Stripping Massage on Rhomboid Major and Minor Active Trigger Points in Upper Thoracic Pain

NCT06556758 | Recruiting

• 1 other identifier: Aqsa Mustafa
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Aim of this randomized controlled trial is to see the effects of stripping massage on rhomboids major and minor active trigger points in patients with upper thoracic pain for reducing pain, enhancing thoracic range of motion and physical functioning

Conditions

Upper Thoracic Pain Due to Active Trigger Points

Keywords

Stripping massage, Upper thoracic pain, Active trigger points

Outcome Measures

Primary Outcomes (1)

• Numeric Pain Rating Scale NPRS

  The NPRS is a segmented numeric version of the visual analog scale which is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.

  4 weeks

Secondary Outcomes (1)

• Bubble inclinometer

  4 weeks

Other Outcomes (1)

• Functional rating index

  4 weeks

Study Arms (2)

stripping massage + conventional Therapy

EXPERIMENTAL

Stripping Massage Stripping massage on rhomboid major and minor active trigger point in the direction of muscle fiber from origin to insertion of muscle. Frequency: 3 minutes for 3 times/week for 4 consecutive weeks. Conventional therapy including Hot pack for 10 minutes + ischemic compression for 90 secs + CPA glides grade 3 kaltenborn mobilization on thoracic T1 to T4 (5 reps x 1 set) Frequency: 3 times/ week for 4 weeks

Other: stripping massage + conventional therapy

Conventional therapy

ACTIVE COMPARATOR

Conventional Therapy Conventional PT including Hot pack for 10 minutes + ischemic compression for 90 secs + CPA glides grade 3 kaltenborn mobilization on thoracic T1 to T4(5 reps x 1 set ) Frequency : 3 times/ week for 4 weeks

Other: Conventional therapy

Interventions

stripping massage + conventional therapy OTHER

Stripping massage on rhomboid major and minor active trigger point in the direction of muscle fiber from origin to insertion of muscle. Frequency: 3 minutes for 3 times/week for 4 consecutive weeks. Conventional PT including Hot pack for 10 minutes + ischemic compression for 90 secs + CPA glides grade 3 kaltenborn mobilization on thoracic T1 to T4 (5 reps x 1 set) Frequency: 3 times/ week for 4 weeks

Also known as: Stripping massage on rhomboid major and minor active trigger points

stripping massage + conventional Therapy

Conventional therapy OTHER

conventional therapy including Hot pack for 10 minutes + ischemic compression for 90 secs + CPA glides grade 3 kaltenborn mobilization on thoracic T1 to T4 (5 reps x 1 set ) Frequency : 3 times/ week for 4 weeks

Conventional therapy

Eligibility Criteria

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

You may qualify if:

• Participants falling in this category would be recruited into the study.
• females
• Age: 18-40
• Active TrPs in the rhomboid major and minor muscles.
• Presence of atleast one trigger point in rhomboids (diagnosed by the characteristics like hyperirritable spot in a taut band, twitch response and referral pain)
• Presence of Jump sign
• Segmental hypomobility in upper thoracic region identified with positive springing test
• upper thoracic pain, defined as pain in the body region encompassing from T1 to T4) pain intensity score of ≥ 3 on the numeric pain rating scale (0-10)
• symptoms provoked by thoracic movement,or palpation of the rhomboid muscles.

You may not qualify if:

• Participants falling in this category would be excluded from the study.
• a history of neck trauma
• previously had surgery in the neck or shoulder area or suffered from physical injury
• Fractures, Dislocations, Traumatic injuries, Adhesive capsulitis, thoracic outlet syndrome.
• any rheumatic condition, osteoporosis, cancer, spinal infection, radicular pain, or neuropathy.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Railway General Hospital

Rawalpindi, Punjab Province, 44000, Pakistan

RECRUITING

MeSH Terms

Conditions

Chest Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Madiha Ali, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

• Aqsa Mustafa, MSompt*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Madiha Ali, MS-OMPT

CONTACT

0331-3360064; madiha.ali@riphah.edu.pk

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: SPONSOR

Study Record Dates

• First Submitted: August 13, 2024
• First Posted: August 16, 2024
• Study Start: August 9, 2024
• Primary Completion: December 30, 2024
• Study Completion: January 10, 2025
• Last Updated: August 16, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)