The Synergistic Effects of Integrated Neuromuscular Inhibition Technique and Dry Cupping Therapy on Pain Modulation and Functional Recovery on Myofascial Trigger Points of Upper Trapezius

NCT07027644 | Recruiting

• 1 other identifier: BeniSuefU25
• Study Type: interventional
• Target: 130
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to investigate the Synergistic Effects of the Integrated Neuromuscular Inhibition Technique and Dry Cupping Therapy on Pain Modulation and functional recovery on Myofascial Trigger Points of the upper trapezius

Conditions

Mechanical Neck Pain

Keywords

Dry cupping; Integrated Neuromuscular Inhibition technique

Outcome Measures

Primary Outcomes (2)

• Pain intensity

  pain intensity will be measured by visual analogue scale

  0-4 weeks

• pain pressure threshold

  The pressure algometer will measure the pain pressure threshold

  0-4 weeks

Secondary Outcomes (1)

• Neck Disability Index

  0-4 weeks

Study Arms (4)

stretching and strengthening group

PLACEBO COMPARATOR

Patients in this group will receive stretching and strengthening exercises, two sessions per week for four weeks

Other: stretching and strengthening exercises

Integrated Neuromuscular Inhibition Group

EXPERIMENTAL

Patients in this group will receive the Integrated Neuromuscular Inhibition technique three sessions per week for four weeks

Other: Integrated Neuromuscular Inhibition Technique

Dry cupping group

EXPERIMENTAL

Patients in this group will receive Dry cupping therapy, two sessions per week for four weeks

Device: Dry Cupping Therapy

Combined treatment group

EXPERIMENTAL

Patients in this group will receive Dry cupping therapy, two sessions per week for four weeks, the Integrated Neuromuscular Inhibition technique, three sessions per week for four weeks plus stretching and strengthening exercises, two sessions per week for four weeks

Other: combined integrated neuromuscular inhibition, dry cupping and stretching and strengthening exercises

Interventions

Dry Cupping Therapy DEVICE

The patients receive dry cupping therapy for 10 min on the marked trigger point using a plastic set with a hand vacuum pump

Dry cupping group

Integrated Neuromuscular Inhibition Technique OTHER

The patients receive the Integrated Neuromuscular Inhibition Technique, which consists of ischemic compression, strain-counterstrain, and muscle energy techniques.

Integrated Neuromuscular Inhibition Group

stretching and strengthening exercises OTHER

The patients receive stretching and strengthening exercises

stretching and strengthening group

combined integrated neuromuscular inhibition, dry cupping and stretching and strengthening exercises OTHER

the patients recive all the three interventions

Combined treatment group

Eligibility Criteria

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

You may qualify if:

• Medically competent men and women will be included They had chronic MTrPs in the upper trapezius for more than 6 months Diagnostic criteria of being a tight band with a palpable nodule and distant pain when subjected to pressure

You may not qualify if:

• subjects with previous neck or shoulder pathology (e.g., fracture, sur¬gery, inflammatory and infectious diseases), cervical disc pathology, systemic disorder, fibromyalgia, those who underwent physical therapy for at least the previous 3 months

Sponsors & Collaborators

• Beni-Suef University: lead

Study Sites (1)

Faculty of Physical Therapy

Giza, Egypt

RECRUITING

Central Study Contacts

Dina Al-Amir Mohamed, Lecturer

CONTACT

002+01229370053; dinaalamir@pt.bsu.edu.eg

Study Design

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

Study Record Dates

• First Submitted: June 11, 2025
• First Posted: June 18, 2025
• Study Start: June 20, 2025
• Primary Completion: September 20, 2025
• Study Completion: September 20, 2025
• Last Updated: August 7, 2025

Record last verified: 2025-08

Locations

EG (1)