Myofascial pain syndrome can lead to chronic pain. With fatigue or trauma, muscle spindle reflexes activate spinal motoneurones causing them to fire constantly leading to spasm. These reflex signals can also be transmitted to the brain as well. It could be hypothesized that if massage therapy (roller massager included) could regulate cortical and spinal motoneurone excitability, it may also decrease unnecessary reflex activity. Previous investigations from our lab demonstrated that applying massage over the musculotendinous junction could diminish the motoneurone excitability.