Evaluation of Pain Quality in Young Swimmers Suffering From Myofascial Pain Syndrome Using Lidocaine Phonophoresis

NCT06573775 | Completed DMC

• 1 other identifier: P.T.REC/012/001708
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

To evaluate pain quality by pain quality assessment scale (PQAS) using lidocaine phonophoresis on myofascial pain syndrome (MPS) in athletic children.

Conditions

Neck Pain

Keywords

Myofascial; phonophoresis; pain

Outcome Measures

Primary Outcomes (1)

• pain quality

  pain quality assessment scale with zero indication of better outcome and twenty means the worst outcome

  6 weeks

Secondary Outcomes (1)

• serum cortisol level

  6 weeks

Study Arms (3)

control group A

ACTIVE COMPARATOR

the control group received the traditional physical therapy for treating myofascial trigger points in the form of a myofascial trigger point release, stretching and strengthening of the trapezius muscle

Other: myofascial release

study group B

EXPERIMENTAL

received pulsed ultrasound in addition to traditional physical therapy for treating myofascial trigger points in the form of a myofascial trigger point release, range of motion exercises, stretching and strengthening of the trapezius muscle

Device: pulsed ultrasound; Other: myofascial release

study group C

EXPERIMENTAL

received lidocaine hydrochloride gel 5%phonophoresis in addition to traditional physical therapy for treating myofascial trigger points in the form of a myofascial trigger point release,range of motion exercises stretching and strengthening of the trapezius muscle

Other: myofascial release; Device: lidocaine phonophoresis

Interventions

pulsed ultrasound DEVICE

treatment of myofacial trigger points with therapeutic ultrasound

study group B

myofascial release OTHER

manual massage and range of motion exercises

Also known as: myofascial trigger point realease

control group A; study group B; study group C

lidocaine phonophoresis DEVICE

transdermal tranmission of lidocaine molecules via ultrasound

study group C

Eligibility Criteria

• Age: 10 Years - 14 Years
• Gender Eligibility Details: adolescents
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Age range from 10 to 14 years.
• All children have regional neck pain complaint.
• Tenderness in cervical trigger points in the midpoint of the upper border of trapezius muscle, from grade II to grade IV according to tenderness grading scheme (Hubbard and Berkoff, 1993) (Appendix I )
• The diagnosis of an active MTrP in the upper trapezius according to (Ardiçet al . , 2002 and Bruno, 2005):
• Patients suffered from active MTrPs in the upper trapezius.
• Tender spots in one or more palpable taut bands.
• A typical pattern of referred pain distributed in the ipsilateral, posterolateral cervical paraspinal area, mastoid process or temporal area
• Palpable or visible local twitch response on snapping palpation at the most sensitive spot in the taut band.
• Restricted range of motion in lateral bending of the cervical spine to the opposite side.
• Palpation of a trigger point elicits a stereotypic zone of referred pain specific to that muscle.
• Identification of a palpable taut band, as well as a palpable, and exquisitely tender spot along the length of that taut band.
• All children allowed to practice their regular sport activities.

You may not qualify if:

• Neurological disorders.
• Dermatological disorders.
• Acute trauma prior to the study.
• Fibromyalgia, systemic disease and drug allergy history were excluded from the study.
• Having myofascial trigger points injection.
• Chronic pain in both sides of the body.
• History of findings of cervical injury whether orthopedic or soft tissue injury

Sponsors & Collaborators

• New Ismailia National University: lead

Study Sites (1)

College of Medicine

Ismailia, 41522, Egypt

Location

MeSH Terms

Conditions

Neck Pain; Pain

Interventions

Myofascial Release Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

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

Study Officials

• Mohamed AM El Meligy, MD

  Suez Canal University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: sealed envelopes
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of Physical Therapy for Pediatrics and its Surgeries

Model Details: randomized controlled trial

Study Record Dates

• First Submitted: August 19, 2024
• First Posted: August 27, 2024
• Study Start: June 5, 2023
• Primary Completion: May 10, 2024
• Study Completion: July 29, 2024
• Last Updated: August 27, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)