Positional Release Technique in Patients With Unilateral Subacute Trapezitis

Not Applicable

Completed

• Conditions: Cervical Spine Disease
• Interventions: Other: Positional release technique; Other: Myofascial release technique & Ultrasound

• Registration Number: NCT04716192
• Lead Sponsor: Riphah International University

Brief Summary

To assess the effects of positional release technique to improve the cervical range of motion, relieve pain and function in the patient with unilateral subacute trapezitis.

Detailed Description

Trapezius pain is the most common muscular pain due to increased stress which results in trapezitis. The trapezius muscle is postural muscle diamond shape highly susceptible to overuse. It helps in extension, neck rotation, and side bending. Trapezitis is frequently caused by bad posture, watching TV or working on computer for a long and use of thick pillo. Passive ROM may be painful and restricted due to protective spasm in muscle. This study will be a Randomized controlled study and will be conducted in Met Life Rehablitation center Lahore. The study will be completed within the time duration of six months . Consecutive sampling technique will be used to collect the data. The sample size of 44 patients will be taken in this study to find the effect of positional release technique in subacute unilateral trapezitis. Patient will be divided into two groups. Mayoficial release therapy and ultrasound will be given to both groups as a baseline treatment. (Group A will be treated with positional release technique, mayofascial release technique and ultrasound while Group B will be treated with mayofascial release technique and ultrasound). All measurements will be taken at baseline and at the end of 2nd week.Each group will be given 3 sessions per week for 2 weeks. Neck disability index will be used to measure function, Numeric pain rating scale will be used to measure pain intensity and goniometer will be used to measure cervical lateral flexion and extension and rotation range of motion. Data will be analyzed on SPSS 25.

Study Timeline

• Study First Submitted: 2021-01-19
• Study First Submitted QC: 2021-01-19
• Study First Posted: 2021-01-20
• Study Start: 2021-01-25
• Primary Completion: 2021-05-25
• Study Completion: 2021-07-25
• Status Verified: 2022-05
• Last Update Submitted: 2022-05-31
• Last Update Posted: 2022-06-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• Pain with less than 3 months duration
• Subjects of sub- acute trapezitis with trigger points
• Taut band palpable in upper trapezius muscle
• Excruciating spot tenderness at one point along the length of the taut band of the upper trapezius muscle
• Restriction in cervical lateral flexion when measured
• Pain increased by elongating (stretching) the trapezius muscle.

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Exclusion Criteria

• Traumatic Neck Injury
• Fracture of cervical vertebras
• Cervical Spinal Cord Compromise
• Cervical Radiculopathy
• Spondylolisthesis of the cervical spine
• A history of heart disease or the presence of a pacemaker

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Positional release technique	Positional release technique	Positional release technique, Mayofascial release technique and ultrasound
Positional release technique	Myofascial release technique & Ultrasound	Positional release technique, Mayofascial release technique and ultrasound
Mayofascial release technique and ultrasound	Myofascial release technique & Ultrasound	Mayofascial release technique and ultrasound

Primary Outcome Measures

Name	Time	Method
NECK DISABILITY INDEX	2 weeks	Methods of assessment for such disability, especially those targeted at activities of daily living which are most affected by neck pain, questionnaire 10-item scaled entitled the Neck Disability Index (NDI). Face validity was ensured through peer-review and patient feedback sessions. Test-retest reliability was conducted (Pearson's r = 0.89, p ≤ . 05)
UNIVERSAL GONIOMETER	2 weeks	UG is a reliable device to evaluate cervical ROM. The UG is cheap, easy to use, popular instrument and requires minimum training. Intra-rater reliability is observed for both raters measuring ACROM using UG, with ICC (2,1) ranging from 0.83 to 0.98.
NUMERIC PAIN RATING SCALE	2 weeks	The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain.The common format is a horizontal bar or line. Similar to the VAS, the NPRS is anchored by terms describing pain severity extremes.

Trial Locations

Locations (1)

Met Life Rehab center; 🇵🇰 Lahore, Punjab, Pakistan