The immediate effects of mindfulness movement therapy with diaphragmatic training on pain intensity and cortisol level in patients with scapulocostal syndrome

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Published: Aug 14, 2023
Keywords:
Scapulocostal syndrome Mindfulness movement Diaphragmatic training Stress

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Thanaporn Srijessadarak
Department of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University
Preeda Arayawichanon
Department of Rehabilitation Medicine, Faculty of Medicine, Khon Kaen University
Worawan Kamruecha
Department of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University
Lugkana Mato
Department of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University
Thiwabhor Thaweewannakij
Department of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University
Yodchai Boonprakob
Department of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University

Abstract

Background: Scapulocostal syndrome (SCS) can affect both physical and mental health and is associated with stress. The development of mindfulness movement treatment may cause balancing the autonomic nervous system.


Objective: To determine the immediate effects of mindfulness movement therapy and manual therapy with diaphragmatic training and to compare the immediate effects between mindfulness movement therapy and manual therapy with diaphragmatic training and self- scapular stretching on pain intensity, pressure pain threshold (PPT), and cortisol levels in patients with SCS.


Methods: Thirty-eight patients with SCS were recruited. They were divided into two groups, including mindfulness movement therapy and manual therapy with a diaphragmatic training and self- scapular stretching. Pain intensity, PPT, and cortisol levels were investigated before and after treatment immediately. Paired samples t-test and Wilcoxon Sign rank test were used to determine significant difference within group, while independent t-test and Mann Whitney U test were used to evaluate significant difference between group.


Results: Comparative results within the group, pain intensity and cortisol levels were decreased significantly in both groups (p<0.05), while PPT was increased significantly only in experiment groups (p<0.05). However, pain intensity and PPT in both groups were shown no significant difference when compared between groups (p>0.05). Whereas cortisol levels in the experiment group presented significantly lower than the control group.


Conclusion: Mindfulness movement therapy and manual therapy with diaphragmatic training showed immediate effects to improve pain intensity, PPT, and cortisol levels. Moreover, this treatment showed immediate effects to decrease cortisol levels better than self-scapular stretching.

Article Details

How to Cite
1.
Srijessadarak T, Arayawichanon P, Kamruecha W, Mato L, Thaweewannakij T, Boonprakob Y. The immediate effects of mindfulness movement therapy with diaphragmatic training on pain intensity and cortisol level in patients with scapulocostal syndrome. Thai J Phys Ther [internet]. 2023 Aug. 14 [cited 2026 Jan. 4];45(2):82-96. available from: https://he02.tci-thaijo.org/index.php/tjpt/article/view/258706
Issue
Vol. 45 No. 2 (2023): May - August 2023
Section
Research Articles
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Author Biographies

Worawan Kamruecha, Department of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University

Worawan Kamruecha is a teacher at Faculty of Associated Medical Sciences, Khon Kaen University. Her research interests include disorders of the nervous system, spinal cord injury,  and orthosis.

Lugkana Mato, Department of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University

Lugkana Mato is an Assistant Professor at Faculty of Associated Medical Sciences, Khon Kaen University. Her research interests include spinal cord injury, myofascial pain syndrome, and disorders of the nervous system

Thiwabhor Thaweewannakij, Department of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University

Thiwabhorn Thaweewannakij is an Assistant Professor at Faculty of Associated Medical Sciences, Khon Kaen University. Her research interests include myofascial pain syndrome, pain management, spinal cord, and disorders of the nervous system

Yodchai Boonprakob, Department of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University

Yodchai Boonprakob is an Assistant Professor at Faculty of Associated Medical Sciences, Khon Kaen University. His research interests include myofascial pain syndrome, pain management, mobilization, biomechanics, neuropharmacology.

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