Positional Release Technique in Patients With Unilateral Subacute Trapezitis

NCT04716192 | Completed

• 1 other identifier: REC/LHR/20/1039 Sana Naz
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

To assess the effects of positional release technique to improve the cervical range of motion, relieve pain and function in the patient with unilateral subacute trapezitis.

Conditions

Cervical Spine Disease

Keywords

Positional release therapy; trapezitis; subacute, pain; cervical ROM

Outcome Measures

Primary Outcomes (3)

• UNIVERSAL GONIOMETER

  UG is a reliable device to evaluate cervical ROM. The UG is cheap, easy to use, popular instrument and requires minimum training. Intra-rater reliability is observed for both raters measuring ACROM using UG, with ICC (2,1) ranging from 0.83 to 0.98.

  2 weeks

• NUMERIC PAIN RATING SCALE

  The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain.The common format is a horizontal bar or line. Similar to the VAS, the NPRS is anchored by terms describing pain severity extremes.

  2 weeks

• NECK DISABILITY INDEX

  Methods of assessment for such disability, especially those targeted at activities of daily living which are most affected by neck pain, questionnaire 10-item scaled entitled the Neck Disability Index (NDI). Face validity was ensured through peer-review and patient feedback sessions. Test-retest reliability was conducted (Pearson's r = 0.89, p ≤ . 05)

  2 weeks

Study Arms (2)

Positional release technique

EXPERIMENTAL

Positional release technique, Mayofascial release technique and ultrasound

Other: Positional release technique; Other: Myofascial release technique & Ultrasound

Mayofascial release technique and ultrasound

ACTIVE COMPARATOR

Mayofascial release technique and ultrasound

Other: Myofascial release technique & Ultrasound

Interventions

Positional release technique OTHER

Positional Release Technique The subject lies supine with therapist standing on the affected side; tender points are located along the upper fibres of the trapezius. Pressure will applied by pinching the muscle between the thumb and fingers. The subject's head is laterally flexed toward the side of tender point, then therapist grasps the subject's forearm and abducts shoulder to approximately 90° a slight flexion or extension is added to obtain fine-tune. The ideal position of comfort achieved is held for a period of 90 seconds and followed by a passive return of the body part to an anatomically neutral position continued for 5 minutes. Mayofascial Release Technique Therapeutic Ultrasound

Positional release technique

Myofascial release technique & Ultrasound OTHER

Myofascial Release Technique * Position of the patient - sitting comfortably with supported back, elbow flexed with forearm placed on a pillow. A low load, long duration stretch is applied along the lines of maximal fascial restrictions. The fascia is palpated and the pressure is applied directly to the skin, into the direction of restriction just until resistance (tissue barrier) is felt. The pressure will be applied for 90 to120 seconds. This procedure will carried out without sliding over the skin or forcing the tissue until the fascia complex starts to yield and a sensation of softening is achieved. * Therapeutic ultrasound with the frequency of 3Mhz , with continuous mode and an intensity of 0.1-1.5 W/cm2 for a duration of 5 min will given with the patient position back rest.

Mayofascial release technique and ultrasound; Positional release technique

Eligibility Criteria

• Age: 25 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Pain with less than 3 months duration
• Subjects of sub- acute trapezitis with trigger points
• Taut band palpable in upper trapezius muscle
• Excruciating spot tenderness at one point along the length of the taut band of the upper trapezius muscle
• Restriction in cervical lateral flexion when measured
• Pain increased by elongating (stretching) the trapezius muscle.

You may not qualify if:

• Traumatic Neck Injury
• Fracture of cervical vertebras
• Cervical Spinal Cord Compromise
• Cervical Radiculopathy
• Spondylolisthesis of the cervical spine
• A history of heart disease or the presence of a pacemaker

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Met Life Rehab center

Lahore, Punjab Province, 38000, Pakistan

Location

Related Publications (4)

• Parab AA, Pattanshetty R. Effect of myofascial release versus muscle energy technique on trapezius spasm in head and neck cancer patients: A randomized clinical trial. Indian Journal of Physical Therapy and Research. 2019;1(2):114.

  BACKGROUND

• Chaudhary ES, Shah N, Vyas N, Khuman R, Chavda D, Nambi G. Comparative study of myofascial release and cold pack in upper trapezius spasm. International Journal of Health Sciences & Research. 2013;3(12):20-7.

  BACKGROUND

• Mishra D, Prakash RH, Mehta J, Dhaduk A. Comparative Study of Active Release Technique and Myofascial Release Technique in Treatment of Patients with Upper Trapezius Spasm. Journal of Clinical & Diagnostic Research. 2018;12(11).

  BACKGROUND

• Karthick K. A Study on the Effectiveness of Positional Release Therapy in the Management of Trapezitis. Research & Reviews: Journal of Computational Biology. 2018;6(2):19-25.

  BACKGROUND

MeSH Terms

Conditions

Pain

Interventions

Myofascial Release Therapy; High-Energy Shock Waves

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation; Ultrasonic Waves; Sound; Radiation, Nonionizing; Radiation; Physical Phenomena

Study Officials

• Saima Zahid, PhD*

  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: January 19, 2021
• First Posted: January 20, 2021
• Study Start: January 25, 2021
• Primary Completion: May 25, 2021
• Study Completion: July 25, 2021
• Last Updated: June 2, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)