Influence of Adding High Power Pain Threshold Ultrasound to Traditional Therapy on Axioappendicular Muscles Amplitude and Fatigue in Mechanical Neck Pain Randomized Clinical Trials

NCT05540093 | Completed

• 1 other identifier: p.t.REC/012/003619
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study will investigate the effect of adding high power pain threshold ultrasound to traditional therapy on axioappendicular muscles amplitude and fatigue in neck pain

Conditions

Neck Pain

Keywords

high power pain threshold ultrasound; mechanical neck pain

Outcome Measures

Primary Outcomes (2)

• pain intensity

  pain will be measured by visual analogue scale

  up to four weeks

• pressure pain threshold

  commander algometer device will be used to measure pressure pain threshold

  up to four weeks

Secondary Outcomes (2)

• neck disability

  up to four weeks

• muscle amplitude and fatigue

  up to four weeks

Study Arms (2)

high power pain threshold ultrasound

EXPERIMENTAL

the patients will receive high power pain threshold ultrasound and traditional therapy twice a week for four weeks

Other: high power pain threshold ultrasound; Other: traditional therapy

traditional therapy

ACTIVE COMPARATOR

the patients will receive traditional therapy twice a week for four weeks

Other: traditional therapy

Interventions

high power pain threshold ultrasound OTHER

After explaining the procedure, and the trigger points will be marked by a physical therapist that . Then, the hand placed next to the prone position with the head in the neutral position, and the hands placed next to the body. The frequency was set to 1 MHz, and the intensity increased from 0.5 to 2 until the patient reported an unpleasant sensation. The probe will be held there for 4 s; then, the intensity was reduced by 50%, and the probe was moved over and around the trigger point. This process is done several times for three minutes.

high power pain threshold ultrasound

traditional therapy OTHER

the patients will receive traditional therapy in the form of postural correction exercise, active range of motion and stretching exercise for cervical muscles

high power pain threshold ultrasound; traditional therapy

Eligibility Criteria

• Age: 19 Years - 38 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• patients with mechanical neck pain from both genders.
• age between 19 and 38 years
• patients will be required to have active TrPs in the upper trapezius and levator muscle and neck pain

You may not qualify if:

• Patients will be excluded if they have History of whiplash injury,
• History of cervical spine surgery,
• Cervical radiculopathy or myelopathy,
• Having undergone physical therapy within the past 3 months before the study
• Non- rheumatologic diseases as multiple sclerosis,
• thyroid dysfunction and chronic infection and Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Al Shaymaa Shaaban Abd El Azeim

Giza, 12511, Egypt

Location

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: permuted block randomization
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator

Model Details: high power pain threshold ultrasound and traditional therapy

Study Record Dates

• First Submitted: September 12, 2022
• First Posted: September 14, 2022
• Study Start: September 20, 2022
• Primary Completion: January 1, 2023
• Study Completion: January 1, 2023
• Last Updated: January 25, 2023

Record last verified: 2023-01

Locations

EG (1)