Efficacy of strain counter strain approach on active & latent trigger points of upper fibers of trapezius for myofascial pain syndrome patients (Randomized Control Trial)
- Conditions
- myofascial pain syndromePhysical Medicine / Rehabilitation - Physiotherapy
- Registration Number
- ACTRN12621000662864
- Lead Sponsor
- AHMED ABDELFATTAH
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 30
the subjects will be chosen according to the following criteria:
1- Myofascial pain syndrome subjects with trigger points in upper trapezius muscle.
2- Male and female subjects
3- All patients will be diagnosed with active and latent MTrPs in the upper fibres of the trapezius muscle.
4- Age of the patients ranging from 20 to 50 years.
5- A MTrP will be with a taut band with spot tenderness and subject recognition of referred pain to ipsilateral neck and/or head.
the following subjects will be excluded from the study:
1- Subjects with history of a whiplash injury.
2- Subjects with history of cervical spine surgery.
3- Those who had diagnosis of cervical radiculopathy or myelopathy determined by their primary care physician.
4- Subject's undergone Myofascial Pain therapy within the past 3 months before the study.
5- Those who had Non-rheumatologic diseases as multiple sclerosis, thyroid dysfunction and chronic infections.
6- Patients with rheumatologic conditions as, mild systemic lupus erythematosus.
7- Patients with Polyarticular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative disease.
8- Patients with Vertebral basilar insufficiency.
9- Patients with Shoulder pain.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Functional disability level of each patient will be assessed by Neck Disability Index (NDI). It is valid and reliable tool. It is consists of 10 multiple choice questions for neck pain, patient select one sentence out of six that best describe his pain, Higher scores indicate great pain[ treatment will be a one shot study, the participant will be assessed pre and post the treatment and will be treated by the technique in five times , each time will be 90 seconds.];pain severity level will be assessed using visual analogue scale to assess the neck pain severity. It consists of a continuous 10 cm line .The patient will be instructed to place a vertical mark on to indicate his pain, ranging from no pain or discomfort (0), to the worst pain he could possibly feel And also has validity and reliability. [ treatment will be a one shot study, the participant will be assessed pre and post the treatment and will be treated by the technique in five times , each time will be 90 seconds.]
- Secondary Outcome Measures
Name Time Method pressure pain threshold will be measured using pressure algometry was multi capacity digital force gauge[ treatment will be a one shot study, the participant will be assessed pre and post the treatment and will be treated by the technique in five times , each time will be 90 seconds.]