Instrument-Assisted Soft Tissue Mobilization Versus High Power Pain Threshold Ultrasound For Trapezius Myofascial Trigger Points

NCT05288933 | Completed

• 1 other identifier: P.T.REC/012/003544
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

the purpose of this trial is to compare the effectiveness of instrument-assisted soft tissue mobilization and high power pain threshold ultrasound on pain intensity, pressure pain threshold (PPT), neck range of motion, and neck function in participants with upper trapezius myofascial trigger points.

Conditions

Myofascial Pain Syndrome of Neck

Outcome Measures

Primary Outcomes (4)

• Pain intensity

  Pain intensity will be measured by the Visual Analogue Scale (VAS). It consists of a horizontal or vertical line, usually 10 cm long. The extremes of the line are labeled as "no pain" and "worst pain" 3-Neck Range of motion : by Cervical ROM 3- Neck function: by Arabic version of the Neck Disability

  four weeks

• Pressure pain threshold (PPT)

  Pressure pain threshold (PPT) will be measured by a Pressure Algometer.

  four weeks

• Neck Range of motion

  Neck Range of motion will be measured by Cervical ROM

  four weeks

• Neck function

  Neck function will be measured by the Arabic version of the Neck Disability Index (ANDI). A total score of 0-4 indicated no disability. A score of 5-14 indicated mild disability, a score of 15-24 indicated moderate disability, a score of 25-34 indicated severe disability, and a score of 35 or greater indicated complete disability

  four weeks

Study Arms (3)

Group (A) conventional physical therapy

ACTIVE COMPARATOR

20 participants will receive conventional physical therapy.TENS, the frequency of the current is 100 Hz and the duty cycle is 250 microseconds, three times per week for 4 weeks. Ultrasound waves, frequency 1 MHz with intensity 1 W/cm2, a pulsed mode for 5 minutes, three times per week for 4 weeks, passive stretching, and isometric exercises three times per week for 4 weeks.

Device: Instrument assisted soft tissue mobilization ( IASTM ) and Ultrasound

Group (B )IASTM and conventional physical therapy

EXPERIMENTAL

20 participants will receive Instrument-Assisted Soft Tissue Mobilization (IASTM) and conventional physical therapy, the M2T blade will be used to find the exact areas of restriction in the upper trapezius. Then the M2T blade will be used, at an angle of 45 and using treatment planes 1, 2, and 3, to apply slow strokes along with the muscle, without causing any discomfort or pain, from the muscle origin to its insertion (sweeping technique), for approximately 3 min. This procedure will be repeated twice a week for four weeks

Device: Instrument assisted soft tissue mobilization ( IASTM ) and Ultrasound

Group (C) HPPT US and conventional physical therapy

EXPERIMENTAL

20 participants will receive High Power Pain Threshold Ultrasound (HPPT US) and conventional physical therapy. For the HPPT US, ultrasound waves will be applied to trigger points of the upper trapezius in continuous mode, and the power of ultrasound will first increase to the threshold pain level at intensity (1.5-2 W/cm) according to the patient for 4-5 seconds with the probe placed directly on the trigger point and held motionlessly and then reduced to one-half of that intensity for15 seconds with the probe placed directly on the trigger point and move in a circular motion and repeat this three times. This procedure will be repeated twice a week for two weeks

Device: Instrument assisted soft tissue mobilization ( IASTM ) and Ultrasound

Interventions

Instrument assisted soft tissue mobilization ( IASTM ) and Ultrasound DEVICE

Instrument-assisted soft tissue mobilization (IASTM) is a popular treatment for the myofascial limitation that is based on James Cyriax's rationale. High-power pain threshold ultrasound is a noninvasive approach used in myofascial pain syndrome ( MPS) treatment, and it has no serious adverse effects.

Also known as: Ultrasound

Group (A) conventional physical therapy; Group (B )IASTM and conventional physical therapy; Group (C) HPPT US and conventional physical therapy

Eligibility Criteria

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

You may qualify if:

• The presence of a palpable taut band in the skeletal muscle, The presence of a hypersensitive spot in the taut band, Local twitch response provoked by snapping palpation Production of referred pain pattern in response to the compression of tender spots Spontaneous presence of typically referred pain pattern.
• A duration of symptoms of 2-4 weeks.
• Age between 25 and 40 years.
• Having a normal neurological examination result.
• Not having any evidence of infection or inflammation in laboratory tests.

You may not qualify if:

• Having trigger point injection or physical therapy in the last 6 months.
• Having a rheumatologic disease, such as fibromyalgia, rheumatoid arthritis, and spondyloarthritis, or hormonal diseases, such as hypothyroidism, hyperthyroidism, or hyperparathyroidism.
• Existence of kyphosis, scoliosis, forward head posture, or cervical-genic headache.
• History of spine surgery.
• Having a cardiovascular problem

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Cairo, 12613, Egypt

Location

MeSH Terms

Interventions

Ultrasonography

Intervention Hierarchy (Ancestors)

Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Double
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator

Study Record Dates

• First Submitted: March 11, 2022
• First Posted: March 21, 2022
• Study Start: March 9, 2022
• Primary Completion: June 12, 2022
• Study Completion: June 12, 2022
• Last Updated: January 18, 2023

Record last verified: 2023-01

Locations

EG (1)