Effects of Upper Trapezius Stretching With and Without Mid Lower Trapezius Strengthening in Trapezius Myalgia

NCT05856006 | Completed

• 1 other identifier: REC/RCR & AHS/23/0527
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

A Randomized controlled trial will be conducted. Non-probability convnience sampling will be used to collect the data. Sample size of 42 subjects with age group between 18 to 40 years will be taken. Data will be collected by using tools Numeric Pain Rate Scale (NPRS) for pain, Neck Disability Index (NDI) for disability and SF-36 for Quality of life. An informed consent will be taken. A total of 20 subjects will be selected by following inclusion and exclusion criteria and will equally divided in to two groups by random number generator table. Both groups will come thrice per week for a total of 4 weeks.

Conditions

Trapezius Myalgia

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rate Scale (NPRS)

  Patient level of pain will be assessed using this scale. This scale ranges from 0to10."0"indicates "no pain" and "10" indicates "worst pain".

  up to 4 weeks

• Neck Disability Index

  NDI is a 10-item questionnaire that measures a patient's self-reported neck pain related disability

  up to 4 weeks

• SF-36 for Quality of life

  The SF-36 is a 36-item scale constructed to survey health status and quality. The SF-36 assesses eight health concepts: limitations in Quality of lifephysical activities because of health problems; limitations in social activities because of physical or emotional problems; limitations in usual role activities because of physical health problems); bodily pain; general mental health (psychological distress and well-being); limitations in usual role activities because of emotional problems; vitality (energy and fatigue); and general health perceptions. The standard form of the instruments asks for participants to reply to questions according to how they have felt over the previous week. The items use Likert-type scales, some with 5 or 6 points and others with 2 or 3 pointsmotions

  up to 4 weeks

Study Arms (2)

Stretching Group

ACTIVE COMPARATOR

upper trapezius stretching plus neck isometrics

Other: upper trapezius stretching plus neck isometrics

Stretching plus strengthening Group

EXPERIMENTAL

upper trapezius stretching with mid-lower trapezius strengthening exercises plus neck isometrics

Other: upper trapezius stretching with mid-lower trapezius strengthening exercises plus neck isometrics

Interventions

upper trapezius stretching plus neck isometrics OTHER

upper trapezius stretching plus neck isometrics

Stretching Group

upper trapezius stretching with mid-lower trapezius strengthening exercises plus neck isometrics OTHER

Mid-Lower Trapezius strengthening exercise includes: 1. Latissimus pull down 2. Prone V- raise 3. Modified Prone Cobra

Stretching plus strengthening Group

Eligibility Criteria

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

You may qualify if:

• Females between the age range of 18-40 years
• Examination-Symptoms provoked by neck movement and palpation of Trapezius musculature.
• Positive Trapezius Strength Test

You may not qualify if:

• Participants who present with dizziness and vertigo
• Infection or febrile state at the time of performing the test;
• Anxiety or extreme emotional tension;
• pharmacological treatment (analgesics, muscle relaxants, anxiolytics, antidepressants)
• Disc lesions

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Bahria International Hospital

Lahore, Punjab Province, 54700, Pakistan

Location

Related Publications (8)

• Wang YZ, Wang AN, Gao XS, Du Y, Li L, Zhao JJ. [Effect of the small needle knife through the Zusanli(ST 36) on behavior and hippocampal expression of NLRP3 and IL-1beta in myalgia comorbid depressed rats]. Zhongguo Gu Shang. 2019 Dec 25;32(12):1151-1155. doi: 10.3969/j.issn.1003-0034.2019.12.017. Chinese.

  PMID: 31870077 BACKGROUND

• Kamper SJ, Henschke N, Hestbaek L, Dunn KM, Williams CM. Musculoskeletal pain in children and adolescents. Braz J Phys Ther. 2016 Feb 16;20(3):275-84. doi: 10.1590/bjpt-rbf.2014.0149.

  PMID: 27437719 BACKGROUND

• Lee KW, Kim WH. Effect of thoracic manipulation and deep craniocervical flexor training on pain, mobility, strength, and disability of the neck of patients with chronic nonspecific neck pain: a randomized clinical trial. J Phys Ther Sci. 2016 Jan;28(1):175-80. doi: 10.1589/jpts.28.175. Epub 2016 Jan 30.

  PMID: 26957752 BACKGROUND

• Rodriguez-Sanz J, Malo-Urries M, Lucha-Lopez MO, Lopez-de-Celis C, Perez-Bellmunt A, Corral-de-Toro J, Hidalgo-Garcia C. Comparison of an exercise program with and without manual therapy for patients with chronic neck pain and upper cervical rotation restriction. Randomized controlled trial. PeerJ. 2021 Nov 24;9:e12546. doi: 10.7717/peerj.12546. eCollection 2021.

  PMID: 34900443 BACKGROUND

• Cote P, Cassidy JD, Carroll L. The Saskatchewan Health and Back Pain Survey. The prevalence of neck pain and related disability in Saskatchewan adults. Spine (Phila Pa 1976). 1998 Aug 1;23(15):1689-98. doi: 10.1097/00007632-199808010-00015.

  PMID: 9704377 BACKGROUND

• Suvarnnato T, Puntumetakul R, Kaber D, Boucaut R, Boonphakob Y, Arayawichanon P, Chatchawan U. The effects of thoracic manipulation versus mobilization for chronic neck pain: a randomized controlled trial pilot study. J Phys Ther Sci. 2013 Jul;25(7):865-71. doi: 10.1589/jpts.25.865. Epub 2013 Aug 20.

  PMID: 24259872 BACKGROUND

• Chansirinukor W, Wilson D, Grimmer K, Dansie B. Effects of backpacks on students: measurement of cervical and shoulder posture. Aust J Physiother. 2001;47(2):110-6. doi: 10.1016/s0004-9514(14)60302-0.

  PMID: 11552866 BACKGROUND

• Lee KS, Lee JH. Effect of maitland mobilization in cervical and thoracic spine and therapeutic exercise on functional impairment in individuals with chronic neck pain. J Phys Ther Sci. 2017 Mar;29(3):531-535. doi: 10.1589/jpts.29.531. Epub 2017 Mar 22.

  PMID: 28356648 BACKGROUND

Study Officials

• Maryam Azam, MS*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 4, 2023
• First Posted: May 12, 2023
• Study Start: April 1, 2023
• Primary Completion: September 1, 2023
• Study Completion: September 15, 2023
• Last Updated: March 5, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)