Muscle Energy Technique Versus Strain Counterstrain for Upper Trapezius Myofascial Pain Syndrome

NCT05925205 | Unknown DMC

• 1 other identifier: P.T. 2023-2025
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be conducted to examine the superiority of effectiveness between muscle energy technique combined with physical therapy, strain counterstrain combined with physical therapy, and physical therapy alone in terms of pain intensity, pain pressure threshold, cervical lateral flexion and rotation range of motion, and neck function for patients with upper trapezius myofascial trigger points.

Conditions

Physical Therapy

Keywords

Muscle energy technique, strain counterstrain, trapezius.

Outcome Measures

Primary Outcomes (10)

• Change in pain intensity.

  Measurement of pain intensity using the visual analogue scale.

  Change from Baseline pain intensity at one month.

• Change in the right side pain pressure threshold.

  Measurement of right side pain pressure threshold using the pressure algometer.

  Change from Baseline right side pain pressure threshold at one month.

• Change in the left side pain pressure threshold.

  Measurement of left side pain pressure threshold using the pressure algometer.

  Change from Baseline left side pain pressure threshold at one month.

• Change in cervical flexion range of motion.

  Measurement of cervical flexion range of motion using the cervical range of motion device.

  Change from Baseline cervical flexion range of motion at one month.

• Change in cervical extension range of motion.

  Measurement of cervical extension range of motion using the cervical range of motion device.

  Change from Baseline cervical extension range of motion at one month.

• Change in cervical right lateral flexion range of motion.

  Measurement of cervical right lateral flexion range of motion using the cervical range of motion device.

  Change from Baseline cervical right lateral flexion range of motion at one month.

• Change in cervical left lateral flexion range of motion.

  Measurement of cervical left lateral flexion range of motion using the cervical range of motion device.

  Change from Baseline cervical left lateral flexion range of motion at one month.

• Change in cervical right rotation range of motion.

  Measurement of cervical right rotation range of motion using the cervical range of motion device.

  Change from Baseline cervical right rotation range of motion at one month.

• Change in cervical left rotation range of motion.

  Measurement of cervical left rotation range of motion using the cervical range of motion device.

  Change from Baseline cervical left rotation range of motion at one month.

• Change in neck function.

  Measurement of neck function using the neck disability index-Arabic version.

  Change from Baseline neck function at one month.

Study Arms (3)

Group A

EXPERIMENTAL

Experimental group 1.

Procedure: Muscle energy technique combined with the physical therapy program.

Group B

EXPERIMENTAL

Experimental group 2.

Procedure: Strain counterstrain technique combined with the physical therapy program

Group C

EXPERIMENTAL

Experimental group 3.

Procedure: The physical therapy program

Interventions

Muscle energy technique combined with the physical therapy program. PROCEDURE

A manual therapy technique

Group A

Strain counterstrain technique combined with the physical therapy program PROCEDURE

A manual therapy technique

Group B

The physical therapy program PROCEDURE

Electrotherapy and exercise.

Group C

Eligibility Criteria

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

You may qualify if:

• Patients will be included in the study if they fulfil the following criteria:
• They have active myofascial trigger points in the upper trapezius muscle bilaterally according to the established criteria for myofascial trigger points examination.
• They have neck pain less than three months.

You may not qualify if:

• Patients will be excluded from the study if they fulfil the following criteria:
• Patients with chronic pain syndrome.
• Patients having myofascial trigger points in other neck muscles.
• Patients having a history of an injury or surgery or instability or deformity including both; cervical spine and shoulder.
• Patients diagnosed with a neurological disorder including altered sensation, migraine, cervical spondylosis, radiculopathy, or myelopathy, and tumour.
• Patients with a systemic disease including rheumatoid arthritis, Reiter's syndrome, diabetes, fibromyalgia syndrome, and severe medical or psychiatric disorders.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

The Outpatient Clinics, Faculty of Physical Therapy Kafrelsheikh University

Kafr ash Shaykh, Egypt

RECRUITING

Study Officials

• Bassem El Nahass, PhD

  Professor of Orthopaedic Physical Therapy, Faculty of Physical Therapy, Cairo University

  STUDY DIRECTOR

Central Study Contacts

Haytham Morsi, M.Sc.

CONTACT

+201013657738; 10722019485962@pg.cu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: Firstly, the research assistant, another qualified physical therapist, performing the assessment process, pre and post-treatment, will be blinded regarding the patients allocation into the three treatment groups. Secondly, the patients themselves will be blinded regarding which treatment group they will be allocated into. So the research assistant won't know the randomization results, and the main investigator won't know the assessment results which will make it a double-blinded study.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Randomized controlled trial

Study Record Dates

• First Submitted: June 21, 2023
• First Posted: June 29, 2023
• Study Start: May 7, 2023
• Primary Completion: May 7, 2024
• Study Completion: December 31, 2024
• Last Updated: June 29, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)