Effectiveness of Physical Therapy Treatments of Myofascial Trigger Points in Subjects With Neck Pain

NCT01869283 | Unknown DMC

• 1 other identifier: U1111-1143-4456
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Neck pain is a prevalent musculoskeletal dysfunction. Studies point that individuals with chronic pain have metabolic, vascular and electromyographic changes in trapezius muscle. Moreover, a common clinical sign in this muscle in subjects with neck pain is the presence of myofascial trigger points. These are related to the sensory, motor and autonomic changes, being defined as palpable nodules located in the taut band of skeletal muscle. In this context, the focus on treatment modalities stands out in the literature, however, other resources commonly used in clinical practice still lack scientific evidence. Therefore, the aim of this project is to evaluate the effectiveness of physiotherapy resources in the treatment of myofascial trigger points in the trapezius muscle of patients with neck pain. For such, volunteers with neck pain for more than 90 days, of both genders, aged between 18 and 59 years and bilateral myofascial trigger points in the upper trapezius will be randomized into the following groups: group 1 (kinesiotherapy, n = 20), group 2 (kinesiotherapy + static ultrasound, n = 20), group 3 (kinesiotherapy + diadynamic currents, n = 20) and group 4 (untreated control, n = 20). Volunteers will undergo ten sessions of treatment, being realized the following evaluations: surface electromyography, infrared thermography, numerical scale of pain assessment, algometry, Neck Disability Index and skin impedance. For data analysis, normality test will used to verify the data distribution and consistent statistical test for the appropriate comparisons within and between groups, and thus considered two factors in the comparisons, time and group. Will adopt a significance level of 5%.

Conditions

Neck Pain; Myofascial Pain Syndrome

Keywords

Physical Therapy Modalities; Myofascial Pain Syndromes; Skeletal Muscle

Outcome Measures

Primary Outcomes (1)

• Pain

  Will be apply the following assessment tools: Neck Disability Index (assesses neck pain and disability), algometry (evaluates pressure pain threshold), and numerical scale of pain assessment (assesses pain intensity).

  3 years

Secondary Outcomes (3)

• Cervical range of motion

  3 years

• Skin temperature

  3 years

• Muscle activity

  3 years

Study Arms (4)

Kinesiotherapy group

EXPERIMENTAL

The volunteer will be subjected to the following protocol: cervical traction, 3 sets of 1 minute, 30-second rest between sets; mobilization grade III postero-anterior on the spines processes of vertebrae C2 to C7, 10 oscillations for each vertebrae; myofascial release of the upper trapezius muscle, 3 sets of 1 minute for each side; static stretching of the upper trapezius muscle, 3 sets of 30 seconds, with an interval of 10 seconds between sets.

Other: Kinesiotherapy

kinesiotherapy + static ultrasound group

EXPERIMENTAL

Same protocol group kinesiotherapy + ultrasound on the trigger points of the upper trapezius muscle in a static way, with 1 MHz, continuous dose of 1.5 W/cm2, for 1.5 minutes.

Other: Kinesiotherapy; Other: Ultrasound

kinesiotherapy + diadynamic currents group

EXPERIMENTAL

Same protocol group kinesiotherapy + diadynamic currents, with negative electrode (7.0 x 7.0 cm) placed on the myofascial trigger point, while the positive electrode (7.0 x 7.0 cm) is placed between the shoulder blades. Will apply 4 minutes from the biphasic mode (DF) and 6-minute short period (CP), the first of which intesidade the sensory threshold and the second threshold motor, both bearable for the patient.

Other: Kinesiotherapy; Other: Diadynamic currents

Control group

NO INTERVENTION

The volunteers of this group will not be subjected to any form of treatment, was evaluated in three stages, as the other groups. It is noteworthy that, after the volunteer's participation, will be offered at the same physical therapy for myofascial pain.

Interventions

Kinesiotherapy OTHER

Kinesiotherapy group; kinesiotherapy + diadynamic currents group; kinesiotherapy + static ultrasound group

Ultrasound OTHER

kinesiotherapy + static ultrasound group

Diadynamic currents OTHER

kinesiotherapy + diadynamic currents group

Eligibility Criteria

• Age: 18 Years - 59 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• neck pain for more than 90 days
• aged 18 to 59 years
• presence of trigger points in the upper trapezius muscle

You may not qualify if:

• history of trauma to the neck
• surgery in the head, face or neck
• herniated cervical
• degenerative diseases of the spine
• systemic diseases
• underwent physical therapy in the last three months
• analgesics, anti-inflammatories or muscle relaxants last week
• medical diagnosis of fibromyalgia
• body mass index (BMI) greater than 28 kg/m2
• signs and symptoms of depression

Sponsors & Collaborators

• University of Sao Paulo: lead

Study Sites (1)

University of Sao Paulo

Ribeirão Preto, São Paulo, 14049-900, Brazil

Location

Related Links

• Related Info

MeSH Terms

Conditions

Neck Pain; Myofascial Pain Syndromes

Interventions

High-Energy Shock Waves

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Muscular Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Ultrasonic Waves; Sound; Radiation, Nonionizing; Radiation; Physical Phenomena

Study Officials

• Rinaldo Guirro, PhD

  University of Sao Paulo

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Rinaldo Guirro, PhD

CONTACT

+551636024584; rguirro@fmrp.usp.br

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, PT, PhD

Study Record Dates

• First Submitted: May 27, 2013
• First Posted: June 5, 2013
• Study Start: May 1, 2013
• Primary Completion: June 1, 2016
• Study Completion: June 1, 2017
• Last Updated: June 5, 2013

Record last verified: 2013-05

Locations

BR (1)