Efficacy of Extracorporeal Shockwave Therapy on Ultrasonography Changes of Upper Trapezius Myofascial Trigger Points in Patients With Non Specific Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 主要终点
- muscle thickness
研究概览
简要总结
this study will be conducted to investigate the effect of Extracorporeal Shockwave Therapy on Ultrasonography Changes of Upper Trapezius Myofascial Trigger Points in Patients With Non Specific Neck Pain
详细描述
Neck pain is one of the most commonly reported musculoskeletal disorders. The prevalence for neck pain varies between 16.7% and 75.1% in the general population. Up to 67% of world's population may present chronic non-specific neck pain at least once in their lives. The upper trapezius is probably the muscle most often beset by trigger points, it is indicated that the upper trapezius is the most sensitive of 8 different muscles (upper trapezius, pectoralis major, levator scapulae, teres major, supraspinatus, gluteus medius, infraspinatus, paraspinal) to the pressure of an algometer.Recently, the extracorporeal shock wave has been widely known to be an effective therapeutic modality in myofascial pain syndrome treatment and a systematic review provided promising insight into the effectiveness of ESWT in Myofascial pain syndrome treatment. sixty patients with non specific neck pain will be assigned randomly to two groups; first one will receive shock wave therapy and traditional therapy and the second one will receive traditional therapy only for six weeks.
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
- Double (Investigator, Outcomes Assessor)
盲法说明
opaque sealed envelope
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Sixty patients receiving a diagnosis of non-specific neck pain with upper trapezius myofascial trigger points by an orthopaedist physician.
- •Body mass index of participants was normal less than (30 kg/m2)(Al-asadi, 2018).
- •Age over 18 years.
- •Presence of taught band.
- •Presence of hyper irritable spot in a taught band, and reproduction of the typical referred pain pattern of the myofascial trigger point in response to compression
排除标准
- •Having signs and symptoms of neurological disorders that cause nerve root compression.
- •Headache as a consequence of specific headache diagnosis.
- •Having a history of specific signs of malignancy, or infection.
- •Having a history of trauma with or without proven structural disorders in the region of the neck, shoulder, and head (e.g. whiplash).
- •Having signs and symptoms of cerebrovascular insufficiency.
- •Having a severe chronic disease of the locomotor system (e.g. polyarthritis, muscular disease
- •Any participant with contraindications to shock wave therapy
研究组 & 干预措施
Traditional physical therapy
Thirty patients will receive Traditional physical therapy three times per week for six consecutive weeks.
干预措施: Traditional physical therapy (Other)
Extracorporeal Shockwave therapy
Thirty patients will receive Extracorporeal Shockwave therapy and Traditional physical therapy three times per week for six consecutive weeks.
干预措施: Extracorporeal Shockwave therapy (Other)
Extracorporeal Shockwave therapy
Thirty patients will receive Extracorporeal Shockwave therapy and Traditional physical therapy three times per week for six consecutive weeks.
干预措施: Traditional physical therapy (Other)
结局指标
主要结局
muscle thickness
时间窗: up to six weeks
Ultrasonography device will be used to assess muscle thickness
hypoechoic area intensity
时间窗: up to six weeks
An ultrasonography device will be used to assess the hypoechoic area intensity
次要结局
- neck disability(up to six weeks)
- cervical range of motion(up to six weeks)
- pressure pain threshold(up to six weeks)
- pain intensity(up to six weeks)
研究者
Nabil Mahmoud Ismail Abdel-Aal
principle investigator nabil mahmoud ismail abdel-aal
Cairo University