Effect of Instrument-assisted Soft Tissue Mobilization and Phonophoresis on Trigger Points of Tension Headache
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Assessing the change in Pain Pressure Threshold
研究概览
简要总结
General purpose:
It was investigate the effect of IASTM and phonophoresis on Tension Type headache.
Specific Purpose:
- It was investigate the effect of IASTM on headache frequency, PPT, pain intensity, and functional disability on trigger points of tension type headache.
- It was investigate the effect of Lidocaine phonophoresis on headache frequency, PPT, pain intensity and functional disability on trigger points of tension type headache.
- It was investigate the effect of IASTM and Lidocaine phonophoresis on headache frequency, PPT, pain intensity, and functional disability on trigger points of tension type headache.
详细描述
Phonophoresis is the use of therapeutic ultrasound to increase percutaneous drug absorption Percutaneous administration offers many benefits such as steady plasma levels, lack of degradation by the gastrointestinal system, and lack of liver effects (first-pass drug metabolism) on drug molecules. Transdermal drug delivery offers a unique opportunity for non-invasive and controlled drug delivery, in contrast to needle-based and oral drug administration. Phonophoresis is a therapeutic method that may be helpful for the treatment of MTP.
There are potentially adverse treatment responses to ISTM that may occur. The patient may experience discomfort during the administration of the treatment, and petechiae (i.e., bruising) may become apparent during or after the treatment Although discomfort may be experienced, patients who have realized a decrease in symptoms have returned repeatedly for additional ISTM sessions other therapeutic modalities should be administered for pain management.
Clinical and scientific evidence supports that proper management of patients with headache should be multimodal including appropriate use of pharmacological and non-pharmacological.IASTM used to facilitate normal alignment of soft tissue and increase fibroblast recruitment and regeneration of damaged tissue. Phonophoresis is frequently used to treat pain associated with muscular disorders, enhancing skin absorption of the topical medication's molecules. Study report that lidocaine decreases sensory input from mrofascialTrps and release local Tenderness by lowering the degree of the reflex mechanism responsible for referred pain.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Their age ranged from 30 to 40 years.
- •BMI ranged from 18 to 25 kg /m
- •TTH criteria according to the Headache Classification Committee of the International Headache Society has at least two of the following characteristics:
- •Bilateral location.
- •Pressing/tightening quality (non-pulsating).
- •Mild or moderate intensity.
- •Not aggravated by routine physical activity such as walking or climbing stairs.
- •Patients have Trigger points in suboccipital muscle and trigger points 1 trapezius muscle.
- •The presence of MTrPs will be determined using the diagnostic criteria described by Simons 1990, in which five major criteria and at least one of three minor criteria are needed for a clinical diagnosis of MPS.
排除标准
- •Patients with a history of malignancy.
- •Patients who had a history of cervical and cranial Surgery.
- •Patients with major psychiatric disorders (major Depression).
- •Patients with uncontrolled hypertension
- •Patient with other causes of headache.
- •Dysfunctions in the temporomandibular joint.
- •Headaches associated with high fever, stiff neck, or rash, problems with vision, or profound dizziness.
研究组 & 干预措施
Combined IASTM and phonophoresis treatment arm
Combined phonophoresis and M2t Blade
干预措施: Phonophoresis (Device)
Traditional Treatment Arm
conventional physical therapy program (infrared, stretching exercise, isometric strengthening exercise)
干预措施: Conventional physical therapy program (Other)
IASTM treatment arm
Instrument-assisted soft tissue mobilization (IASTM) is a therapeutic technique that is based on the soft tissue mobilization rationale introduced by James Cyriax.
干预措施: Conventional physical therapy program (Other)
IASTM treatment arm
Instrument-assisted soft tissue mobilization (IASTM) is a therapeutic technique that is based on the soft tissue mobilization rationale introduced by James Cyriax.
干预措施: IASTM by M2t blade (Other)
Phonophoresis treatment arm
It will be consisted of 1 MHz pulsed mode with an intensity set at 1.5 W/cm2.
干预措施: Conventional physical therapy program (Other)
Phonophoresis treatment arm
It will be consisted of 1 MHz pulsed mode with an intensity set at 1.5 W/cm2.
干预措施: Phonophoresis (Device)
Combined IASTM and phonophoresis treatment arm
Combined phonophoresis and M2t Blade
干预措施: IASTM by M2t blade (Other)
Combined IASTM and phonophoresis treatment arm
Combined phonophoresis and M2t Blade
干预措施: Conventional physical therapy program (Other)
结局指标
主要结局
Assessing the change in Pain Pressure Threshold
时间窗: Baseline and 4 weeks post-intervention
assessment via using Pressure algometer: Pain Pressure Threshold (PPT) was measured by an algometer using a 1 cm2 disk surface area pressed vertically on MTrP. To provoke pain, pressure was increased with a speed of 1kg/cm2/s-1
Assessing the change in frequency of headache
时间窗: Baseline and 4 weeks post-intervention
Headache frequency assessed after and before 12 sessions. It was defined as the number of headache days per week. The frequency of days with headache in the past weeks was registered by the participant
Assessing the change in pain intensity
时间窗: Baseline and 4 weeks post-intervention
assessment via using visual analogue scale (VAS) most commonly consists of a 100mm horizontal line anchored with two opposite labels; patients mark a score on the scale using a vertical line. A VAS is easy to use and therefore applicable to a variety of practice and research settings. (0 means no pain \& 10 means highest pain intensity).
Assessing the change in neck disability
时间窗: Baseline and 4 weeks post-intervention
assessment via using Neck disability index: The NDI can be scored as a raw score or doubled and expressed as a percent. Each section is scored on a 0 to 5 rating scale, in which zero means 'No pain' and 5 means 'Worst imaginable pain'. All the points can be summed to a total score. The test can be interpreted as a raw score, with a maximum score of 50, or as a percentage. 0 points or 0% means: no activity limitations, 50 points or 100% means complete activity limitation,Mean duration of the test: 3 to 7.8 minutes some benchmarks can be found in literature, Vernon and Moir presented the following interpretation: 0-4points (0-8%) no disability. 5-14points (10-28%) mild disability. 15-24points (30-48%) moderate disability. 25-34points (50-64%) severe disability. 35-50points (70-100%) complete disability.
次要结局
未报告次要终点
研究者
Nada Gamal Saad
Sponsor Investigator
Cairo University