Instrument Assisted Soft Tissue Mobilization Versus Trigger Points Release on Upper Trapezius Trigger Points

NCT05249660 | Completed

• 1 other identifier: REC/RCR&AH/21/0129/TAUSEEF
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Study will be randomized clinical trial. Data will be collected from non probability consecutive sampling technique. Total 30 participants from Ganga Ram Hospital and Care medical centre will be selected and randomly allocated to two different groups i.e Group A and Group B. . Group A will be treated by trigger point release. Group B will be treated by Instrument assisted soft tissue release. NPRS, GONIOMETRY, NDI will be used as outcome measuring tool before and after treatment. Data will be analyzed by using Statistical package for social sciences 25.

Conditions

Trigger Points

Keywords

Upper trapezius pain

Outcome Measures

Primary Outcomes (3)

• Numeric pain rating scale

  Scale consists of 4 questions regarding actual pain level, zero indicates no pain and 10 indicates worst pain imaginable

  6 weeks

• Goniometry

  Goniometer is used to measure the ranges of body joints.

  6 weeks

• Neck disability index

  Scale consists of 10 sections,each section contains questions regarding head/ neck pain and some questions regarding the daily activities that we perform

  6 weks

Study Arms (2)

Soft tissue release technique

EXPERIMENTAL

Patient sat on a chair. The therapist stood behind the participant and held one hand over head as the support, with the thumb of the other hand scan to detect the painful area of the latent TP of the upper trapezius muscle along the fibers. Then, pressure was applied by the thumb and the participant was asked to simultaneously actively change the muscle from shorted position to elongated state (ipsilateral side flexion of the cervical to the opposite side). This technique was repeated 3-5 times per session, and each repetition was maintained for 40-60 s till release is felt, with a 15-second rest interval. Three times passive stretching of the upper trapezius muscle was also performed for 45 s for each side.

Other: Soft tissue release technique

Instrument assisted soft tissue mobilization

ACTIVE COMPARATOR

Patient lied prone; the treatment was applied for approximately 20-seconds in a direction parallel to the muscle fibers with the instrument at a 45º angle. Followed immediately by treating the muscles in a direction perpendicular to the muscle fibers with the instrument at a 45º angle for an additional 20-second, resulting in a total treatment time of approximately 40 s. This technique was applied 3-5 times per session with 20 s rest between each time. Three times passive stretching of the upper trapezius muscle was also performed for 45 s for each side.

Other: Comparator: Instrument assisted soft tissue mobilization

Interventions

Soft tissue release technique OTHER

Patient sat on a chair. The therapist stood behind the participant and held one hand over head as the support, with the thumb of the other hand scan to detect the painful area of the latent TP of the upper trapezius muscle along the fibers. Then, pressure was applied by the thumb and the participant was asked to simultaneously actively change the muscle from shorted position to elongated state (ipsilateral side flexion of the cervical to the opposite side). This technique was repeated 3-5 times per session, and each repetition was maintained for 40-60 s till release is felt, with a 15-second rest interval. Three times passive stretching of the upper trapezius muscle was also performed for 45 s for each side.

Soft tissue release technique

Comparator: Instrument assisted soft tissue mobilization OTHER

Patient lied prone; the treatment was applied for approximately 20-seconds in a direction parallel to the muscle fibers with the instrument at a 45º angle. Followed immediately by treating the muscles in a direction perpendicular to the muscle fibers with the instrument at a 45º angle for an additional 20-second, resulting in a total treatment time of approximately 40 s. This technique was applied 3-5 times per session with 20 s rest between each time. Three times passive stretching of the upper trapezius muscle was also performed for 45 s for each side.

Instrument assisted soft tissue mobilization

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with neck pain in the upper trapezius muscle
• Tender nodule, constant pain, a jump sign during palpation will be included in this study

You may not qualify if:

• Patients with Whiplash injury
• History of neck/shoulder surgery
• Cervical Radiculopathy
• History of malignancy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Ganga Ram Hospital and Care medical centre

Lahore, Punjab Province, 54000, Pakistan

Location

Study Officials

• Muhammad Sanaullah, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 4, 2022
• First Posted: February 22, 2022
• Study Start: January 25, 2022
• Primary Completion: July 13, 2022
• Study Completion: July 13, 2022
• Last Updated: November 28, 2022

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)