Massage (CTTM) and Hot Herb-
al Compression (HC) with Standard Rehabilitation Treatment (ST) in stroke patients.
Material & Methods: Medical records of 10 patients who had been treated with combined
ST, CTTM and HC were retrospectively reviewed.
Results: A total of 10 cases were reported, 6 males (60%) and 4 females (40%), mean age
of 62.5±12.7 years, 8 cases of ischemic stroke, and 2 cases of hemorrhagic stroke. Duration of
illness was 2 to 240 weeks (37.4±72.8 weeks) with signs and symptoms found as followed; weak-
ness in 2 cases (20%), weakness with spasticity in 2 cases (20%), weakness with pain in 3 cases
(30%) and 3 cases (30%) of weakness, pain and spasticity. After ST, CTTM and HC 2-3 times/week
for 1-4 weeks, it was found that 9 out of 10 cases had increase motor power grade, 3 out of 5 cas-
es had decrease spasticity, 4 out of 6 cases had lower pain score. All patients had improvement in
Barthel Index scores and no adverse incidents reported.
Conclusion: Court-type Thai Traditional Massage and Hot Herbal Compression combined
with Standard Rehabilitation Treatment was safe and possibly beneficial to stroke patients.
Keywords: stroke; weakness; court-type Thai traditional massage; hot herbal compression;
rehabilitation
Correspondence to: Thanapak Chaowpeerapong
Email: thanaphak.cha@mahidol.edu
Received: 29 June 2021
Revised: 16 August 2021
Accepted: 26 August 2021
http://dx.doi.org/10.33192/smb.v15i1.251281
6ี่� 15 ฉั่� 1 มกราคม - ม่นาคม 2565
Original Article


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1 
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
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 
 
  
ิภาี จงกลี*, ัญิา ุณสัสิ�*, ธนภัก์ เาน์ีะง์*, ุภกิจ สุณไต์*,
กมลิ์ หาญผุงกิจ**, ปะิ์ัคเสีนน์*
*สถานการแพท์แผนไทประุก์, **ภาคิชาเชศาสร์้� นู คณะแพทศาสร์ศิริราชพาบาล
มหาิทาลัมหิดล กรุงเทพมหานคร

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






7
Siriraj Medical Bulletin








6
6







11

























13 
































16








8ี่� 15 ฉั่� 1 มกราคม - ม่นาคม 2565
Original Article



































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











 

9
Siriraj Medical Bulletin







































































































10 ี่� 15 ฉั่� 1 มกราคม - ม่นาคม 2565
Original Article











NO.  


 
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
 







    
weak-
ness
spas-
ticity pain 
HC HC CTTM

  



  3
266   
   5
361   
   3
456   
  8
5   
  5
6   
  3
7  



  3
8  



  5
955   


 
 85   
  6






11
Siriraj Medical Bulletin

No. 





 
 

Shoulder
abduction

 
extensors

extensors

 
extensors

extensor


Shoulder

Hip
 Joint
                         

 
5 5 5 5 5 5 5 5 5 5 N/A N/A 5 5 5 5 2   

 
          3N/A N/A 2 N/A N/A N/A N/A N/A N/A
2

2 3 2 3 2 3 2 3 2 3 N/A N/A 2 3 2 3      
 N/A N/A N/A N/A N/A N/A 
 

3 7 4 9  22222N/A 2 3 4 3 2   N/A N/A
4        5 2 2 2 3 4  4 2    N/A N/A
5 7 6   4 4 3 4 3 4 2 2 4 3 N/A 4 3 N/A N/A N/A N/A N/A N/A
6 8 5 6  3 4 4 4 5 4 4 3 4 4 N/A N/A 5 5 5 5     N/A N/A
7 5 5   3 2 3 2 3 2 3 2 N/A N/A N/A 23 5   N/A N/A
8 6  4 N/A 3 4 4 2 4   
 
9 7 4 5 3 5 3 4 3 4 2  N/A N/A 4 5 5   N/A N/A
  3 5 7  4 4 4 4 4 4 4 4 N/A N/A N/A N/A 5 4 5 5    N/A N/A

15

