A self-determination theory-based self-myofascial release program in older adults with myofascial trigger points in the neck and back: A pilot study. (2nd September 2017)

• Record Type: Journal Article
• Authors: Lee, Minyoung; Kim, Minhee; Oh, Sejun; Choi, Yoon-Jin; Lee, Dongshin; Lee, Sang Heon; Yoon, BumChul
• Is Part Of: Physiotherapy theory and practice. Volume 33:Number 9(2017)
• Page Start: 681
• Page End: 694
• Publication Date: 2017-09-02
• Subjects: Myofascial trigger point -- pain self-management -- self-determination theory -- self-myofascial release; Physical therapy -- Periodicals; 615.82
• DOI: 10.1080/09593985.2017.1345024
• Languages: English
• ISSNs: 0959-3985

Abstract

ABSTRACT: Purpose : To examine the effectiveness and adherence to a self-determination theory (SDT)-based self-myofascial release (SMR) program in older adults with myofascial trigger points (MTrPs), and to investigate the factors that influence participant behavioral change while conducting the program in a home setting. Methods : An explanatory mixed-method design was used to evaluate a 12-week SDT-based SMR program, including a 4-week group-based education and practice (EP) phase and an 8-week home-based self-management (SM) phase. Pain intensity on palpation and sensitivity to pain were assessed at baseline and the post EP and post SM phase. Focus group interviews were conducted at the post SM phase. Findings : Fifteen participants completed the study. Pain intensity and sensitivity to pain significantly improved at the post SM phase compared with the baseline. Adherence increased during the SM phase compared with that during the EP phase. Four main themes emerged as factors that influenced participant behavioral change: 1) "awareness of the effectiveness"; 2) "a sense of duty to perform the exercise"; 3) "obedience to expert instruction"; and 4) "lack of friendship." Conclusions : These results support the effectiveness of an SDT-based SMR program for the treatment of MTrPs and in motivating older adults to participate in the program.