Efficacy of Extracorporeal Shockwave Therapy on Ultrasonography Changes of Upper Trapezius Myofascial Trigger Points in Patients With Non Specific Neck Pain

Not Applicable

Not yet recruiting

• Conditions: Neck Pain
• Interventions: Other: Extracorporeal Shockwave therapy; Other: Traditional physical therapy

• Registration Number: NCT06267755
• Lead Sponsor: Cairo University

Brief Summary

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

Detailed Description

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.

Study Timeline

• Status Verified: 2024-02
• Study First Submitted: 2024-02-12
• Study First Submitted QC: 2024-02-12
• Last Update Submitted: 2024-02-12
• Study Start: 2024-02-20
• Study First Posted: 2024-02-20
• Last Update Posted: 2024-02-20
• Primary Completion: 2024-08-30
• Study Completion: 2024-08-30

Recruitment & Eligibility

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

Inclusion Criteria

• 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

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Exclusion Criteria

• 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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Extracorporeal Shockwave therapy	Traditional physical therapy	Thirty patients will receive Extracorporeal Shockwave therapy and Traditional physical therapy three times per week for six consecutive weeks.
Extracorporeal Shockwave therapy	Extracorporeal Shockwave therapy	Thirty patients will receive Extracorporeal Shockwave therapy and Traditional physical therapy three times per week for six consecutive weeks.
Traditional physical therapy	Traditional physical therapy	Thirty patients will receive Traditional physical therapy three times per week for six consecutive weeks.

Primary Outcome Measures

Name	Time	Method
muscle thickness	up to six weeks	Ultrasonography device will be used to assess muscle thickness
hypoechoic area intensity	up to six weeks	An ultrasonography device will be used to assess the hypoechoic area intensity

Secondary Outcome Measures

Name	Time	Method
neck disability	up to six weeks	Arabic version of neck disability index will be used to measure neck disability. It consists of 10 questions: pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. 5 Each item is scored from 0 (no disability) to 5 (total disability). The maximum possible score is 50.
cervical range of motion	up to six weeks	The cervical range of motion (CROM) device will be used to measure cervical ROM
pressure pain threshold	up to six weeks	Digital algometer will be used to measure pressure pain threshold
pain intensity	up to six weeks	The visual analog scale (VAS) will be used to measure pain intensity. it is a10 cm line, oriented vertically or horizontally, with one end representing "no pain" and the other end representing pain as bad as it can be