Comparison of Ischemic Release and Sustained Pressure Direct Myofascial Release in Upper Trapezius Trigger Point
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Pain Pressure Threshold
研究概览
简要总结
This randomized controlled trial aims to compare the clinical effectiveness of ischemic release and sustained pressure direct myofascial release for upper trapezius trigger points.
The study will compare their effects on pain pressure threshold, cervical range of motion, and scapular upward rotation following a two-week intervention.
详细描述
Eligible participants will be recruited through purposive sampling. Upper trapezius trigger points will be assessed by manual palpation to identify a taut band and hypersensitive nodule, followed by pressure to determine reproduction of the participant's familiar pain. Baseline assessments will include pain pressure threshold, cervical range of motion, and scapular upward rotation. After baseline assessment, 42 participants will be allocated randomly into respective groups, each having 21 participants.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •AGE; 18-35 years
- •Male & Female
- •Unilateral Trapezius muscle involvement
- •Presence of at least one active trigger point in upper trapezius muscle.
- •Numeric Pain Rating Scale (NPRS) score of 3-8 points
- •Subacute Neck pain for 4-12 weeks
- •Point tenderness on palpable taut band
- •Reproducible provocation according to referred pain pattern mapping
- •Cervical range of motion change in SB ≥ 2° and ROT ≥ 2° than normal SB=45° AND ROT=70°
- •Willing to participate and provide informed consent
排除标准
- •Serious pathology (e.g. neoplasm, fracture)
- •Radiculopathy
- •History of whiplash injury within past 6 months
- •Neurological deficit
- •Taking steroids or on concurrent physiotherapy treatment
- •Prior surgery to cervical spine & shoulder
研究组 & 干预措施
Ischemic Release
干预措施: Ischemic release (Procedure)
Sustained pressure direct myofascial release
干预措施: Sustained pressure Direct Myofascial release (Procedure)
结局指标
主要结局
Pain Pressure Threshold
时间窗: Baseline and after 2 weeks.
Pain pressure threshold will be assessed using a Wagner digital algometer.
Cervical range of motion
时间窗: Baseline and after 2 weeks
Cervical ROM will be assessed using a goniometer.
Scapular upward rotation
时间窗: Baseline and after 2 weeks
Scapular upward rotation will be assessed using a bubble inclinometer.
次要结局
未报告次要终点