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Publication
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| Research Title |
Comfortable MRE Protocol Demonstrates the Effects of Physical Therapy on Muscle Stiffness in Office Syndrome: A Case Study |
| Date of Distribution |
10 June 2023 |
| Conference |
| Title of the Conference |
Innovation and Technology in Health promotion and Rehabilitation |
| Organiser |
Physical Therapy Department, Khon Kaen University |
| Conference Place |
At Northeastern Science Park, Khon Kaen University |
| Province/State |
Khon Kaen |
| Conference Date |
10 June 2023 |
| To |
10 June 2023 |
| Proceeding Paper |
| Volume |
NA |
| Issue |
NA |
| Page |
129-130 |
| Editors/edition/publisher |
สภาสถาบันการศึกษากายภาพบำบัดแห่งประเทศไทย |
| Abstract |
This study focuses on the development and evaluation of a more convenient Magnetic Resonance Elastography (MRE) protocol for measuring the shear modulus (kPa) in patients with Office Syndrome (OS). Previous MRE protocols conducted in the prone position during MRI scanning have been uncomfortable for patients. In this research, a case study approach was employed, involving a 34-year-old male patient diagnosed with OS and Myofascial Trigger points in the Upper Trapezius (UT) muscle on both sides. The patient underwent a physical therapy (PT) intervention, including ultrasound, passive stretching, and hot pack treatments, three times a week for two weeks. Muscle stiffness measurements were obtained using a 1.5 T clinical MRI system (Philips Ingenia AmbitionX1.5T, Philips Healthcare, Best, The Netherlands) and an active driver generating pneumatic waves (Mayo Clinic, Minnesota, USA). MRE data was acquired using a supine position, with the subjects' arms in a supinated position and extended elbows. A two-dimensional (2D) approach was utilized, positioning a long and flexible vertical actuator over the shoulder in the medial position and anterior-posterior (A-P) orientation. Muscle stiffness was estimated using the Calliper technique. The wave propagation results exhibited a consistent pattern along the muscle fiber, aligning with previous studies. The UT stiffness on both sides decreased after the short-term treatment, with pre-intervention values of 7.16 ± 2.00 kPa (left) and 8.93 ± 2.98 kPa (right), and post-intervention values of 4.87 ± 1.60 kPa (left) and 7.38 ± 1.89 kPa (right). The patient confirmed the comfort of the protocol, and the elongated shape of the actuator offered enhanced flexibility and conformity to individual shoulder shapes compared to prior studies. In conclusion, this study successfully applied a comfortable MRE protocol to evaluate the effects of PT treatment on OS, demonstrating a reduction in UT muscle stiffness following the intervention. Future research can utilize this protocol in a Randomized Control Trial (RCT) to further explore the intervention's effectiveness. |
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| Peer Review Status |
มีผู้ประเมินอิสระ |
| Level of Conference |
ชาติ |
| Type of Proceeding |
Abstract |
| Type of Presentation |
Poster |
| Part of thesis |
true |
| Presentation awarding |
true |
| Award Title |
the 2nd runner-up outstanding award in "Poster Presentation" |
| Type of award |
รางวัลด้านวิชาการ วิชาชีพ |
| Organiser |
สภาสถาบันการศึกษากายภาพบำบัดแห่งประเทศไทย |
| Date of awarding |
9 มิถุนายน 2566 |
| Attach file |
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| Citation |
0
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Journal Publication
ไทย