Attentional Focus Strategies in Exercise in Patients With Myofascial Pain Syndrome

NCT06248372 | Unknown

• 1 other identifier: Yagmur
• Study Type: interventional
• Target: 34
• Locations: 0 countries
• Sites: N/A

Brief Summary

Attentional focus is a concept of motor learning and the usage of this concept promotes exercise-induced muscular adaptations and affects motor performances. In practice,two main verbal instructions are directing the focus of attention; external focus (EFA) and internal focus of attention (IFA). Several studies show the results related with different health conditions. However, there is not enough studies to investigate the effectiveness of these attentional focus strategies in exercise regimes in patients with musculoskeletal problem. Thus, the study will be the first to investigate the effectiveness of attentional focus strategies in patients with neck and upper back myofascial pain syndrome (MPS) which is the most common syndrome of musculoskeletal problems.

Conditions

Myofascial Pain Syndrome

Keywords

Pain; Pressure Pain Threshold; Quality of Life; Depression; Posture; Myofascial Pain Syndrome; Attentional Focus Strategies

Outcome Measures

Primary Outcomes (2)

• Numeric Pain Rating Scale (NPRS)

  It is a common scale to measure the perceived level of pain intensity on a numeric scale that usually includes 11 numbers. The participant is instructed to select the number that best reflects the intensity of pain experienced, with 0 representing one extreme of pain (e.g., no pain) and 10 representing the other extreme (e.g., pain as bad as it could be).

  through study completion;an average 8 months

• Pressure Pain Threshold (PPT)

  A digital algometer (Jtech Medical Commander Echo) will be applied to measure the pressure pain threshold of the four most painful myofascial trigger points on both sides of the upper and middle trapezius, levator scapulae, rhomboids, infraspinatus, and supraspinatus. It has a circular flat tip of 1 cm2 which will be pushed slowly to the skin over the trigger points after exploration of a taut band with a normalized speed until the subject presses a switch when the compression sensation alters to pain. This process will repeat three times with a 30-second rest in between and their average will be considered as pressure pain threshold.

  through study completion;an average 8 months

Secondary Outcomes (4)

• New York Posture Rating Chart (NPRC)

  through study completion;an average 8 months

• Neck Disability Index (NDI)

  through study completion;an average 8 months

• Beck Depression Inventory (BDI)

  through study completion;an average 8 months

• SF-12 Questionnaire (SF-12)

  through study completion;an average 8 months

Study Arms (3)

External Focus Group (EFG)

EXPERIMENTAL

Receive exercise program that includes strengthening and stretching exercises however this group will focus on environmental cues apart from body movement by using metaphors or analogies.

Other: Exercise

Internal Focused Group (IFG)

EXPERIMENTAL

Receive exercise program that includes strengthening and stretching exercises however this group will follow internal cues directing attention to the body movement (i.e., joint movement) while doing exercises.

Other: Exercise

Control Group (CG)

OTHER

Receive exercise program that includes strengthening and stretching exercises however, this group will not focus on any attentional cues while doing exercises.

Other: Exercise

Interventions

Exercise OTHER

Both groups will receive the same exercise program that includes strengthening and stretching exercises except for the verbal instructions which shift attention to the internal or external environment or no attentional instructions for the control group.

Control Group (CG); External Focus Group (EFG); Internal Focused Group (IFG)

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Symptomatic MPS in the neck and upper back region (upper and middle trapezius, levator scapulae, rhomboids, infraspinatus, and supraspinatus muscles) confirmed by a physician,
• Pain lasting more than 3 months with a pain intensity is 3 or higher according to numeric pain rating scale (NPRS⩾3).

You may not qualify if:

• Fibromyalgia syndrome, cervical disc pathologies, malignancy, neurologic and/or inflammatory diseases, history of neck, shoulder, upper back surgery and trauma, other medical conditions that limit participation in exercise.
• Pregnancy
• Individuals being involved in physiotherapy or exercise sessions for at least 4 weeks

Sponsors & Collaborators

• Yeditepe University: lead

MeSH Terms

Conditions

Myofascial Pain Syndromes; Pain; Depression

Interventions

Exercise

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Central Study Contacts

Yağmur Barlas

CONTACT

05301454416; yagmurbarlas04@gmail.com

Elif Tuğçe Çil

CONTACT

0554 481 10 92; elif.cil@yeditepe.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Master Degree Student

Study Record Dates

• First Submitted: January 23, 2024
• First Posted: February 8, 2024
• Study Start: January 30, 2024
• Primary Completion: August 1, 2024
• Study Completion: September 1, 2024
• Last Updated: February 8, 2024

Record last verified: 2024-01