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Abstract
A Comparison of Outcomes of Treatment with Thai Traditional Massage and Ultrasound in
Patients with Cervical Myofascial Pain Syndrome
Kitiya Kowithayanon*, Panada Thaechasubamorn**
*Physical Therapy Department, Bhudachinaraj Hospital, Phitsanulok, **Department of Physical Therapy, Faculty
of Allied Health Sciences, Naresuan University

Rationale: Patients with cervical pain caused by myofascial pain syndrome (MPS) are commonly found
in clinics. Thai traditional massage and ultrasound have been used as treatment methods for MPS. However,
little is known about the effects of those methods.
Objective: To compare outcomes of treatment between Thai traditional massage and ultrasound in pa-
tients with cervical pain from MPS.
Method: From 2005 to 2007, 44 patients with cervical pain from MPS participated in this study. The
subjects were randomly divided into two groups and treated in three sessions a week for four weeks. The first
group was treated with ultrasound and the second group with Thai massage. Cervical range of motion (CROM),
pain levels using visual analog scale (VAS), functional rating index (FRI) before and after treatments, and
patients’ satisfaction after treatments were measured. Comparative analyses of data before and after the
treatment used were subjected to paired t-test and Wilcoxon signed-rank test. Between groups were analyzed
by independent t-test and Mann-Whitney U-test, with the level of significance being 0.05.
Result: CROM values were increased significantly after the Thai massage and ultrasound treatments (p
= 0.001). VAS and FRI decreased significantly after both treatments (p=0.001). There was no difference on
CROM and VAS in comparison between the two treatments. FRI in the Thai massage group was better than
in the ultrasound group (p = 0.044). In addition, patients’ satisfaction was significantly greater in the Thai
massage group (p = 0.014).
Summary: Both Thai massage and ultrasound can significantly increase CROM and decrease pain scores
and pain during daily living activities in patients with cervical MPS. Thai massage enhances their ability to
perform daily activities and produces greater patient satisfaction when compared with ultrasound. Therefore,
we encourage the use of Thai massage in patients with cervical pain caused by MPS.
Key words: Thai massage, traditional massage, ultrasound, cervical myofascial pain syndrome