ABSTRACT:Background: The quality of life of patients with Myofascial pain syndrome (MPS) in the upper and middletrapezius treated with the court-type traditional Thai massage and topical diclofenac was studied.Methods: A randomized controlled clinical trial was performed in 90 MPS patients. The SF-36 healthsurvey was employed to assess the quality of life of both groups of patients. The visual analog scale (VAS)was also used to determine their levels of pain severity.Results: There was no statistically significant difference between the two groups at baseline in terms ofage (41.22 vs 41.00 years), height 156.58 vs 156.98 cm), weight (56.82 vs 59.27 kg) and pain periods (8.22vs 6.84 months) (p<0.222). The physical component summary (PCS) and the mental component summary(MCS) scores before and after treating the patients with the court-type traditional Thai massage andtopical diclofenac indicated significant improvement for both treatment group and the control group .Thetreatment group, PCS and MCS scores increased significantly from 47.52 to 68.00 and from 40.78 to 66.34(p = 0.001 and 0.001). For the control group, PCS and MCS scores went up from 56.70 to 59.60 and from40.51 to 50.60 (p = 0.007 and 0.002).The VAS means scores before and after the treatments indicated astatistically significant decline for both groups (p-values < 0.001).Conclusions: It can be concluded, that both types of treatment have positive therapeutic effects on thequality of life scores of patients with MPS in the upper and middle trapezius. The results also point to thesuperiority (quality of life SF-36) of CTTM over topical diclofenac.
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