Therapeutic effects of modified active release technique and traditional Thai massage on functional capacity of shoulder and scapula in patients with scapulocostal syndrome

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Settapong Nongharnpitak
Preeda Arayawichanon
Uraiwan Chatchawan
Aatit Paungmali
Yodchai Boonprakob

Abstract

Background: Nowadays, comparative study of pain alteration between modified active release technique (mART) and traditional Thai massage (TTM) in scapulocostal syndrome (SCS) was investigated. However, comparison of therapeutic effect on functional capacity of shoulder and scapula and flexibility of neck is needed for proving.


Objectives: To compare the therapeutic effects between mART and TTM on the functional capacity of shoulder and scapula and flexibility of neck and shoulder in patients with SCS.


Methods: Patients with SCS were divided into two groups including mART group (n=35) and TTM group (n=35). Participants in each group received 3 times per week of treatment within 3 weeks. Functional capacity of shoulder and scapula and flexibility of the neck and shoulder were investigated before, third week and eighth week. For within group analysis, we used repeated measure ANOVA. For between groups analysis, we used ANCOVA and using a pre-test as a covariate variable.


Results: The comparative results within group, all outcome measures were increased significantly in both groups (p<0.05). Moreover, the outcome measures in both groups were shown no significant difference when compared between groups (p>0.05).


Conclusion: mART can improve functional capacity of shoulder and scapula and flexibility of neck and shoulder similar to TTM in patients with SCS.

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How to Cite
1.
Nongharnpitak S, Arayawichanon P, Chatchawan U, Paungmali A, Boonprakob Y. Therapeutic effects of modified active release technique and traditional Thai massage on functional capacity of shoulder and scapula in patients with scapulocostal syndrome. Thai J Phys Ther [internet]. 2019 May 28 [cited 2026 Jan. 4];41(2):97-111. available from: https://he02.tci-thaijo.org/index.php/tjpt/article/view/128615
Section
Research Articles

References

1. Cohen CA. Scapulocostal syndrome: diagnosis and treatment. South Med J 1980; 73(4): 433-4, 437.

2. Eungpinichpong W. Therapeutic Thai massage. Bangkok: Chomromdek Publishing House; 2008.

3. Abrams B. Scapulocostal syndrome. In: Waldman SD, editor. Pain management, vol. 2. Philadelphia: Saunders; 2011: 588-92.

4. Fourie LJ. The scapulocostal syndrome. S Afr Med J 1991; 79: 721-4.

5. Schmerl M. Clinical update: Scapulo-costal syndrome. Australasian Chiropractic Osteopathy 2002; 10(2): 85-86.

6. Hidalgo-Lozano A, Fernández-de-las-Peñas C, Calderón-Soto C, Domingo-Camara A, Madeleine P, Arroyo-Morales M. Elite swimmers with and without unilateral shoulder pain: mechanical hyperalgesia and active/latent muscle trigger points in neck-shoulder muscles. Scand J Med Sci Sports 2013; 23(1):66–73.

7. Jaeger B. Myofascial trigger point pain. Alpha Omegan 2013; 106(1–2):14–22.

8. McNulty WH, Gevirtz RN, Hubbard DR, Berkoff GM. Needle electromyographic evaluation of trigger point response to a psychological stressor. Psychophysiology 1994; 31(3):313-16.

9. Simons DG, Travell JG, Simons LS. Myofascial pain and dysfunction: The trigger point manual. Volume 1, 2nd ed. Baltimore: Williams & Wilkins; 1999.

10. Grant KE, Riggs A. Myofascial Release In: Stillerman E, editor. Modalities for massage and bodywork, vol. 2. Philadelphia: Saunders; 2015: 149-66.

11. Wannapong N, Boonprakob Y, Chatchawan U, Wanpen S, Phadungkit S. Immediate and short term effect of modified active release technique (mART) in patients with scapulocostal syndrome. Bull Chiang Mai Assoc Med Sci 2016; 49(1): 134-45.

12. Nongharnpitak S, Arayawichanon P, Chatchawan U, Mato L, Puangmali A, Boonprakob Y. Comparative study of the immediate therapeutic effects between modified active release technique and traditional Thai massage on pain alteration in patient with scapulocostal syndrome. Journal of Associated Medical Sciences 2017; 50(3): 391-403.

13. Buttagat V, Eungpinichpong W, Chatchawan U, Arayawichanon P. Therapeutic effects of traditional Thai massage on pain, muscle tension and anxiety in patients with scapulocostal syndrome: a randomized single-blinded pilot study. J Bodyw Mov Ther 2012; 16: 57-63.

14. Viriyatharakij N, Wangyapongsataporn K. Charoensuksiri S, Wuttimetha S. Ability of arm in condition of pain and non-scapular muscle pain. Thai J Phys Ther 2013; 35: 148-56.

15. Borm GF, Fransen J, Lemmens WA. A simple sample size formula for analysis of covariance in randomized clinical trials. J Clin Epidemiol. 2007; 60(12): 1234-8.

16. Angst F, Schwyzer HK, Aeschlimann A, Simmen BR, Goldhahn J. Measures of Adult Shoulder Function. Arthritis Care Res 2011; 63(11): 174-88.

17. Tongprasert S, Rapipong J, Buntragulpoontawee M. The cross-cultural adaptation of the DASH questionnaire in Thai (DASH-TH). J Hand Ther. 2014; 27(1): 49-54. doi: 10.1016/j.jht.2013.08.020.

18. Audette I, Dumas JP, Cote JN, De Serres SJ. Validity and between-day reliability of the cervical range of motion (CROM) device. J Orthop Sports Phys Ther. 2010; 40: 318–23.

19. Abbott JH. Mobilization with movement applied to the elbow affects shoulder range of motion is subject with lateral epicondylagia. Man Ther 2001; 6(3): 170-7.

20. Mutlu E, Birinci T, Dizdar G, Ozdincler AR. Latent Trigger Points: What Are the Underlying Predictors?. Arch Phys Med Rehabil 2016; 97(9): 1533-41.

21. Chatchawan U, Thinkhamrop B, Kharmwan S, Knowles J, Eungpinichpong W. Effectiveness of traditional Thai massage versus Swedish massage among patients with back pain associated with myofascial trigger points. J Bodyw Mov Ther 2005; 9: 298-309.

22. Ibarra JM, Ge HY, Wang C, Martínez Vizcaíno V, Graven-Nielsen T, Arendt-Nielsen L. Latent myofascial trigger points are associated with an increased antagonistic muscle activity during agonist muscle contraction. J Pain 2011; 12(12): 1282-8. doi: 10.1016/ j.jpain.2011.09.005.