A self-determination theory-based self-myofascial release program in older adults with myofascial trigger points in the neck and back: A pilot study

Minyoung Lee, Minhee Kim, Sejun Oh, Yoon Jin Choi, Dongshin Lee, Sang Heon Lee, Bum-Chul Yoon

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)681-694
Number of pages14
JournalPhysiotherapy Theory and Practice
Volume33
Issue number9
DOIs
Publication statusPublished - 2017 Sep 2

Keywords

  • Myofascial trigger point
  • pain self-management
  • self-determination theory
  • self-myofascial release

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation

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