The Effects of Lumbar Muscle Myofascial Release Technique in Parkinson’s Disease with Chronic Pain: A Pilot Experimental Study

초록

Background: The purpose of this experimental study was to confirm whether the overall disease severity of Parkinson’s disease (PD), gait function, balance, and pain could be improved through the application of the lumbar muscle myofascial release technique (LMTT). Methods: LMTT treatments were administered to 12 patients with PD and chronic pain and evaluated pre-and post-intervention. The LMTT device was designed to provide acupressure to the operational portion, to which the bogie method was applied. To increase the therapeutic effect, aluminum, with high thermal conductivity, was used to apply heat up to 70°C and acupressure simultaneously. A heating wire was also attached. The Timed Up and Go (TUG), 10 m gait speed, 6-min walk test, Berg Balance Scale (BBS), Functional Ambulatory Category (FAC), Visual Analog Scale (VAS), fear of falling, Oswestry Disability Index, and Geriatric Depression Scale Short-Form (GDSSS) were evaluated. Results: The VAS score showed a significant decrease immediately after five treatments (4.46 points) and 10 treatments (3.00 points) compared to the pre-intervention evaluation (6.54 points). We found that this decrease was maintained after a 2 week follow-up (P < .001). Significant improvements were also confirmed in the TUG (P < .001), 10 m gait speed (P = .001), 6 min walk test (P = .001), and BBS (P = .001). Conclusions: By applying LMTT, a significant reduction in pain was confirmed in patients with PD who experience chronic back pain.

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