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The Immediate Effects of Neck and Shoulder Muscle Massage Device Developing from Tennis Balls

Authors:

Abstract

Background and Objective: Prolonged working and computer-related seated immobility is a cause of the increasing of neck and shoulder muscle spasm that lead to decrease of cervical range of motion (CROM). Therefore, the propose of this study was to examined the immediate effect of the new massage device developing from tennis ball on visual analogue pain scale (VAS), pressure pain threshold (PPT) and CROM in staff with work-related neck and shoulder muscle pain. Method: Twenty volunteers (5 men and 15 women) aged between 18-45 years old who had neck and shoulder muscle pain and had this symptom for at least 3 months were investigated for VAS, PPT and CROM at before and after self-massage by the new tennis ball massage device immediately. Results: VAS had a signifcantly decreased (p < 0.01) and signifcantly increased in PPT (p < 0.01) and either as CROM (flexion, extension and lateral flexion to right after massage (p < 0.05). Conclusion: The new massage device developing from tennis ball could be decreased pain and increased PPT and CROM immediately.
ศรีนครินทร์เวชสาร 2560; 32(2)
150
The Immediate Effects of Neck and Shoulder Muscle Massage Device

Srinagarind Med J 2017; 32(2)
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*
สาขาวิชากายภาพบ�าบัด คณะสหเวชศาสตร์ มหาวิทยาลัยพะเยา
The Immediate Effects of Neck and Shoulder Muscle Massage
Device Developing from Tennis Balls
Weerasak Tapanya*, Noppharath Sangkarit, Saisunee Konsanit
Department of Physical Therapy, Faculty of Allied Health Sciences, University of Phayao
*Corresponding Author: Weerasak Tapanya, Department of Physical Therapy, Faculty of Allied Health Sciences,
University of Phayao, E-mail: wee_pt2nu@hotmail.com
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

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

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: 
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
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: 
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




Background and Objective: Prolonged working and
computer-related seated immobility is a cause of the
increasing of neck and shoulder muscle spasm that lead to
decrease of cervical range of motion (CROM). Therefore,
the propose of this study was to examined the immediate
effect of the new massage device developing from tennis
ball on visual analogue pain scale (VAS), pressure pain
threshold (PPT) and CROM in staff with work-related neck
and shoulder muscle pain.
Method: Twenty volunteers (5 men and 15 women) aged
between 18-45 years old who had neck and shoulder
muscle pain and had this symptom for at least 3 months
were investigated for VAS, PPT and CROM at before and
after self-massage by the new tennis ball massage device
immediately.
Results: VAS had a signicantly decreased (p < 0.01)
and signicantly increased in PPT (p < 0.01) and either as
CROM (exion, extension and lateral exion to right after
massage (p < 0.05).
Conclusion: The new massage device developing from
tennis ball could be decreased pain and increased PPT
and CROM immediately.
Keywords: Massage, Neck and shoulder muscle pain,
Tennis balls, Pressure pain threshold

ศรีนครินทร์เวชสาร 2560; 32(2) 151
Weerasak Tapanya, et al.

Srinagarind Med J 2017; 32(2)
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



ศรีนครินทร์เวชสาร 2560; 32(2)
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The Immediate Effects of Neck and Shoulder Muscle Massage Device

Srinagarind Med J 2017; 32(2)
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
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 

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Weerasak Tapanya, et al.
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Srinagarind Med J 2017; 32(2)
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

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The Immediate Effects of Neck and Shoulder Muscle Massage Device

Srinagarind Med J 2017; 32(2)
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









 


 
 
 
 
 
 

  




    
    

    
    
    
    
    
    


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
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
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

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
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
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δ
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

ศรีนครินทร์เวชสาร 2560; 32(2) 155
Weerasak Tapanya, et al.

