Thoracic Spine Manipulation on Pressure Pain Sensitivity of Active Myofascial Trigger Points in Rhomboid Muscle

Not Applicable

Completed

• Conditions: Trigger Points
• Interventions: Other: conventional pt protocol; Other: Thoracic manipulation

• Registration Number: NCT04179214
• Lead Sponsor: Riphah International University

Brief Summary

This study intends to determine the effects of thoracic manipulation on pressure pain sensitivity in patients with rhomboid active trigger points.

Detailed Description

This is a single blinded controlled trial and will be conducted at physiotherapy clinic of women institute of rehabilitation sciences Abbottabad. The "screw" manipulation is a fairly aggressive manipulative technique in which the transverse processes are forced into a posterior to anterior direction Individual will be screened out according to inclusion criteria. Individuals will be allocated randomly into two groups, 30 in thoracic manipulation group and 30 in conventional physiotherapy protocol group by sealed envelope method. Both groups will receive conventional physiotherapy protocol (manual pressure release technique and muscle imbalances exercises) for rhomboid trigger points in common and the experimental group will receive thoracic manipulation in addition to conventional protocol.

Assessment will be done on baseline and after 3 weeks. Data will be analyzed on SPSS version 21.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2019-07-22
• Study First Submitted: 2019-11-25
• Study First Submitted QC: 2019-11-25
• Study First Posted: 2019-11-27
• Primary Completion: 2019-12-15
• Study Completion: 2019-12-30
• Status Verified: 2020-01
• Last Update Submitted: 2020-01-01
• Last Update Posted: 2020-01-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Age between 18 to 30 years
• Participants presented with interscapular pain
• Forward head posture with active trigger points in rhomboid muscle
• Segmental hypomobility in upper thoracic identified with positive springing test

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Exclusion Criteria

• Participants who demonstrated contraindication to manipulation
• Open wounds or Trauma to the area which occurred less than two months prior treatment
• Any neurological compromise
• Mid scapular pain due to degenerative process or osteoporosis

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group II Control	conventional pt protocol	this group of participant will receive Conventional physical therapy protocol
Group I Experimental: thoracic manipulation	Thoracic manipulation	The experimental group will receive thoracic manipulation along with conventional pt protocol.

Primary Outcome Measures

Name	Time	Method
Numeric pain rating scale (NPRS)	post 3 weeks	Numeric pain rating scale (NPRS) is an 11 point (0-10) Scale used to measure pain. Patient verbally select value between (0-10) on the basis of intensity of pain. (0) means No pain and (10) means maximum pain experienced at baseline and after 3 weeks
Thoracic ROM	post 3 weeks	A thoraxic range of motion (TROM) inclinometer will be use to assess thoracic range of motion in flexion and extension.. Participants will be seated or standing upright and asked to actively move their trunk in forward and backward direction
Pain pressure threshold	post 3 weeks	It is measured with the help of an instrument called Algometer. The readings of Algometer are both in pounds and kilograms and it gauges the pressure at which patient feels pain.

Secondary Outcome Measures

Name	Time	Method
Neck Disability Index (NDI)	post 3 weeks	Neck Disability Index (NDI) is a questionnaire designed to assess how neck pain has affected patient's ability to manage in everyday life. It has total 10 sections, For each section the total possible score is 5: if the first statement is marked the section score = 0, if the last statement is marked it = 5. If all ten sections are completed the score is calculated and converted into percentages. The maximum Score of Neck Disability Index (NDI) is 50. It is measured at Baseline before Intervention and after end of treatment session that is 3 weeks

Trial Locations

Locations (1)

Women Institute of Rehabilitation Sciences; 🇵🇰 Abbottabad, KPK, Pakistan