Upper back pain syndrome Upper back pain syndrome Lam Plai Patakat (Saiyan 4) massage Thai massage
Conditions
Interventions
Conventional Thai traditional massage
Massage at four shoulder points on each side for 15 seconds per point
Massage of the cervical and cervicothoracic regions for 45 seconds per point
Massage of the
Active Comparator Other,Experimental Other
Conventional Thai traditional massage ,Modified Thai Traditional Massage
Sponsors
Faculty of Medicine, Thammasat University
Eligibility
Sex/Gender
All
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: 1.Diagnosed with Lom Plai Patkhat Signal 4 (Posterior Type), characterized by pain in the neck, shoulder, and scapular regions, radiating numbness along the lateral aspect of both arms, and tenderness at the shoulder and scapular regions (Foundation for the Rehabilitation and Promotion of Thai Traditional Medicine, Ayurveda School, 2005). 2.Regularly engaged in computer work or smartphone use for at least 2 hours per day. Duration of symptoms of at least 2 weeks. 3.Pain intensity score between 3 and 7 on the Visual Analog Scale (VAS) for neck, shoulder, and scapular pain. 4.Willing and able to provide written informed consent to participate in the study.
Exclusion criteria
Exclusion criteria: 1. History of cervical radiculopathy, suspected cervical nerve compression, cervical spondylosis, bleeding disorders, or osteoporosis. 2. Any contraindication to massage therapy. 3. Pregnancy, confirmed by medical history or a pregnancy test. 4. Hemiplegia or paresis. 5. Thrombophlebitis. 6. History of diabetes mellitus, hypertension, or cardiovascular disease. Current use of anticoagulant or antiplatelet medications, such as aspirin, clopidogrel, prasugrel, or ticlopidine. 7. Use of analgesics, anti-inflammatory drugs (e.g., NSAIDs or acetaminophen), massage therapy, physical therapy, or other treatments for musculoskeletal pain within 24 hours prior to enrollment. Withdrawal/Discontinuation Criteria 1. Use of analgesics, anti-inflammatory drugs, anticoagulants, or any treatment for muscle pain during the 1-week follow-up period. 2. Failure to attend the 1-week follow-up assessment. 3.Dizziness or a sensation of impending fainting during massage treatment. Worsening of symptoms, including increased pain intensity, swelling, bruising, and tenderness upon palpation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual analog scale Baseline, immediately after treatment, and 1 week after treatment Pain intensity measured using a 10-cm Visual Analog Scale (VAS), score ranging from 0 (no pain) to 10 (worst imaginable pain) | — |
Secondary
| Measure | Time frame |
|---|---|
| Neck Disability Index Baseline, immediately after treatment, and 1 week after treatment Neck disability measured using the Neck Disability Index (NDI), total score ranging from 0 to 50,Algometer Baseline, immediately after treatment, and 1 week after treatment Pressure pain threshold measured using a pressure algometer and expressed in kg/cm2 or newtons,Cervical Range of Motion Baseline, immediately after treatment, and 1 week after treatment Cervical range of motion measured in degrees | — |
Countries
Thailand
Contacts
Public ContactNichamon Mukkasombut
Thammasat University
Outcome results
None listed