Effectiveness of Myofascial Release and Positional Release Techniques on Pain, Cervical Range of Motion, and Neck Disability in Patients With Unilateral Trapezitis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Neck Pain
研究概览
简要总结
Unilateral trapezitis is characterized by upper trapezius myofascial pain and trigger points and commonly causes neck pain, restricted cervical range of motion (ROM), and functional disability. While myofascial release (MFR) and positional release technique (PRT) are widely used, their comparative effectiveness remains unclear. Therefore, this study aimed to compare the effectiveness of MFR versus PRT combined with conventional exercises on pain, cervical lateral flexion ROM, and neck disability in young adults with unilateral trapezitis. Thirty participants (aged 20-25 years) with unilateral trapezitis were randomly assigned to two groups (n=15 each). Group A received MFR plus conventional treatment (active neck movements, trapezius stretching), while Group B received PRT plus the same conventional treatment. Interventions were delivered 3 days/week for 20 minutes/session over 2 months. Outcomes included Numerical Pain Rating Scale (NPRS), goniometric cervical lateral flexion ROM (affected/unaffected sides), and Neck Disability Index (NDI), measured pre- and post-intervention. Both MFR and PRT effectively improved pain, ROM, and disability in unilateral trapezitis. PRT demonstrated greater short-term benefits for pain reduction and functional improvement, suggesting it as the preferred initial intervention when rapid symptomatic relief is prioritized.
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
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 25 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects diagnosed with trapezitis with trigger point by an orthopedic surgeon,
- •with unilateral upper trapezius tender point,
- •taut band palpable in upper trapezius muscle,
- •excruciating spot tenderness at one point along the length of the taut band of upper trapezius muscle,
- •restriction in cervical lateral flexion when measured, and
- •pain elevated by elongating (stretching) the trapezius muscle
排除标准
- •Participants with history of cervical spine trauma or fracture,
- •recent surgery on the cervical spine,
- •skin condition around area to be treated,
- •current use of anti-inflammatory medications,
- •brachial nerve pain,
- •deformities of the neck,
- •sensory/perception anomalies close to the treatment area,
- •radiculopathy or myopathy symptoms,
- •degenerative cervical spine condition,
- •with a history of cardiac illness or presence of a pacemaker,
- •epilepsy,
- •psychological disorder, and
- •pregnant women
研究组 & 干预措施
Experimental Group 1
In this group, participants received the myofascial release technique and conventional treatment, including active neck movements and trapezius stretching.
干预措施: Myofascial Release Technique (Other)
Experimental Group 2
In this group, participants received the positional release technique and conventional treatment, including active neck movements and trapezius stretching.
干预措施: Positional Release Technique (Other)
结局指标
主要结局
Neck Pain
时间窗: 8 weeks.
Pain on the affected side was measured using the Numerical Pain Rating Scale. The Numerical Pain Rating Scale-11 is a widely used 11-point scale for self-reporting pain. The respondent chooses a whole number (0-10) that best reflects the intensity of their pain. The greater the number, the worse is the outcome.
次要结局
- Range of motion(8 weeks.)
- Functional status(8 weeks.)
研究者
Masood Khan
Principal Investigator
King Saud University