Dynamic Myofascial Release in Patients With Non-specific Neck Pain.

NCT04610255 | Completed

• 1 other identifier: REC/00678 Haseeb Shah
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Dynamic myofascial release is similar to joint mobilization (active physiological movements) to increase ROM with the myofascial release for fascia release. It differs from myofascial release in a way that it is a dynamic approach in which the patient is actively involved. In 2019 study was conducted on the effects of Dynamic myofascial release showing significant increase in all trunk ROMs and functional reach test in patients with chronic non-specific low back pain. To summarize, this study will going to see the effectiveness of dynamic myofascial release by addressing both fascia and active physiological movements and see the response of patient's pain level, cervical ROM, improvement in the ability to manage in activities of daily life. Furthermore this study helps to find out its effectiveness and its clinical importance in treating patients with neck pain, considering its significance of engaging multiple structures.

Conditions

Neck Pain

Keywords

Neck Pain; Myofascial Release; Dynamic Myofascial Release

Outcome Measures

Primary Outcomes (1)

• Numeric pain rating scale

  The NPRS can be administered verbally or graphically for self-completion. The respondent is asked to indicate the numeric value on the segmented scale that best describes their pain intensity. High test-retest reliability has been observed (r = 0.96 and 0.95, respectively with minimum score 0 to maximum 10

  2 weeks

Secondary Outcomes (2)

• Inclinometer

  2 weeks

• Neck Disability Index

  2 weeks

Study Arms (2)

Traditional physical therapy

ACTIVE COMPARATOR

Cervical isometrics and Muscle Stretching

Other: Assigned Interventions

Dynamic myofascial release

EXPERIMENTAL

Experimental group was given Dynamic myofascial release along with the cervical isometrics and muscle stretching

Other: Dynamic myofascial release

Interventions

Assigned Interventions OTHER

* Hot pack for 10 minutes * TENS for 10 minutes * Trigger point release if any found. * Myofascial release * Home plan for stretching exercises will be prescribed to the patient. Receive two weeks intervention plan, three sessions per week.

Traditional physical therapy

Dynamic myofascial release OTHER

DMFR involves a manual application of low amplitude, long duration stretch to the fascia and muscle. Participants were instructed to relax as much as possible, and the therapist proceeded to smoothly move the joints in a diagonal or horizontal direction at a slow rate within the ROM. The therapist repeatedly pushed, pulled, or shook the joint area about three to five times for about 3 seconds with slight motion at the end of ROM. Conventional therapy will includes * Hot pack for 10 minutes * TENS for 10 minutes * Trigger point release if any found. * Myofascial release * Home plan for stretching exercises will be prescribed to the patient. Receive two weeks intervention plan, three sessions per week.

Dynamic myofascial release

Eligibility Criteria

• Age: 35 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Participants had a complaint of non-specific pain in the neck with duration of at least 3 weeks.
• The area of neck pain was defined to the cervical Region, with or without radiating to head or arms.
• Patients with tight upper trapezius or levator scapulae or both with or without the presence of myofascial trigger points.

You may not qualify if:

• NP due to traumatism, fractures, or whiplash;
• Neoplasia, severe osteoporosis, infectious, or inflammatory processes.
• Ppatient's with pacemakers, congenital anomalies, previous neck surgery, or pregnancy.
• Patients who had received MRT in the previous month.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Maroof International Hospital

Islamabad, Fedral,Pakistan, 44000, Pakistan

Location

Related Publications (8)

• Cerezo-Tellez E, Torres-Lacomba M, Mayoral-Del Moral O, Sanchez-Sanchez B, Dommerholt J, Gutierrez-Ortega C. Prevalence of Myofascial Pain Syndrome in Chronic Non-Specific Neck Pain: A Population-Based Cross-Sectional Descriptive Study. Pain Med. 2016 Dec;17(12):2369-2377. doi: 10.1093/pm/pnw114. Epub 2016 Jun 20.

  PMID: 28025371 BACKGROUND

• McLean SM, May S, Klaber-Moffett J, Sharp DM, Gardiner E. Risk factors for the onset of non-specific neck pain: a systematic review. J Epidemiol Community Health. 2010 Jul;64(7):565-72. doi: 10.1136/jech.2009.090720. Epub 2010 May 12.

  PMID: 20466711 BACKGROUND

• Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. J Bodyw Mov Ther. 2015 Jan;19(1):102-12. doi: 10.1016/j.jbmt.2014.06.001. Epub 2014 Jun 13.

  PMID: 25603749 BACKGROUND

• Rodriguez-Huguet M, Lomas-Vega R. Response to the Letter to the Editor on "Effects of Myofascial Release on Pressure Pain Thresholds in Patients With Neck Pain: A Single-Blind Randomized Controlled Trial". Am J Phys Med Rehabil. 2019 Jan;98(1):e4-e5. doi: 10.1097/PHM.0000000000000986. No abstract available.

  PMID: 29912003 BACKGROUND

• Arguisuelas MD, Lison JF, Sanchez-Zuriaga D, Martinez-Hurtado I, Domenech-Fernandez J. Effects of Myofascial Release in Nonspecific Chronic Low Back Pain: A Randomized Clinical Trial. Spine (Phila Pa 1976). 2017 May 1;42(9):627-634. doi: 10.1097/BRS.0000000000001897.

  PMID: 28441294 BACKGROUND

• Cathcart E, McSweeney T, Johnston R, Young H, Edwards DJ. Immediate biomechanical, systemic, and interoceptive effects of myofascial release on the thoracic spine: A randomised controlled trial. J Bodyw Mov Ther. 2019 Jan;23(1):74-81. doi: 10.1016/j.jbmt.2018.10.006. Epub 2018 Oct 24.

  PMID: 30691766 BACKGROUND

• Ferraz MB, Quaresma MR, Aquino LR, Atra E, Tugwell P, Goldsmith CH. Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. J Rheumatol. 1990 Aug;17(8):1022-4.

  PMID: 2213777 BACKGROUND

• Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S240-52. doi: 10.1002/acr.20543. No abstract available.

  PMID: 22588748 BACKGROUND

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Shafaq Shahid, MSPT(OMPT)

  Riphah International University

  PRINCIPAL INVESTIGATOR

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: SPONSOR

Study Record Dates

• First Submitted: October 9, 2020
• First Posted: October 30, 2020
• Study Start: December 1, 2019
• Primary Completion: December 20, 2020
• Study Completion: December 20, 2020
• Last Updated: December 22, 2020

Record last verified: 2020-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)