Development and Evaluation of a Khid Sen Massage Guideline Based on Folk Healer Wisdom Integrated with Anatomy for the Treatment of Lom Plai Pattakat Sanyan 5 Lang, Thawarawadee Thai Traditional Medicine Clinic, Maha Sarakham Provincial Public Health Office.

Abstract

      This quasi experimental research by one-group pretest–posttest design and development study aimed to 1) map Khid Sen massage techniques derived from folk healer wisdom to anatomical structures, 2) develop a Khid Sen massage guideline combined with herbal compress for Lom Plai Pattakat Sanyan 5 Lang, 3) compare pain intensity before and after treatment according to the guideline, and 4) assess patient satisfaction. The study was conducted from October 2022 to July 2024 in five phases: review of the Khid Sen knowledge of the folk healer Kesorn Phophantharat, anatomical mapping, guideline development and review, a one-group pretest–posttest trial in 30 patients who received three sessions within two weeks, and summary and revision. Instruments were the guideline, an interview form, a 0–10 numeric pain rating scale, and a satisfaction questionnaire. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test.

      The results showed that 1) the 23 techniques corresponded to the Abdominal muscles and to muscles of the shoulder, neck, scapula, upper arm, chest, and back, with the trapezius most frequently involved; 2) the guideline comprised 24 steps: three abdominal steps, 20 sitting-position Khid Sen steps, and one herbal compress step, with a service process, referral criteria, and a record form; 3) the mean pain score decreased from 5.90 (SD = 0.84) to 2.70 (SD = 0.75) after the third session, a reduction of 54.24% (Z = −4.87, p < .001); and 4) overall satisfaction was at the highest level (M = 4.57, SD = 0.54).