Srinagarind Med J 2017; 32(2)
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
 
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
 



 




 
 
 

  


 


 


 



 
 


 
 

 


ศรีนครินทร์เวชสาร 2560; 32(2)
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The Immediate Effects of Neck and Shoulder Muscle Massage Device

Srinagarind Med J 2017; 32(2)
 




 


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  
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 
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 
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... The volunteers in this study were 40 office syndrome patients with chronic neck and shoulder pain for at least three months in Phayao Province, Thailand. The sample size was calculated by referring to the study of Weerasak et al. 20 (2017) by using the G power 3. 1 program with the predefined values of power at 0. 80, effect size at 0. 5, and Alpha level at 0. 05. The resulting sample size was 35 volunteers and the dropout percentage was at 15%. ...
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Office syndrome is caused by prolonged sitting at work and ergonomically awkward working postures with repetitive use of the same neck and shoulder muscles. As a result, the posterior neck muscles for neck support work harder and causes tension in the muscles at the neck and shoulder areas, leading to pain and reduction of cervical range of motion. These symptoms can be cured with acupuncture. This experimental research study determined the effects of five consecutive acupuncture sessions on the visual analogue pain scale (VAS) and the cervical range of motion (CROM) in office syndrome patients with chronic neck and shoulder pain in Phayao Province, Thailand. All 40 volunteers (14 males and 26 females) were measured on the VAS and CROM scales before and after five acupuncture sessions. The acupoints in this study were Fengchi (GB20), Tianzhu (BL10), Bailao (EX-HN15), Dazhu (BL11), Jianjing (GB21), Jianwaishu (SI14), Jianzhongshu (SI15), Hegu (LI14), Taichong (LR3), and the trigger point. The data were analyzed into frequency distribution, percentage, mean, and median. In addition, the paired sample t-test for the VAS and CROM variables was used for the data comparison before and after the five acupuncture sessions. After five acupuncture sessions, our results showed that the VAS decreased from level 5 to level 1 whereas the CROM increased significantly in all directions including flexion, extension, left lateral flexion, right lateral flexion, left rotation, and right rotation (46.35 ± 11.35 vs 62.68 ± 8.66, 52.18 ± 13.00 vs 68.09 ± 11.80, 37.81 ± 7.07 vs 52.96 ± 8.72, 37.57 ± 9.49 vs 49.96 ± 8.87, 65.50 ± 14.38 vs 81.24 ±10.59, and 63.04 ± 13.41 vs 76.64 ± 10.61; p<0.01, respectively). In conclusion, five acupuncture sessions for five consecutive days can reduce the chronic neck and shoulder pain from a level of 5 to 1 on the VAS. Additionally, volunteers were able to perform CROM in all directions more efficiently than the pre-treatment.
Experiment Findings
The purpose of this study was to compare postural stability between dancers and non-dancers with and without chronic ankle instability (CAI). We found that dancers tend to have better postural control than a healthy sedentary and dancers with CAI, and a healthy sedentary with CAI, respectively.
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To evaluate the effect of acupuncture combined with physiotherapy in comparison with acupuncture and physiotherapy performed alone in different parameters; pain intensity, muscle tension, functional disability and muscle strength in the treatment of tension neck syndrome (TNS). A prospective, comparative clinical trial. Acupuncture and Rehabilitation Department. TNS can occur in computer users. Acupuncture has been one alternative treatment in physiotherapeutic rehabilitation of musculoskeletal disorders. Forty-six patients with TNS. Interventions: Patients were allocated into three groups: Group-1 received physiotherapy (therapeutic exercises) combined with acupuncture; Group-2, acupuncture alone, and Group-3, physiotherapy alone; over a period of 10 weeks, with one or two sessions weekly. OUTCOME ASSESSMENT: All patients had completed the protocols and were assessed using a visual analogue scale for pain intensity (VASpain) and muscle tension (VASmt), the Neck Disability Index: Brazilian Portuguese version for functional disability, and the cranio-cervical Flexion Test for isometric neck muscle strength (INMS); in the periods before treatment (baseline), after 10 weeks of treatment, and after 6 months of follow-up. All groups showed significant improvement (p < 0.001) in these parameters after 10 weeks of treatment and after 6 months of follow-up. Group-1 was superior to Group-3 in pain and functional disability improvements (p<0.05); and Group-1 was superior to both Group-2 (p < 0.01) and Group-3 (p < 0.05) in INMS. After 6 months of follow-up, the improvements of all groups were maintained (p < 0.05). The data suggested that acupuncture effect may facilitate and/or enhance physiotherapy performance in musculoskeletal rehabilitation for tension neck syndrome.
