Acupressure Versus Ischemic Release in Non-specific Neck Pain

NCT05182346 | Completed

• 2 other identifiers: CURsReaserch promotion
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic neck pain (CNP) attributed to myofascial pain syndrome (MFPS) which is one of the particularly common skeletal muscle disorder associated with the hyperirritable zone in the taut band of muscle. Myofascial trigger points (MTrP) are one of the most overlooked and ignored causes of musculoskeletal pain. This study aims to compare the clinical efficacy of acupressure of cervical acupoints versus ischemic compression release (ICR) of MTrPs in CNP.

Conditions

Manual Therapy; Neck Pain

Keywords

Acupressure; Ischemic Compression Release; Neck Pain.

Outcome Measures

Primary Outcomes (3)

• Pain intensity

  \- The Visual Analog Scale (VAS) assessed the intensity of general pain and pain in the right and left upper trapezius. The scale consists of an unanchored horizontal line 10 centimeters in length, with one end corresponding to zero ("no pain") and the other to 10 ("maximum pain").

  4 successive weeks

• Pressure pain threshold

  The palpated trigger points are marked with a skin marker. The patient is positioned accordingly and a dial type pressure algometer is placed on the site and a con¬stant vertical pressure was applied to the site. The subject is instructed to express pain by raising their hands when only slight pain was felt, until then the pressure is increased at a constant rate.

  4 successive weeks

• Cervical range of motion

  It was aligned on the Nose Bridge and ears and was fastened to the head by a Velcro strap. It was imperative that the patient's chair be positioned such that the magnetic field would zero the dial meter for the rotation component. Prior to testing, Subjects were instructed to sit erect in the chair, with their low back against the chair, midback away from the chair, arms hanging at sides, and feet flat on the floor. Active right and left lateral flexion components of cervical spine motion were measured twice on each subject. During testing, all dials read zero before the desired component was measured. A horizontal line was placed on the wall for the purpose of tracking; subjects were instructed to follow this line when the lateral flexion component was measured

  4 successive weeks

Secondary Outcomes (1)

• Neck function

  4 successive weeks

Study Arms (2)

Acupressure of classical acupoints

EXPERIMENTAL

Acupressure is applied on four acupoints: Pressure was applied to large intestine 10 (LI10) (large intestine meridians): It is located on the dorsal radial side of the forearm, 2 Cun below the transverse cubital crease. Hegu (large intestine meridians, LI 4): It is in the middle of the 2nd metacarpal bone on the radial side. TE5 (Triple energizer): It is located 2 cun proximal to the dorsal wrist crease between the radius and the ulna. SI3 (small intestine meridians): It is located at the ulnar end of the distal palmar crease proximal to the 5th metacarpal phalangeal joint. These acupoints are commonly used in the treatment of cervical myofascial pain syndrome.

Procedure: Manual therapy

Ischemic compression release of myofascial trigger points

EXPERIMENTAL

Ischemic compression was gradually applied pressure to the trigger point with your thumb. The patient will likely feel referred pain in a question mark pattern (along the back of the neck, around the side of the head, and then a focused pain right behind the eye). Keep in communication with the patient, checking to ensure that in staying within the limits of his pain tolerance. Hold this technique for approximately 20 seconds to 1 minute, patient tells you that pain has diminished, or until feels the muscle fibers begin to relax under your pressure. Once feel this release, gradually release pressure. All identified trigger points will be treated. Then apply a few effleurage strokes to flush out the area and follow up with a passive stretch to the muscle.

Procedure: Manual therapy

Interventions

Manual therapy PROCEDURE

* Acupressure of acupoints is manipulation of classic acupoints by pressure. * Ischemic compression release is applying pressure to the myofascial trigger points until release of these points.

Also known as: Acupressure, Ischemic compression release

Acupressure of classical acupoints; Ischemic compression release of myofascial trigger points

Eligibility Criteria

• Age: 25 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• All participants have nonspecific NP for a period of \>3 months
• All participants are presented with at least one active MTrP at the upper trapezius muscle, -
• All participants had not used any medications or physiotherapy to alleviate pain were included in this study.

You may not qualify if:

• Participants who met these criteria had been excluded:
• NP due to trauma, whiplash, cervical disc prolapse, inflammation, malignant disease, or any other neurological and orthopedic conditions, which will affect the assessment.
• Congenital malformation of the spine as it will alter the normal pattern of movements.
• Had any invasive therapies in the past month.
• Patients with sensory impairments, such as diabetic sensory neuropathy.
• Mental disorders.

Sponsors & Collaborators

• Soheir Shehata RezkAllah Samaan: lead

Study Sites (1)

Soheir

Cairo, 11672, Egypt

Location

Related Publications (1)

• Kim M, Kim J. Effects of Acupressure on Pain, Flexibility, and Substance P in Middle-Age Women with Chronic Neck Pain. J Altern Complement Med. 2021 Feb;27(2):160-167. doi: 10.1089/acm.2020.0413. Epub 2020 Dec 8.

  PMID: 33296258 RESULT

MeSH Terms

Conditions

Neck Pain

Interventions

Musculoskeletal Manipulations; Acupressure

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation; Therapy, Soft Tissue

Study Officials

• Soheir S RezkAllah, professor

  Professor of physical therapy, Cairo University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: November 10, 2021
• First Posted: January 10, 2022
• Study Start: October 20, 2020
• Primary Completion: June 13, 2021
• Study Completion: June 13, 2021
• Last Updated: March 8, 2022

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)