Effects of Thoracic Spine Manipulation on Pressure Pain Sensitivity of Active Myofascial Trigger Points in Rhomboid Muscle
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Thoracic ROM
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Masking Description
This study will be single blinded randomized control trail, participants will be unaware of treatment groups, they will be randomly allocated through sealed envelope method.
Eligibility Criteria
- Ages
- 18 Years to 30 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
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
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
Arms & Interventions
Group I Experimental: thoracic manipulation
The experimental group will receive thoracic manipulation along with conventional pt protocol.
Intervention: Thoracic manipulation (Other)
Group II Control
this group of participant will receive Conventional physical therapy protocol
Intervention: conventional pt protocol (Other)
Outcomes
Primary Outcomes
Thoracic ROM
Time Frame: 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
Time Frame: 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.
Numeric pain rating scale (NPRS)
Time Frame: 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
Numeric pain rating scale (NPRS)
Time Frame: Baseline
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
Pain pressure threshold
Time Frame: baseline
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.
Thoracic ROM
Time Frame: Baseline
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
Secondary Outcomes
- Neck Disability Index (NDI)(post 3 weeks)
- Neck Disability Index (NDI)(Baseline)