Miyofasiyal Ağrı Sendromlu Bireylerde Egzersiz Programına Ek Olarak Uygulanan Manuel Tedavi Yöntemlerinin Etkisi
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The aim of this study was to determine the most effective treatment method by comparing the effects of connective tissue massage (CTM) and instrument-assisted soft tissue manipulation (IASTM) in addition to exercise programme on different symptoms of myofascial pain syndrome (MPS) in patients with MPS. 42 women with MPS were randomly assigned to three groups:(nCTM = 14, nIASTM = 14, nControl = 14). Evaluation parameters were determined as pain, autonomic nervous system (ANS) parameters, range of motion (ROM), functional strength, activity limitation related to neck pain, level of depression and anxiety, sleep, quality of life and satisfacion. All measurements were performed baseline and 6th week. In addition to the exercise program, treatment was applied to dorsal in all patients in the CTM and IASTM groups. Only exercise programme was given in the control group. At the end of the treatment, there was no difference between the groups for ROM, functional strength, activity limitation and satisfaction level (p> 0.05). A significant difference was observed in all parameters of ANS in all measurements after treatment in the CTM group (p<0.05). A significant difference was found between the groups in terms of sleep, quality of life and depression levels in favor of CTM group (p<0.05). To the effect size analysis, it was found that these parameters were more effective with CTM method. Finally, both manual methods were similar in pain parameters, acute responses of ANS, ROM, strength, activity limitation and satisfaction level. CTM method in addition to the exercise program was observed that more effective in terms of cumulative responses of ANS, depression, anxiety, sleep and quality of life. In conclusion, it was concluded that a larger sample was used to investigate the long-term effects of these treatments in individuals with MPS, follow-up evaluations were performed at different time intervals and further randomized controlled trials were needed in which exercise training was given under physiotherapist supervision.