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Background: We hypothesised that the balance of spastic chronic stroke patients is related to myofascial problems. We performed myofascial release (MFR) with a tennis ball on the affected limb, as suggested by Myers. Purpose: This study investigated the benefits of 8 weeks of MFR using a tennis ball on the balance of spastic patients. Methods: Eight stroke patients were enrolled voluntarily after providing informed consent. All subjects received 8-week interventions with MFR using a tennis ball three times per week. The patients were evaluated using the Berg Balance Scale (BBS) and Timed 'Up & Go' (TUG) test before and after 4 and 8 weeks of the intervention. Results: There were significant differences in the BBS scores (p = 0.001). The TUG time decreased significantly at 4 and 8 weeks (p = 0.034). Conclusion: Myofascial release appears to improve the balance of spastic chronic stroke patients; however, further studies should evaluate the effective of MFR on walking in stroke patients and determine the mechanism of the effect of MFR.
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Objective The purpose of this study was to evaluate the short-term effects of classic massage (CM) and connective tissue massage (CTM) on pressure pain threshold and muscle relaxation response in women with chronic neck pain. Methods Participants included 45 female volunteers (ages between 25 and 45 years) presenting to the Köroglu State Hospital Neurosurgery Polyclinic who had experienced neck pain for 3 to 6 months. The volunteers were randomly assigned to 2 groups (CM or CTM to the thoracic spine and the neck). Each treatment was carried out for 1 session. Outcome measures were obtained before and after treatment, which included pressure pain threshold that was measured with an algometer and muscle relaxation response that was evaluated with electromyography biofeedback (EMG-BF). Results Pressure pain threshold of the sternocleidomastoid muscle was significantly different for the CM (P < .05) group. The EMG-BF values were significantly different for the CTM group (P < .05). Comparing the results of CM and CTM, EMG-BF averages favored the CTM group (P < .05). Conclusion For the group of women with chronic neck pain that were included in this study, 1 treatment of CTM demonstrated relaxation responses and 1 treatment of CM demonstrated pain reduction.
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The purpose of this study was to compare the clinical outcomes of classic massage to massage based on the tensegrity principle for patients with chronic idiopathic shoulder pain. Thirty subjects with chronic shoulder pain symptoms were divided into 2 groups, 15 subjects received classic (Swedish) massage to tissues surrounding the glenohumeral joint and 15 subjects received the massage using techniques based on the tensegrity principle. The tensegrity principle is based on directing treatment to the painful area and the tissues (muscles, fascia, and ligaments) that structurally support the painful area, thus treating tissues that have direct and indirect influence on the motion segment. Both treatment groups received 10 sessions over 2 weeks, each session lasted 20 minutes. The McGill Pain Questionnaire and glenohumeral ranges of motion were measured immediately before the first massage session, on the day the therapy ended 2 weeks after therapy started, and 1 month after the last massage. Subjects receiving massage based on the tensegrity principle demonstrated statistically significance improvement in the passive and active ranges of flexion and abduction of the glenohumeral joint. Pain decreased in both massage groups. This study showed increases in passive and active ranges of motion for flexion and abduction in patients who had massage based on the tensegrity principle. For pain outcomes, both classic and tensegrity massage groups demonstrated improvement.
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This article considers specific treatment approaches and the role of etiological mechanisms in terms of clinical feature characteristics of MTrPs: increased muscle tension, pain and tenderness, painful stretch range of motion, initiating causes of MTrPs. Final sections note additional treatments that are currently used, and summarize the etiological and clinical distinctions between MTrPs and fibromyalgia.
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BackgroundA prospective study of computer users was performed to determine the occurrence of and evaluate risk factors for neck or shoulder (N/S) and hand or arm (H/A) musculoskeletal symptoms (MSS) and disorders (MSD).Methods Individuals (n = 632) newly hired into jobs requiring  ≥ 15 hr/week of computer use were followed for up to 3 years. At study entry, workstation dimensions and worker postures were measured and medical and psychosocial risk factors were assessed. Daily diaries were used to document work practices and incident MSS. Those reporting MSS were examined for specific MSD. Incidence rates of MSS and MSD were estimated with survival analysis. Cox regression models were used to evaluate associations between participant characteristics at entry and MSS and MSD.ResultsThe annual incidence of N/S MSS was 58 cases/100 person-years and of N/S MSD was 35 cases/100 person-years. The most common N/S MSD was somatic pain syndrome. The annual incidence of H/A MSS was 39 cases/100 person-years and of H/A MSD was 21 cases/100 person-years. The most common H/A disorder was deQuervain's tendonitis. Forty-six percent of N/S and 32% of H/A MSS occurred during the first month of follow-up. Gender, age, ethnicity, and prior history of N/S pain were associated with N/S MSS and MSD. Gender, prior history of H/A pain, prior computer use, and children at home were associated with either H/A MSS or MSD.ConclusionsH/A and N/S MSS and MSD were common among computer users. More than 50% of computer users reported MSS during the first year after starting a new job. Am. J. Ind. Med. 41:221–235, 2002. © 2002 Wiley-Liss, Inc.
