High Intensity Laser vs Instrument-assisted Soft Tissue Mobilization on Trapezius Myofascial Pain Syndrome
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Cairo University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Assessment of change of pain intensity
Study Overview
Brief Summary
The purpose of the study was to
- Investigate the effect of high-intensity laser therapy versus Instrument-assisted soft tissue mobilization on pain level in patients with myofascial pain syndrome of upper trapezius muscle.
- Investigate the effect of High intensity laser therapy versus Instrument-assisted soft tissue mobilization on ROM in patients with myofascial pain syndrome of upper trapezius muscle
Detailed Description
Myofascial pain syndrome is a common musculoskeletal pain affecting 30% of patients in primary care. It is characterized by trigger points in the upper trapezius muscle, which is linked to neck and shoulder pain. Non-invasive treatments like exercises, manipulation, and physical agents have been suggested for managing neck pain. Laser therapy, including low-level and high-intensity, has been found effective in reducing pain intensity and improving functional activity. Instrument-assisted soft tissue mobilization is another technique used to treat Myofascial pain syndrome. Instrument-assisted soft tissue mobilization stimulates connective tissue remodeling, resorbing excessive fibrosis, and promoting collagen repair and regeneration. The study aims to investigate the effect of high intensity laser therapy versus Instrument-assisted soft tissue mobilization in treating Myofascial pain syndrome of the upper trapezius muscle.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 20 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •The patient age ranged from 20 to 50 years
- •Presence of myofascial trigger points in the upper trapezius muscle
- •Having neck discomfort symptoms that were triggered by certain neck positions and by palpating the cervical musculature for at least three months
- •Patient willing and able to participate in an exercise program safely
Exclusion Criteria
- •medical red flag history (such as tumour, fracture, metabolic diseases, rheumatoid arthritis and osteoporosis)
- •Neck pain with cervical radiculopathy or neck pain associated with externalized cervical disc herniation.
- •If the patient had previous surgery in the neck area (irrespective of the reason for the operation)
- •Neck pain accompanied by vertigo caused by vertebra basilar insufficiency or accompanied by non-cervicogenic headaches
Arms & Interventions
High Intensity Laser
this group consists of 20 subjects will receive conventional treatment combined with High-intensity laser therapy, three times per week for one month
Intervention: High Intensity Laser (Device)
High Intensity Laser
this group consists of 20 subjects will receive conventional treatment combined with High-intensity laser therapy, three times per week for one month
Intervention: Conventional treatment (Other)
Instrument-assisted soft tissue mobilization
this group consists of 20 subjects will receive conventional treatment combined with Instrument-assisted soft tissue mobilization, three times per week for one month
Intervention: Instrument-assisted Soft Tissue Mobilization (Other)
Instrument-assisted soft tissue mobilization
this group consists of 20 subjects will receive conventional treatment combined with Instrument-assisted soft tissue mobilization, three times per week for one month
Intervention: Conventional treatment (Other)
conventional treatment
this group consists of 20 subjects will receive conventional treatment only, three times per week for one month
Intervention: Conventional treatment (Other)
Outcomes
Primary Outcomes
Assessment of change of pain intensity
Time Frame: At baseline and after 1 month
The Visual Analog Scale is a self-reported pain measurement scale with a 10-cm line labeling extreme pain levels. It is valid, reliable, and suitable for clinical practice, especially for individuals over 18. Studies have shown moderate to strong correlations for VAS validity in pain measurement.
Secondary Outcomes
- Assessment of change of pressure pain threshold(At baseline and after 1 month)
- Assessment of change of Cervical range of motion(At baseline and after 1 month)
- Assessment of impact of neck pain on quality of life(At baseline and after 1 month)
Investigators
Ahmed Adel Ahmed Abdelmoaty AboHashish
principal investigator
Cairo University