Effect of Shock Wave Therapy on Myofascial Pain Syndrome in Adolescent Athletes

NCT06845475 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/005356
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to determine the effect of extracorporeal shockwave therapy on pain, neck range of motion, and functional activity in adolescent athletes.

Conditions

Myofascial Pain Syndrome

Outcome Measures

Primary Outcomes (1)

• Assessment of pain level

  By Pain Quality Assessment Scale (PQAS), which help to measure different aspects of pain. For one patient, a pain might feel extremely hot and burning, but not at all dull, while another patient may not experience any burning pain, but feel like their pain is very dull and achy. High test-retest reliability has been observed in both literate and illiterate patients with neuropathic pain, for construct validity, was high in patients with chronic pain conditions. The scale creates a 20- item measures that would be even more useful for assessing neuropathic pain and also would be used to assess pain qualities associated with non-neuropathic pain. PQAS can be scored as individual ratings (20 items), or the PQAS items can be combined into composite scores.

  4 weeks

Secondary Outcomes (7)

• Assessment cervical flexion range of motion (ROM)

  4 weeks

• Assessment cervical extension range of motion (ROM)

  4 weeks

• Assessment cervical lateral flexion ROM to the right

  4 weeks

• Assessment cervical lateral flexion ROM to the left

  4 weeks

• Assessment cervical rotation ROM to the right

  4 weeks

Study Arms (2)

Designed physical therapy program

ACTIVE COMPARATOR

It will consist of 20 adolescents, who will receive a designed physical therapy program for the treatment of Myofascial pain syndrome.

Other: Designed physical therapy program

Designed physical therapy program + Extracorporeal shock wave therapy (ESWT)

EXPERIMENTAL

It will consist of 20 adolescents, who will receive the same designed physical therapy program in addition to extracorporeal shock wave therapy (ESWT).

Other: Designed physical therapy program; Other: Extracorporeal shock wave therapy (ESWT)

Interventions

Designed physical therapy program OTHER

Both groups will receive a designed physical therapy program, in the form of myofascial trigger points pressure release, stretching of the upper trapezius muscle, strengthening exercises, and infrared radiation for 4 weeks.

Designed physical therapy program; Designed physical therapy program + Extracorporeal shock wave therapy (ESWT)

Extracorporeal shock wave therapy (ESWT) OTHER

Adolescents of the experimental group will receive Extracorporeal shock wave therapy with the following parameters; low-level energy radial extracorporeal shock wave by (STORZ MEDICAL Master Pulse MP200), each subject received 3 sessions per week for 4 weeks with 700 impulse/session 400 impulse was applied to tight band and 300 impulses will be applied surrounding the tight band, with frequency \[10HZ\], resulting in positive energy flux density \[EFD\] 0.056mJ/mm.

Designed physical therapy program + Extracorporeal shock wave therapy (ESWT)

Eligibility Criteria

• Age: 14 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Age ranges from 14 to 18 years.
• All adolescents have regional pain complaint.
• Tenderness in cervical trigger points in the midpoint of the upper border of the trapezius muscle, from grade 2 to grade 4 according to the tenderness grading scheme (Hubbard, 1993) (Appendix II).
• 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 adolescents are allowed to practice their regular sports activities.

You may not qualify if:

• Dermatological disorders.
• 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.
• Analgesic drugs or NSAIDs during the treatment period.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Ismailia Medical Complex

Ismailia, Egypt

Location

MeSH Terms

Conditions

Myofascial Pain Syndromes

Interventions

Extracorporeal Shockwave Therapy

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Ultrasonic Therapy; Diathermy; Hyperthermia, Induced; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Nanees Essam Mohamed Salem, PhD

  Professor, Cairo university

  STUDY CHAIR

Central Study Contacts

Mohamed Hafez Mohamed, M.Sc

CONTACT

01201170770; drmohamedhafezpt@gmail.com

Walaa Abd El Hakeem Abd El Nabi, PhD

CONTACT

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: Principal Investigator

Study Record Dates

• First Submitted: February 20, 2025
• First Posted: February 25, 2025
• Study Start: February 25, 2025
• Primary Completion: April 25, 2025
• Study Completion: May 5, 2025
• Last Updated: February 25, 2025

Record last verified: 2025-02

Locations

EG (1)