Comparative Effects of 3-Dimensional Articular and Soft Tissue Myofascial Release Approach in Patients With Overuse Syndrome of Wrist Joint

NCT07714031 | Recruiting DMC

• 1 other identifier: TUF/EIRB/177/26
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Overuse syndrome or RSI is challenging condition among clinicians now a days. These are MSK disorders which are related to bones, muscles and tendons peripheral nerve entrapment and vascular changes. These MSK disorders commonly effects back, neck and upper limbs although it least effect lower limbs. These problems occur from repetitive movements, ergonomic hazards, awkward postures and work related problems. This study aims to assess the comparative effects of 3 dimensional articular myofascial release approach and soft tissue myofascial release approach in patients with overuse syndrome of wrist joint. A randomized controlled trial will be conducted age between 20-55 years, both male and female genders will be included diagnosed with overuse syndrome of wrist. Diagnosis will be made on the basis of diagnostic criteria which will include tenderness present in intrinsic muscles and pain in radial ligament of wrist. Participants will be chosen through consecutive sampling. Each participant will sign a consent form before taking part in the study. According to sample size 46 participants will be divided into two groups. Each group will include 23 participants which will be divided through lottery method. Both groups will receive baseline treatment which will include hot-pack for 15 minutes. Group a will be treated with articular fascial release and group b will be treated with soft tissue release for 3 sessions per week, for 3 weeks. After therapy session both groups will perform wrist rom exercises including wrist flexion, extension, radial and ulnar deviation 5 repetitions each. Outcome measuring tools will be numeric pain rating scale (NPRS) for pain, disabilities of arm, shoulder and hand (DASH) for functional disability, patient rated wrist evaluation (PRWE) specifically wrist functions evaluation and goniometer for range of motion. Data will be investigated through SPSS.

Conditions

Wrist Joint Overuse Syndrome

Outcome Measures

Primary Outcomes (2)

• Pain Intensity

  Pain Intensity will be measured by using the Numeric Pain Rating Scale, the patients rate their pain on a scale from 0 (no pain) to 10 (worst possible pain).NPRS scale consists of 11 points in which 0 is no pain while 10 is worst pain.

  3 weeks

• Range of Motion

  Range of Motion will be measured by using Goniometry the improvement in ROM shows good results.

  3 weeks

Secondary Outcomes (1)

• Functional disability

  3 weeks

Study Arms (2)

3- dimensional Articular fascial release approach

EXPERIMENTAL

Procedure: 3- dimensional Articular fascial release approach

3 Dimensional soft tissue release approach

EXPERIMENTAL

Procedure: 3 Dimensional soft tissue release approach

Interventions

3 Dimensional soft tissue release approach PROCEDURE

Hot pack for 15 mins. 3 Dimensional soft tissue release approach * Technique: Apply gentle sustained pressure in all three planes. Hold 30-90 seconds while sensing tissue give hold until all the symptoms and fascial release feel. Encourage slow diaphragmatic breathing exhalation facilitates release. 4. Avoid: Pressure on bony surfaces and nerve trunks area 5. Dose and frequency * Per site 8-12 minutes of fulcrum work (including holds and plane cycles) * Session: 20-40 minutes total including warm up, 1-3 fulcrum site integration and education 6\. Frequency: Total 3 weeks, per week 3 sessions, total sessions 7. After treatment will include ROM exercises including wrist flexion, extension, radial deviation and ulnar devi

3 Dimensional soft tissue release approach

3- dimensional Articular fascial release approach PROCEDURE

Hot pack for 15 mins.3- dimensional Articular fascial release approach

3- dimensional Articular fascial release approach

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients between 20-55 years of age
• Male and female
• Participants involved in repetitive movements of hands e.g computer workers ( 2026/3/4
• Patients who have gradual onset of pain not sudden
• Reproduction of pain with wrist flexion, extension, ulnar and radial deviation
• Patients with \>10% reduced ROM of wrist joint as compared to contralateral side
• Participants who will willing to participate

You may not qualify if:

• Specific disease of wrist e.g RA, gout, infection
• Patients with traumatic wrist pathology (such as scaphoid fracture, distal radius fracture)
• Neuropathic compromise patients such as diabetic neuropathy, CTS
• Open wound
• Suspected or confirmed malignancy in wrist joint

Sponsors & Collaborators

• University of Faisalabad: lead

Study Sites (1)

Dr Rubina Zulfqar

Faisalabad, Punjab Province, 38000, Pakistan

RECRUITING

Central Study Contacts

Dr Rubina Zulfqar

CONTACT

+923414291664; drrubinazulfqar355@gmail.com

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: Assistant Professor

Study Record Dates

• First Submitted: June 9, 2026
• First Posted: July 20, 2026
• Study Start: July 14, 2026
• Primary Completion: August 9, 2026
• Study Completion: August 9, 2026
• Last Updated: July 23, 2026

Record last verified: 2026-07

Locations

PA (1)