Integrated Neuromuscular Inhibition Versus Cervical and Scapular Stabilization Exercises on Myofascial Trigger Points of Upper Trapezius

NCT06603779 | Completed

• 1 other identifier: Beni-Suef University22
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

This trial will involve three groups. The Integrated Neuromuscular Inhibition group will receive the integrated neuromuscular inhibition technique. The cervical and Scapular stabilization group will receive cervical and scapular stabilization exercises. The ultrasound group will receive ultrasound therapy

Conditions

Trigger Point Pain, Myofascial

Outcome Measures

Primary Outcomes (4)

• Visual Analogue Scale (VAS)

  Visual Analogue Scale is a scale that measures pain intensity. Subjects will instructed to indicate their current pain by marking a point on a 10 mm transverse line with 0 degrees meaning "no pain" and 10 meaning the "worst pain"

  1-3 months

• Pressure Pain Algometer

  The pressure pain Algometer is a device that measures the pain threshold of the subjects.

  1-3 months

• Neck Pain and Disability Questionnaire (NDI)

  Neck Pain and Disability is a questionnaire that measures neck pain and disabilities in subjects. Each question in the questionnaire will explained in detail and the subject will be asked to select one sentence out of six that best describes their function, a higher score indicates a great loss of function.

  1-3 months

• 36-item Short-Form Health Questionnaire

  36-item Short-Form Health Questionnaire will measure quality of life

  1-3 months

Study Arms (3)

Integrated Neuromuscular Inhibition Group

EXPERIMENTAL

This group will receive the Integrated Neuromuscular Inhibition Technique which consists of ischemic compression, strain counter strain, and muscle energy technique

Other: Integrated Neuromuscular technique

Cervical and Scapular Stabilization exercises Group

EXPERIMENTAL

This group will receive a group of exercises for the neck and scapula which will strengthen both of them

Ultrasound Therapy Group

PLACEBO COMPARATOR

This group will receive ultrasound Therapy

Device: Ultasound Therapy

Interventions

Ultasound Therapy DEVICE

a device that transmit ultrasound waves to the participant through direct contact

Ultrasound Therapy Group

Integrated Neuromuscular technique OTHER

Integrated Neuromuscular technique is a kind of Manual therapy which include Ischemic Compression, Strain counter-strain and muscle energy technique

Integrated Neuromuscular Inhibition Group

Cervical and Scapular Stabilization exercises OTHER

Cervical and Scapular Stabilization exercises are a group of therapeutic exercises.

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with active trigger points in the upper trapezius for more than 2 weeks based on the Simons Criteria.
• Age ranged from 18-25 years.
• Pain intensity ≥ 3 on VAS.
• Females and males.

You may not qualify if:

• Patients indicated for surgery.
• Patients with symptomatic disc lesions.
• Patients with rheumatological diseases or traumatic neck injury.
• Patients injected with corticosteroids in the last 6 months.

Sponsors & Collaborators

• Beni-Suef University: lead

Study Sites (1)

Faculty of Physical Therapy

Banī Suwayf, Egypt

Location

MeSH Terms

Conditions

Myofascial Pain Syndromes

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: double blind
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of Physical Therapy

Study Record Dates

• First Submitted: September 12, 2024
• First Posted: September 19, 2024
• Study Start: October 1, 2024
• Primary Completion: July 28, 2025
• Study Completion: July 28, 2025
• Last Updated: August 26, 2025

Record last verified: 2025-08

Locations

EG (1)