High Intensity Laser Versus Ischemic Compression on Myofascial Trigger Points in the Upper Trapezius

Not Applicable

Active, not recruiting

• Conditions: Neck Pain
• Interventions: Device: TENs , ultrasound therapy

• Registration Number: NCT06552780
• Lead Sponsor: Cairo University

Brief Summary

TO Investigate the effect of high intensity laser versus ischemic compression on myofascial trigger points on neck pain, cervical range of motion,pressure pain thershold and cervical disability and to show that the more effectivness therapy will provide significant clinical value

Detailed Description

Randomized controlled Trial , participants will be assigned into three groups (study group A ,study group B and study group c ) Subject selection will be 63 subjects , 21 subjects in each group with trigger points in the upper trapezius.

Groups

Study Timeline

• Study Start: 2024-05-19
• Status Verified: 2024-08
• Study First Submitted: 2024-08-10
• Study First Submitted QC: 2024-08-10
• Study First Posted: 2024-08-14
• Last Update Submitted: 2024-08-15
• Last Update Posted: 2024-08-19
• Primary Completion: 2025-01-01
• Study Completion: 2025-02-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 63

Inclusion Criteria

• The age of patients range from 20 to 50 years .
• patient Body mass index starting from 19 to 25 kg\m.
• presence of myofascial trigger points in the shortened upper trapezius muscle evaluated .

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Exclusion Criteria

• patients with fibromyalgia syndrome.
• cancer or tumor or any type diagnosed .
• patients with disc herniation or spinal canal stenosis.
• pregnancy -
• patients diagnosed with epilepsy.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
ischemic compression ,TENs , ultrasound and isometric exercise	TENs , ultrasound therapy	Group B ( study group) will receive ischemic compression ,TENs and ultrasound therapy and isometric exercise.
TENs , ultrasound and isometric exercise	TENs , ultrasound therapy	Group C (control group ) will receive TENs and ultrasound therapy and isometric exercise only.
high intensity laser , TENs and ultrasound and isometric exercise	TENs , ultrasound therapy	Group A ( study group )will receive high intensity laser ,TENs , ultrasound therapy , and isometric exercise.

Primary Outcome Measures

Name	Time	Method
cervical range of motion (CROM)	30 seconds	All the cervical active movements will be measured by cervical range of motion device (CROM) especially in cervical flexion ,extension and medial and lateral rotation.one tester will document the results.; cervical range of motion (cROM) will be measured by using Electronic CROM Goniometer in all ranges.

Secondary Outcome Measures

Name	Time	Method
cervical pain	one minute	Cervical pain will be measured by Cervical range of motion device (CROM) .The patient will actively perform cervical movements in flexion ,extension and medial and lateral rotation then one tester will document the results as VAS will be used to measure pain levels .The VAS is a 10_cm line divided into 10 equal sections , with 10 expressing "unbearable pain " and 0 indicating no pain .each patient will be asked to point on this line to their level of neck pain .as pain level decreases ,the patient state improves. Pain will be assessed before and after treatment.

Trial Locations

Locations (1)

Faculty of physical therapy; 🇪🇬 Giza, Egypt