Thoracic Spine Manipulation on Pressure Pain Sensitivity of Active Myofascial Trigger Points in Rhomboid Muscle

NCT04179214 | Completed DMC

• 1 other identifier: RiphahIU Bibi Haleema
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This study intends to determine the effects of thoracic manipulation on pressure pain sensitivity in patients with rhomboid active trigger points.

Conditions

Trigger Points

Keywords

Trigger Area

Outcome Measures

Primary Outcomes (6)

• Numeric pain rating scale (NPRS)

  Numeric pain rating scale (NPRS) is an 11 point (0-10) Scale used to measure pain. Patient verbally select value between (0-10) on the basis of intensity of pain. (0) means No pain and (10) means maximum pain experienced at baseline and after 3 weeks

  Baseline

• Numeric pain rating scale (NPRS)

  Numeric pain rating scale (NPRS) is an 11 point (0-10) Scale used to measure pain. Patient verbally select value between (0-10) on the basis of intensity of pain. (0) means No pain and (10) means maximum pain experienced at baseline and after 3 weeks

  post 3 weeks

• Pain pressure threshold

  It is measured with the help of an instrument called Algometer. The readings of Algometer are both in pounds and kilograms and it gauges the pressure at which patient feels pain.

  baseline

• Pain pressure threshold

  It is measured with the help of an instrument called Algometer. The readings of Algometer are both in pounds and kilograms and it gauges the pressure at which patient feels pain.

  post 3 weeks

• Thoracic ROM

  A thoraxic range of motion (TROM) inclinometer will be use to assess thoracic range of motion in flexion and extension.. Participants will be seated or standing upright and asked to actively move their trunk in forward and backward direction

  Baseline

• Thoracic ROM

  A thoraxic range of motion (TROM) inclinometer will be use to assess thoracic range of motion in flexion and extension.. Participants will be seated or standing upright and asked to actively move their trunk in forward and backward direction

  post 3 weeks

Secondary Outcomes (2)

• Neck Disability Index (NDI)

  Baseline

• Neck Disability Index (NDI)

  post 3 weeks

Study Arms (2)

Group I Experimental: thoracic manipulation

EXPERIMENTAL

The experimental group will receive thoracic manipulation along with conventional pt protocol.

Other: Thoracic manipulation

Group II Control

ACTIVE COMPARATOR

this group of participant will receive Conventional physical therapy protocol

Other: conventional pt protocol

Interventions

Thoracic manipulation OTHER

Session will be performed twice a week for a three week period if a pop sound occurred then the therapist moved on next procedure ,if not subject will be repositioned and technique will performed again. This procedure will be performed for maximum of two attempts. Approximately 3 minutes of time is required to complete thrust manipulation subjects assigned to thrust manipulation also received general exercise program and manual pressure release technique as the control group. General exercise group involve Stretching exercises for the pectoral muscles and resisted strengthening exercises for the scapular retractors and elevators and the glenohumeral abductors and external rotators were performed three times per week for 3 weeks.

Group I Experimental: thoracic manipulation

conventional pt protocol OTHER

This group will receive manual pressure release technique along with general exercises program. General exercise group involve Stretching exercises for the pectoral muscles and resisted strengthening exercises for the scapular retractors and elevators and the glenohumeral abductors and external rotators were performed three times per week for 3 weeks.

Group II Control

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age between 18 to 30 years
• Participants presented with interscapular pain
• Forward head posture with active trigger points in rhomboid muscle
• Segmental hypomobility in upper thoracic identified with positive springing test

You may not qualify if:

• Participants who demonstrated contraindication to manipulation
• Open wounds or Trauma to the area which occurred less than two months prior treatment
• Any neurological compromise
• Mid scapular pain due to degenerative process or osteoporosis

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Women Institute of Rehabilitation Sciences

Abbottabad, KPK, 22010, Pakistan

Location

Related Publications (6)

• Schiller L. Effectiveness of spinal manipulative therapy in the treatment of mechanical thoracic spine pain: a pilot randomized clinical trial. J Manipulative Physiol Ther. 2001 Jul-Aug;24(6):394-401. doi: 10.1067/mmt.2001.116420.

  PMID: 11514816 BACKGROUND

• Ruiz-Saez M, Fernandez-de-las-Penas C, Blanco CR, Martinez-Segura R, Garcia-Leon R. Changes in pressure pain sensitivity in latent myofascial trigger points in the upper trapezius muscle after a cervical spine manipulation in pain-free subjects. J Manipulative Physiol Ther. 2007 Oct;30(8):578-83. doi: 10.1016/j.jmpt.2007.07.014.

  PMID: 17996549 BACKGROUND

• Dunning JR, Cleland JA, Waldrop MA, Arnot CF, Young IA, Turner M, Sigurdsson G. Upper cervical and upper thoracic thrust manipulation versus nonthrust mobilization in patients with mechanical neck pain: a multicenter randomized clinical trial. J Orthop Sports Phys Ther. 2012 Jan;42(1):5-18. doi: 10.2519/jospt.2012.3894. Epub 2011 Sep 30.

  PMID: 21979312 BACKGROUND

• Nilsson N, Christensen HW, Hartvigsen J. The effect of spinal manipulation in the treatment of cervicogenic headache. J Manipulative Physiol Ther. 1997 Jun;20(5):326-30.

  PMID: 9200048 BACKGROUND

• Cleland JA, Glynn P, Whitman JM, Eberhart SL, MacDonald C, Childs JD. Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Phys Ther. 2007 Apr;87(4):431-40. doi: 10.2522/ptj.20060217. Epub 2007 Mar 6.

  PMID: 17341509 BACKGROUND

• Haleema B, Riaz H. Effects of thoracic spine manipulation on pressure pain sensitivity of rhomboid muscle active trigger points: A randomized controlled trial. J Pak Med Assoc. 2021 Jul;71(7):1720-1724. doi: 10.47391/JPMA.02-256.

  PMID: 34410234 DERIVED

Study Officials

• Huma Riaz, PHD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: This study will be single blinded randomized control trail, participants will be unaware of treatment groups, they will be randomly allocated through sealed envelope method.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Both experimental and control groups will be treated simultaneously with one treatment option common to both groups

Study Record Dates

• First Submitted: November 25, 2019
• First Posted: November 27, 2019
• Study Start: July 22, 2019
• Primary Completion: December 15, 2019
• Study Completion: December 30, 2019
• Last Updated: January 3, 2020

Record last verified: 2020-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)