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Effects of IC With and Without MET on Upper Trapezius Trigger Points

Not Applicable
Completed
Conditions
Upper Trapezius Trigger Points
Interventions
Other: Ischemic Compression
Other: Ischemic compression with Muscle Energy Technique
Registration Number
NCT05415813
Lead Sponsor
University of Lahore
Brief Summary

the aim of the study is to check the effects of ischemic compression with and without muscle energy technique on Pain, Range of motion, and Functional Disability on myofascial trigger points in the upper trapezius. In previous studies, Muscle Energy Technique and Ischemic Compression are compared with different conventional and combined therapy approaches, including most of the techniques used to treat Trigger Points in the upper trapezius. No study has evaluated the effects of ischemic compression with and without muscle energy technique on Pain, Range of motion, and Functional Disability on myofascial trigger points in the upper trapezius. The outcome measures are a Numeric pain rating scale, universal goniometer and neck disability index questionnaire.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
76
Inclusion Criteria
  • Both gender Aged 18 to 50 years (40)
  • Participants with active myofascial trigger points in the upper trapezius diagnosed by a senior physiotherapist on the basis of Travel and Simon criteria will be randomly allocated into two clinical groups.
  • Taut band having palpable nodule within upper trapezius muscle
  • Pain produced in a specific pattern which is radiating in character when firm pressure is applied on trigger points
Exclusion Criteria
  • Trauma (whiplash injury)
  • Injury to Cervical Spine
  • Cervical Spine surgery
  • Cervical Myelopathy and Radiculopathy
  • Osteoporosis of the cervical spine
  • Cervical myeloma
  • Complex regional pain syndrome
  • Patients with the H/O any Neurological, Rheumatology and other serious medical illnesses.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Ischemic CompressionIschemic CompressionIschemic Compression will be applied to the upper trapezius trigger points in patients recruited in group 1.
Ischemic compression and Muscle Energy TechniqueIschemic compression with Muscle Energy Techniqueischemic compression along with muscle energy technique will be applied to the upper trapezius trigger points in patients allocated to group 2.
Primary Outcome Measures
NameTimeMethod
Change from baseline in Neck disability index questionnaire scores at week 4Baseline and week 4

on a scale of 0 to 50, 0 indicates no disability and 50 indicates completely disabled

Change from Baseline in Goniometer readings at week 4Baseline and week 4

for flexion any value less than 90 degrees indicates limited range of motion, for extension any value less than 70 indicates limited range of motion, for lateral flexion values less than 20 and greater than 45 considered limited, for rotation value less than 90 is considered limited

Change from Baseline in pain on Numeric Pain Rating Scale at week 4Baseline and week 4

on a scale of 1 to 10, o means no pain while 10 means worst pain

Secondary Outcome Measures
NameTimeMethod
Neck disability index questionnaire scores at week 2week 2

on a scale of 0 to 50, 0 indicates no disability and 50 indicates completely disabled

Pain on Numeric Pain Rating Scale at week 2week 2

on a scale of 1 to 10, o means no pain while 10 means worst pain

Goniometer readings at week 2week 2

Using goniometer, neck ranges of motion will be measured. for flexion any value less than 90 degrees indicates limited range of motion, for extension any value less than 70 indicates limited range of motion, for lateral flexion values less than 20 and greater than 45 considered limited, for rotation value less than 90 is considered limited

Trial Locations

Locations (1)

University of Sialkot

🇵🇰

Sialkot, Punjab, Pakistan

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