Limitations of the study
There were some limitations of this study including the lack
of patient and therapist blinding. However, it is because of
the nature of treatments which make it difficult to conduct.
In addition, this study is limited by the lack of a control group
since ethical reasons do not allow non-treatment of the
patients. Future studies may use the resting condition (The
participant relaxed by lying on their side quietly in the same
environment as the treatment group) with education as
a control group to solve this limitation.
Conclusion
The results of the present study reveal that a 30-min
session of TTM or PT for 9 sessions around the scapular
region is effective in reducing pain, feeling of muscle
tension and anxiety and increasing PPT in patients with SCS.
This treatment method is a non-pharmacological management
with no side effects. We suggest that TTM should be
considered as one of the alternative treatments for SCS.
Acknowledgements
The authors would like to express sincere thanks to all the
patients who participated in this study and also Dr Jeff
Johns for his work in editing this paper. This study was
supported by the Research and Training Center for
Enhancing Quality of Life of Working-Age People, Faculty of
Nursing, Khon Kaen University, and by the Back, Neck and
Other Joint Pain Research Group, Khon Kaen University,
Khon Kaen, Thailand.
Limitations of the study
There were some limitations of this study including the lack
of patient and therapist blinding. However, it is because of
the nature of treatments which make it difficult to conduct.
In addition, this study is limited by the lack of a control group
since ethical reasons do not allow non-treatment of the
patients. Future studies may use the resting condition (The
participant relaxed by lying on their side quietly in the same
environment as the treatment group) with education as
a control group to solve this limitation.
Conclusion
The results of the present study reveal that a 30-min
session of TTM or PT for 9 sessions around the scapular
region is effective in reducing pain, feeling of muscle
tension and anxiety and increasing PPT in patients with SCS.
This treatment method is a non-pharmacological management
with no side effects. We suggest that TTM should be
considered as one of the alternative treatments for SCS.
Acknowledgements
The authors would like to express sincere thanks to all the
patients who participated in this study and also Dr Jeff
Johns for his work in editing this paper. This study was
supported by the Research and Training Center for
Enhancing Quality of Life of Working-Age People, Faculty of
Nursing, Khon Kaen University, and by the Back, Neck and
Other Joint Pain Research Group, Khon Kaen University,
Khon Kaen, Thailand.
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