Article
To investigate the long-term effects of ergonomic intervention on neck and shoulder discomfort among computer users who have symptoms of tension neck syndrome, using simple materials and protocols, 80 Thai volunteers with symptoms of tension neck syndrome were identified through administration of a questionnaire to 470 computer users. Two pre-tests were conducted to determine subjects’ level of discomfort before the planned intervention commenced. Half of the subjects’ work stations were immediately adjusted according to ergonomic recommendations for individual anthropometry. The other half received the intervention 3 months later. Discomfort evaluations (head, neck, shoulders, arms, and back) were conducted eight times within 6 months for both groups. The same patterns of decrease in the levels of discomfort of all body parts were present in both groups. Substantial variation in the level of discomfort over time for each body part in each subject was noted after the intervention. However, the mean level of discomfort ratings before and after receiving intervention were significantly different. It was concluded that ergonomic intervention can help reduce the discomfort level of subjects with tension neck syndrome. In addition, the study supports the use of simple materials which can be used by individuals to adjust their own workstations according to ergonomic recommendations.Relevance to industryTension neck syndrome is a common disorder found in visual display terminal (VDT) users. Ergonomic intervention can help prevent and decrease the symptoms resulting in less absenteeism and higher productivity and efficiency. Using simple materials for intervention makes it feasible for workers to modify their own workstations to gain the benefit from basic ergonomic recommendations.
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The aim of the present study was to evaluate the association and impact of occupational exposure and diseases of the shoulder and neck. Prevalence rates, odds ratios, aetiological fractions, and their confidence intervals were computed for pooled and non-pooled data of previous published reports. By comparison with office workers and farmers, dentists had an increased odds ratio for cervical spondylosis (two studies) and for shoulder joint osteoarthrosis. Meat carriers, miners, and "heavy workers" also had significantly higher rates of cervical spondylosis compared with referents. Compared with iron foundry workers, civil servants had a significant odds ratio (4.8) of cervical disc disease and a 0.79 aetiological fraction. Whether this was due to exposure or healthy worker effect was not clear. In four occupational groups with high shoulder-neck load an odds ratio of 4.0 was found for thoracic outlet syndrome with an aetiological fraction of 0.75. Rotator cuff tendinitis in occupational groups with work at shoulder level (two studies) showed an odds ratio of 11 and an aetiological fraction of 0.91. Keyboard operators had an odds ratio of 3.0 for tension neck syndrome (five studies). Unfortunately, owing to the scanty description of the work task, the exposure could be analysed only by job title. Examination of published reports shows clearly that certain job titles are associated with shoulder-neck disorders. High rates and aetiological fractions for rotator cuff tendinitis and tension neck syndrome suggest that preventive measures could be effective. Although job descriptions are brief, the associations noted suggest that highly repetitive shoulder muscle contractions, static contractions, and work at shoulder level are hazardous exposure factors. In reports of cross sectional studies of occupational shoulder-neck disorders presentation of age, exposure, and effect distribution may help for future meta-analysis.
Article
Surface electromyogram recordings from the descending part of the trapezius muscle and discomfort ratings were assessed for six female VDT wordprocessor operators during their work. Each operator was studied during three work periods of 3 to 5 hours on different days. During one of the work periods, short pauses (15 s) were introduced every sixth minute. A static local muscular load of 32 and 30% of the maximal voluntary contraction was found on the right and the left side, respectively. The median and peak muscular loads during work were low. There was a significant negative correlation between pauses and static load on the right upper trapezius muscle. The rating of perceived discomfort was less after the work periods with short pauses than after the work periods without.