Chronic cervical myofascial pain syndrome: an osteopathic approach.
Item
- Title
- Chronic cervical myofascial pain syndrome: an osteopathic approach.
- Author(s)
- Jolien Stiers
- Abstract
-
RESEARCH TITLE: Research as to the effect of a set of osteopathic techniques on the pain pressure threshold and the self-reported neck pain disability in subjects with chronic cervical myofascial pain syndrome: a randomized placebo controlled clinical trial.
BACKGROUND: Cervical myofascial pain syndrome (CMPS), characterised by myofascial trigger points (MTrPs) is a prevalent health problem. Treatment modalities like dry needling and ischemic compression are mainly directed to the MTrP self. It has been suggested that treatments should not only focus on the MTrP, but also on the surrounding environment including the fascia.
OBJECTIVE: To measure the potential beneficial effect of a set of osteopathic techniques to normalize the fascial tension in the neck region on the pain pressure threshold (PPT) and the self-reported neck pain disability in subjects with chronic CMPS.
METHOD: Subjects with chronic CMPS were randomly divided into an experimental or a placebo group. The experimental group received a set of osteopathic techniques to normalize the fascial tension in the neck region. The placebo group received an intervention with an ultrasound on five selected points. For measuring the PPT of MTrP 2 of the upper trapezius and the neck disability index (NDI) was used. Three interventions were planned once a week, within a timeframe of three weeks. One week after the last intervention the post-measurements were conducted.
RESULTS: The sample size (N= 40) consisted of an experimental group (N= 20) and a placebo group (N= 20). The Independent Samples T-test showed no significant preliminary difference between the groups for age (p= 0.699), height (p= 0.211), weight (p= 0.756) and BMI (p= 0.690). Chi-Square test found no significant difference for gender (p= 1.000). However a significant difference was found at baseline for PPT (Mann-Whitney test: p= 0.018), but not for NDI (Mann-Whitney test: p= 0.471). The experimental group showed a significant improvement of the PPT (Wilcoxon Signed-Rank test: p= 0.001) and of the NDI (Wilcoxon Signed-Rank test: p= 0.001). The placebo group showed a significant improvement of the NDI (Wilcoxon Signed-Rank test: p= 0.006), but not for the PPT (Wilcoxon Signed-Rank test: p= 0.101). Comparing both groups PPT and NDI showed significant improvement (ANCOVA: p= 0.001 and p= 0.001).
DISCUSSION: The power of this study was lower than 60 percent and could have been improved to 80 percent with a population of 64 subjects per group (F tests – ANCOVA). A larger sample size and a control group without an intervention could improve conclusive results.
CONCLUSION: Significant beneficial effects as a result of a set of osteopathic techniques to normalize the fascial tension in the neck region have been shown in subjects with chronic CMPS compared to a placebo intervention. - presented at
- FICO
- Date Accepted
- 2019
- Date Submitted
- 26.4.2019 09:57:58
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 4443
- Pub-Identifier
- 16449
- Inst-Identifier
- 1169
- Keywords
- Myofascial pain syndromes, neck pain, fascia, pain measurement
- Recommended
- 0
- Item sets
- Thesis
Jolien Stiers, “Chronic cervical myofascial pain syndrome: an osteopathic approach.”, Osteopathic Research Web, accessed May 5, 2024, https://www.osteopathic-research.com/s/orw/item/1998