PMID- 26910293 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20240325 IS - 1557-7708 (Electronic) IS - 1075-5535 (Print) IS - 1075-5535 (Linking) VI - 22 IP - 3 DP - 2016 Mar TI - Myofascial Pain Syndrome in the Elderly and Self-Exercise: A Single-Blind, Randomized, Controlled Trial. PG - 244-51 LID - 10.1089/acm.2015.0205 [doi] AB - OBJECTIVE: This study aimed to demonstrate the effect of self-exercise with a therapeutic inflatable ball (SEIB) in elderly patients with myofascial pain syndrome. DESIGN: Single-blind, randomized, controlled noninferiority trial. SETTING: University campus. PARTICIPANTS: Forty elderly patients with myofascial pain syndrome completed the study. They were randomly allocated to SEIB (n = 22; mean age, 70.23 +/- 6.11 years) or ultrasound (US) therapy (n = 18; mean age, 67.99 +/- 5.64 years). INTERVENTION: SEIB and US therapy (twice weekly for 4 consecutive weeks). OUTCOME MEASURES: Visual analog scale (VAS), pressure pain threshold (PPT), and cervical lateral flexion (CLF) were measured at baseline and at 1, 2, 3, and 4 weeks. RESULTS: The noninferiority test indicated that SEIB was not inferior to US for VAS, PPT, and CLF. Between-group comparisons showed no significant differences in the VAS (F = 2.579; p = 0.117), the PPT (F = 0.245; p = 0.624), and the CLF (F = 2.072; p = 0.159). In within-group comparisons, both groups presented significant differences in VAS (SEIB after 1 week and US after 1 week), PPT (SEIB after 3 weeks and US after 4 weeks), and CLF (SEIB after 4 weeks and US after 4 weeks) compared with baseline values. CONCLUSIONS: SEIB for 4 weeks has an effect similar to that of US for desensitizing myofascial pain and increasing joint flexibility. High accessibility and low cost would make SEIB a practical self-treatment method in elderly patients with myofascial pain syndrome. FAU - Kim, Minhee AU - Kim M AD - 1 Department of Physical Therapy, College of Health Science, Korea University , Seoul, South Korea . FAU - Lee, Minyoung AU - Lee M AD - 1 Department of Physical Therapy, College of Health Science, Korea University , Seoul, South Korea . FAU - Kim, Yushin AU - Kim Y AD - 2 Functional and Applied Biomechanics Section, Department of Rehabilitation Medicine, Clinical Center, National Institutes of Health , Bethesda, MD. FAU - Oh, Sejun AU - Oh S AD - 1 Department of Physical Therapy, College of Health Science, Korea University , Seoul, South Korea . FAU - Lee, Dongshin AU - Lee D AD - 3 Department of Physical Therapy, College of Health Science, Eulji University , Gyeonggido, South Korea . FAU - Yoon, BumChul AU - Yoon B AD - 1 Department of Physical Therapy, College of Health Science, Korea University , Seoul, South Korea . LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20160224 PL - United States TA - J Altern Complement Med JT - Journal of alternative and complementary medicine (New York, N.Y.) JID - 9508124 SB - IM MH - Aged MH - Analysis of Variance MH - *Exercise Therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Myofascial Pain Syndromes/*therapy MH - Pain Measurement MH - *Ultrasonic Therapy PMC - PMC4842951 EDAT- 2016/02/26 06:00 MHDA- 2016/12/15 06:00 PMCR- 2017/03/01 CRDT- 2016/02/25 06:00 PHST- 2017/03/01 00:00 [pmc-release] PHST- 2016/02/25 06:00 [entrez] PHST- 2016/02/26 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 10.1089/acm.2015.0205 [pii] AID - 10.1089/acm.2015.0205 [doi] PST - ppublish SO - J Altern Complement Med. 2016 Mar;22(3):244-51. doi: 10.1089/acm.2015.0205. Epub 2016 Feb 24.