Short-Term Effects of Ischemic Compression Applied in Addition to Classical Massage in the Treatment of Trigger Points

NCT06530329 | Completed

• 1 other identifier: 28.07.2024-EDP&DA
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of our study was to investigate the short-term effects of ischemic compression applied in addition to classical massage for the treatment of myofascial trigger points on the upper trapezius muscle in women on pain, functionality and quality of life.

Conditions

Trigger Point Pain, Myofascial

Outcome Measures

Primary Outcomes (3)

• Visual Analog Scale

  Pain assessment was made with Visual Analog Scale (VAS). The subjects were informed that the number '0' on a 10 cm horizontal line indicated 'no pain' and the number '10' indicated 'unbearable pain'. The subjects were asked to mark the pain they felt on the VAS scale for 3 different areas, namely trapezius pain, neck pain and headache, and the points they marked were recorded as the severity of pain in cm. VAS measurements were performed twice in total, before and after treatment.

  at baseline and at week 2.

• Active Range of Motion

  Active Range of Motion (AROM) measurement was evaluated using a universal goniometer. While the patient was in a sitting position, the pivot point, fixed arm and movable arm of the goniometer were placed in the specified reference areas. The patient was asked to actively perform neck flexion, extension, right-left lateral flexion and right-left rotation movements and the values at the end of the movements were recorded in degrees. AROM measurements were performed twice in total, before and after treatment.

  at baseline and at week 2.

• Short-Form 36

  The Short Form-36 (SF-36) scale was used to assess quality of life. The lowest score represents the worst health status. SF-36 measurement was performed twice, before and after treatment.

  at baseline and at week 2.

Study Arms (2)

Group 1

EXPERIMENTAL

Classical massage group

Other: Classical massage

Group 2

EXPERIMENTAL

Classical massage + ischemic compression group

Other: Classical massage; Other: Ischemic compression

Interventions

Classical massage OTHER

Classical massage was started by general stroking 3 times. Then, it was continued by kneading 3 times. After the kneading movement, fibrocytic nodules on the muscle were searched and friction was applied to the found nodules one by one. The massage of the muscle was completed by applying stroking 3 times. The application was carried out 3 times a week for 2 weeks to evaluate the short-term effect.

Group 1; Group 2

Ischemic compression OTHER

Ischemic compression was applied to the trigger points in the upper trapezius muscle using an average pressure of 1 kg at a right angle, and after compression, passive stretching was applied to the upper trapezius muscle 3 times in 20-second periods. The application was performed 3 times a week for 2 weeks to evaluate the short-term effect.

Group 2

Eligibility Criteria

• Age: 20 Years - 50 Years
• Gender Eligibility Details: Only female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Being between the ages of 20-50
• Having a myofascial trigger point detected in the upper trapezius muscle for at least two weeks
• Being a student or staff of Halic University
• Being literate

You may not qualify if:

• Having a history of cervical surgery
• Having a malignant disease
• Pregnancy
• Menopause
• Having cooperation problems

Sponsors & Collaborators

• Halic University: lead

Study Sites (1)

Halic University

Istanbul, Turkey (Türkiye)

Location

Related Publications (4)

• Alvarez DJ, Rockwell PG. Trigger points: diagnosis and management. Am Fam Physician. 2002 Feb 15;65(4):653-60.

  PMID: 11871683 RESULT

• Bethers AH, Swanson DC, Sponbeck JK, Mitchell UH, Draper DO, Feland JB, Johnson AW. Positional release therapy and therapeutic massage reduce muscle trigger and tender points. J Bodyw Mov Ther. 2021 Oct;28:264-270. doi: 10.1016/j.jbmt.2021.07.005. Epub 2021 Jul 14.

  PMID: 34776151 RESULT

• Cagnie B, Castelein B, Pollie F, Steelant L, Verhoeyen H, Cools A. Evidence for the Use of Ischemic Compression and Dry Needling in the Management of Trigger Points of the Upper Trapezius in Patients with Neck Pain: A Systematic Review. Am J Phys Med Rehabil. 2015 Jul;94(7):573-83. doi: 10.1097/PHM.0000000000000266.

  PMID: 25768071 RESULT

• Sahin D, Kaya Mutlu E, Sakar O, Ates G, Inan S, Taskiran H. The effect of the ischaemic compression technique on pain and functionality in temporomandibular disorders: A randomised clinical trial. J Oral Rehabil. 2021 May;48(5):531-541. doi: 10.1111/joor.13145. Epub 2021 Jan 21.

  PMID: 33411952 RESULT

MeSH Terms

Conditions

Myofascial Pain Syndromes

Interventions

Acupressure

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Duygu Sahin Altac, PT, MSc.

  Halic Üniversity

  PRINCIPAL INVESTIGATOR

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: PT, MSc.

Study Record Dates

• First Submitted: July 28, 2024
• First Posted: July 31, 2024
• Study Start: March 15, 2024
• Primary Completion: May 15, 2024
• Study Completion: June 15, 2024
• Last Updated: July 31, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)