In the
present study, similar procedures were performed with the
Wilai stick for massaging the upper back and shoulders (i.e.,area where MTrPs are most felt), following TTM principles,
in conjunction with muscle stretching. Such findings are
not surprising as it has been reported that massage together
with muscle stretching can relieve muscle tightness and aid
muscles in returning to a normal state, thereby reducing pain
sensitivity12). The results demonstrate that TTMW is effective
in increasing flexion, extension, left lateral flexion, and
right lateral flexion. The effects were felt immediately after
the first treatment session and 1 day after the last treatment
session. Even at day 5 after the last treatment session, the
increase in extension and left lateral flexion remained high
at 5° which was considered a clinically significant figure.
This might be due to the relaxation effect of TTMW, which
mobilizes the facet joints of the thoracic spine as well as the
upper back and posterior neck muscles