نوع مقاله : مقاله پژوهشی
نویسندگان
1 کارشناس ارشد آسیب شناسی ورزشی و حرکات اصلاحی، گروه آسیبشناسی ورزشی و حرکات اصلاحی، مؤسسه آموزش عالی شفق، تنکابن، مازندران، ایران.
2 استادیار آسیب شناسی ورزشی و حرکت اصلاحی، دانشکده علوم ورزشی، دانشگاه مازندران، بابلسر، ایران
چکیده
کلیدواژهها
عنوان مقاله [English]
نویسندگان [English]
Objectives: The aim of this study was comparing the effect of movement therapy and massage on pain, range of motion, shoulder proprioception and upper limb function of women with trigger points in the back region.
Methods: In this study, 36 female participants with posterior thoracic trigger point were randomly assigned to three groups (control, massage, therapeutic exercise), with 12 individuals in each group. Initial assessments included measuring pain intensity in the upper back, range of motion of the back and shoulder, proprioception of the shoulder, and upper limb function. The therapeutic exercise group underwent a 6-week program with three 30-minute sessions per week, while the massage group received similar treatment. Measurements were repeated after the treatment period. The Shapiro-Wilk test was used to assess data normality, and statistical analyses were performed using ANOVA and paired t-tests in SPSS version 24.
Results: Both therapeutic exercise and massage interventions significantly improved all measured variables, including back pain, range of motion (both back and shoulder), proprioception, and upper limb function compared to pre-test levels (p < 0.05). The comparison among the three groups showed significant differences in back pain (p = 0.002), range of motion of the back, internal shoulder rotation, and shoulder proprioception (p = 0.001), while the variable of upper limb function showed a p-value of 0.09. Additionally, the Bonferroni test revealed significant differences between the therapeutic exercise-control and massage-control groups in terms of pain, shoulder range of motion, and shoulder proprioception (p < 0.05). However, for the upper limb function variable, significance was only observed for the therapeutic exercise-control group (p < 0.05).
Conclusion: In general, massage and therapeutic exercise were effective in improving the symptoms associated with myofascial trigger points in the back region. Therefore, these two methods can be utilized in therapeutic and rehabilitation programs of patients with musculoskeletal pain due to trauma or sport activities.
کلیدواژهها [English]
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