Pressure Release Versus Thoracic Manipulation in Rhomboids MPS

NCT05688800 | Unknown

• 1 other identifier: p.t.REC/012/004127
• Study Type: interventional
• Target: 66
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of the stud will be to compare the effect of pressure release with thoracic spine manipulation on pain intensity level and pain pressure threshold, thoracic spine ROM and physical function onactive rhomboids muscle trigger point in myofascial pain syndrome.

Conditions

Myofascial Pain Syndrome; Trigger Point Pain, Myofascial

Keywords

Myofascial pain syndrome; pressure release; Thoracic manipulation; Active trigger point; Rhomboids trigger point

Outcome Measures

Primary Outcomes (2)

• Pain Intensity level

  pain intensity level will be measured by visual analogue scale (VAS)

  up to three weeks

• Pressure Pain threshold level (PPT)

  pressure pain threshold level (PPT) will be measured by digital algometer

  up to three weeks

Secondary Outcomes (2)

• Rom of Motion

  up to three weeks

• Physical function

  up to three weeks

Study Arms (3)

Control group

ACTIVE COMPARATOR

Each participant include 22 participants will receive conventional physical therapy treatment including TENS, continuous ultrasound ,infra-red radiation and combined stretching and strengthening exercise

Device: conventional therapy

Experimental group 1 :pressure release technique

EXPERIMENTAL

Each participant include 22 participants will receive the conventional physical therapy treatment in addition to pressure release technique

Other: Experimental group 1 : pressure release technique

Experimental group 2: thoracic spine manipulation

EXPERIMENTAL

Each participant include 22 participants will receive the conventional physical therapy treatment in addition to thoracic spine manipulation

Other: Experimental group 2: thoracic spine manipulation

Interventions

conventional therapy DEVICE

Participants in control group will receive conventional physical therapy treatment including Conventional TENS high frequency (90-130hz) low intensity according to the patient sensation for 30-45 min(Gozani, 2019) , continuous ultrasound with frequency 1 MHz and intensity 0.8 W/cm 2 will be applied by slow circular perpendicular movements with slightly deep pressure. Application time was 5 minutes at each side of the level of C7\_T4 along the medial borders of the scapulae width, infra-red radiation will be four 15 minutes and directed perpendicular to the inter-scapular area, centered at the level of C7\_T4 long and between the 2 medial borders of the scapulae width . Also combined stretching and strengthening exercise will be added due to its greater pain-relieving effect

Control group

Experimental group 1 : pressure release technique OTHER

Participants who are assigned to this group will receive conventionalphysical therapy treatment in addition to pressure release technique. the participant will be positioned either sitting or prone position according to his preferred position, the researcher will apply the pressure release procedure by a pressure below the PPT dependent onsoft tissue release. When the researcher detected a reduction in soft tissue resistance, the amount of compression will be increased. The pressure should -33- be nonpainful, applied at slow rate, and will maintained until release of tissue barrier. Further pressure was increased to reach a new barrier. The pressure will last 60 seconds. With the thumb or the second and third fingers, the non-painful manual therapy approach was applied to the active MTrPs of therhomboid muscle

Experimental group 1 :pressure release technique

Experimental group 2: thoracic spine manipulation OTHER

Thoracic spine manipulation will be performed as screw thrust manipulation technique; the vertebral transverse processes will beforced from posterior to anterior direction. The direction of the manipulation should be identified by applying springing test to the adjacent spinous process to determine the painful and stiff segment. Patient will be prone and researcher hand placement will be positioned as the following one pisiform on the right facet of the above, and the other pisiform on the left facet of the below vertebrae.A slack will be taken up. The thrust applied directly toward the patient once

Experimental group 2: thoracic spine manipulation

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Participants ages will be from 18 to 30 years Participants will be from both genders. Participants that have Myofascial pain syndrome due to at least one active trigger points in rhomboid muscle (Haleema and Riaz, 2021). Participants have myofascial pain syndrome since more than three months. Presence of a palpable taut band in a skeletal muscle

You may not qualify if:

• Malignancy. Fractures of the Thoracic spine. Cervical radiculopathy or myelopathy. Vascular syndromes such as vertebrobasilar insufficiency. Rheumatoid arthritis. Neck or upper back surgery. Taking anticoagulants. Local infection. Whiplash injury. Open wounds. Pregnancy. Receiving radiation or chemotherapy. Scapular pain due to any degeneration disease. Osteoporosis. Cardiac pacemaker. Any contraindication for thoracic manipulation

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Myofascial Pain Syndromes

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases

Central Study Contacts

marwa medhat fawzy, bachelor

CONTACT

01111666514; dr.marwa24red@gmail.com

Study Design

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

Model Details: Control group: will receive conventional physical therapy treatment Experimental group 1: will receive conventional physical therapy treatment in addition to pressure release Experimental group 2: will receive conventional physical therapy treatment in addition to thoracic spine manipulation

Study Record Dates

• First Submitted: January 9, 2023
• First Posted: January 18, 2023
• Study Start: March 1, 2023
• Primary Completion: June 1, 2023
• Study Completion: September 1, 2023
• Last Updated: January 18, 2023

Record last verified: 2023-01