Positional Release Technique for Myofascial Trigger Points of the Upper Trapezius

NCT04747899 | Completed

• 1 other identifier: REC/00865 Asad Ullah
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this research is to find the effects of Positional Release Technique (PRT) on pain, range of motion and neck disability index in patients with myofascial trigger points (MTRPs) of the upper trapezius with forward head posture (FHP). A Randomized control trial is conducted at Tehsil Head Quater (THQ) Civil hospital Wazirabad. The sample size is calculated through open epi tool is 32. The subjects are divided in two groups, 16 participants in experimental group and 16 in control group. The study duration is of six months. Sampling technique applied is purposive non probability sampling technique. Only 18-45 years participants with myofascial trigger points of the upper trapezius is included. Tools used in the study are Visual analog scale (VAS), Pain Pressure Threshold (PPT), active cervical contra-lateral flexion (ACLF), Cranio vertebral angle (CVA) and neck disability index (NDI). Data analyzed through Statistical Package for the Social Sciences (SPSS) version 23.

Conditions

Trigger Point Pain, Myofascial

Keywords

myofascial trigger points of the upper trapezius; Positional Release technique; Neck Pain Disability index; Cranio vertebral angle

Outcome Measures

Primary Outcomes (1)

• Neck disability index

  Changes from base line Northwick disability index was developed first in Northwick Park hospital, England. It was designed to measure the neck pain and disability over time. It consists of 10, five parts sections. At the end, score is calculated by dividing the obtained score by total (50) multiplied by 100. Each section is scored on a 0 to 5 rating scale, in which zero means 'No pain' and 5 means 'Worst imaginable pain'.

  12th day

Secondary Outcomes (4)

• Visual analog scale

  12th day

• ROM Active Contra Lateral Flexion (ACLF)

  12th day

• Pain Pressure Threshold (PPT

  12th day

• Cranio vertebral angle (CVA)

  12th day

Study Arms (2)

Traditional physical therapy

ACTIVE COMPARATOR

Traditional physical therapy ,Hot Pack, Muscle Stretching and Posture correction

Other: Traditional physical therapy

Positional Release Technique

EXPERIMENTAL

Experimental group is given Positional Release Technique along with the hot pack, muscle stretching and posture correction.

Other: Positional release technique

Interventions

Positional release technique OTHER

Experimental group is given Positional Release Technique along with the hot pack, muscle stretching and posture correction. Positional release technique position will maintained for almost 90 seconds. This technique will be repeated for three times each session, with 10 sec relaxation, 3 days/week. Upper trapezius stretching 5 repetitions×1 set, 3 days/ week. Total of 3 sessions were given each consisting of 30 min. Posture correction in ADLs as well as in working place by advising correct sitting posture, the participants will advised to relieve muscle tension after every 20-30 minutes of work by getting up; stretching the arm, shoulder, neck, and back muscles.

Positional Release Technique

Traditional physical therapy OTHER

Hot pack for 15-mins. Upper trapezius stretching 5 repetitions×1 set, 3 days/ week. Total of 3 sessions are given each consisting of 30 min. Posture correction in ADLs as well as in working place by advising correct sitting posture, the participants will advised to relieve muscle tension after every 20-30 minutes of work by getting up; stretching the arm, shoulder, neck, and back muscles.

Traditional physical therapy

Eligibility Criteria

• Age: 18 Years - 45 Years
• Gender Eligibility Details: computer users ' Male with Forward head posture due to upper trapezius Triggers point at least one taut band
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Pain intensity of at least 3 on VAS.
• Presence of palpable taut band \& at least one active trigger point in upper trapezius. Diagnosis of trigger point will confirm by following criteria given by Travel \& Simon.
• CVA less than 50 degrees while standing.
• At least 6 hours in sitting position and work via computers per day

You may not qualify if:

• Diagnosis of fibromyalgia \& RA.
• Diagnosis of cervical Radiculopathy or Myelopathy
• History of a whiplash injury
• History of cervical spine and shoulder surgery
• Having undergone Trigger point therapy within the past month prior to the study
• Drug intake (anti-inflammatory medication during treatment sessions)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

THQ Civil Hospital

Wazirabad, Punjab Province, 52000, Pakistan

Location

Related Publications (9)

• Lee DY, Nam CW, Sung YB, Kim K, Lee HY. Changes in rounded shoulder posture and forward head posture according to exercise methods. J Phys Ther Sci. 2017 Oct;29(10):1824-1827. doi: 10.1589/jpts.29.1824. Epub 2017 Oct 21.

  PMID: 29184298 BACKGROUND

• Kong YS, Kim YM, Shim JM. The effect of modified cervical exercise on smartphone users with forward head posture. J Phys Ther Sci. 2017 Feb;29(2):328-331. doi: 10.1589/jpts.29.328. Epub 2017 Feb 24.

  PMID: 28265167 BACKGROUND

• Kim SY, Koo SJ. Effect of duration of smartphone use on muscle fatigue and pain caused by forward head posture in adults. J Phys Ther Sci. 2016 Jun;28(6):1669-72. doi: 10.1589/jpts.28.1669. Epub 2016 Jun 28.

  PMID: 27390391 BACKGROUND

• Sikka I, Chawla C, Seth S, Alghadir AH, Khan M. Effects of Deep Cervical Flexor Training on Forward Head Posture, Neck Pain, and Functional Status in Adolescents Using Computer Regularly. Biomed Res Int. 2020 Oct 5;2020:8327565. doi: 10.1155/2020/8327565. eCollection 2020.

  PMID: 33083487 BACKGROUND

• Mohammadi Kojidi M, Okhovatian F, Rahimi A, Baghban AA, Azimi H. The influence of Positional Release Therapy on the myofascial trigger points of the upper trapezius muscle in computer users. J Bodyw Mov Ther. 2016 Oct;20(4):767-773. doi: 10.1016/j.jbmt.2016.04.006. Epub 2016 Apr 7.

  PMID: 27814857 BACKGROUND

• Amini A, Goljaryan S, Shakouri SK, Mohammadimajd E. The Effects of Manual Passive Muscle Shortening and Positional Release Therapy on Latent Myofascial Trigger Points of the Upper Trapezius: A Double-Blind Randomized Clinical Trial. Iranian Red Crescent Medical Journal. 2017 Sep;19(9).

  BACKGROUND

• Varshney K, Raghav S, Singh A. A study to compare the effect of positional release technique (PRT) versus deep transverse friction massage (DTFM) on pain and disability in patients with mechanical neck pain.

  BACKGROUND

• Varshney K, Raghav S, Singh A, Meena R K, Sharma S. Short term effect of Positional Release Therapy versus conventional Physiotherapeutic programme on pain and disability among undergraduate Physiotherapy students with nonspecific neck pain: A Pilot Study. Subharti J of Interdisciplinary Research, April 2019; Vol. 2: Issue 1, 7-11.

  BACKGROUND

• Manzoor S, Afzal F. Effect of Combined positional stretch and ischemic compression on Cervicogenic Headache. Headache.;1:2.

  BACKGROUND

MeSH Terms

Conditions

Myofascial Pain Syndromes

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases

Study Officials

• Saira Waqqar, 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: February 5, 2021
• First Posted: February 10, 2021
• Study Start: January 29, 2021
• Primary Completion: July 29, 2021
• Study Completion: July 29, 2021
• Last Updated: April 12, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)