Effect of Lidocaine Phonophoresis Versus Pulsed Ultrasound on Myofascial Pain Syndrome in Athletic Children

Phase 1

Completed

• Conditions: Treatment Side Effects
• Interventions: Drug: Lidocaine; Device: pulsed ultrasound; Other: especially designed physical therapy program

• Registration Number: NCT04185194
• Lead Sponsor: Cairo University

Brief Summary

A topical anesthetic gel lidocaine has been widely used as a local anesthetic to reduce the pain and discomfort. It provides local analgesia by blocking the initiation and transmission of impulses. Lidocaine topical anesthetic gel allows the use of high concentrations of the anesthetic bases without concern about local irritation, uneven absorption or systemic toxicity (Argoff, 2000 ). So, the aim of this study is to compare between the effect of lidocaine phonophoresis and pulsed ultrasound in myofascial pain syndrome in swimmers children.

Detailed Description

Fourty five children (athletic swimmers) participated in this study, and were classified into three groups ; First control group A : this group consisted of fifteen children were receiving traditional physical therapy program. Second study group B: this group consisted of fifteen children were receiving pulsed ultrasound in addition to traditional physical therapy program as the same as in group A. Third study group C: this group consisted of fifteen children were receiving lidocaine phonophoresis in addition to traditional physical therapy program as the same as in group A. Treatment program in the three groups applied three times a week for three successive months. The study was done in the outpatient clinic of Ismailiy Sporting Club, Ismailia, Egypt.

Study Timeline

• Study Start: 2019-01-01
• Primary Completion: 2019-01-01
• Study Completion: 2019-03-01
• Study First Submitted: 2019-11-15
• Status Verified: 2019-12
• Study First Submitted QC: 2019-12-01
• Last Update Submitted: 2019-12-01
• Study First Posted: 2019-12-04
• Last Update Posted: 2019-12-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• • Age range from 10 to 14 years.

  • All children have regional neck pain complaint.
  • Tenderness in cervical trigger points in the midpoint of the upper border of trapezius muscle, from grade II to grade IV according to tenderness grading scheme (Hubbard and Berkoff, 1993) (Appendix I ) ● The diagnosis of an active MTrP in the upper trapezius according to (Ardiçet al . , 2002 and Bruno, 2005)

Exclusion Criteria

• • Neurological disorders.

  • Dermatological disorders.
  • Acute trauma prior to the study.
  • Fibromyalgia, systemic disease and drug allergy history were excluded from the study.
  • Having myofascial trigger points injection.
  • Chronic pain in both sides of the body.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
group b	especially designed physical therapy program	received pulsed ultrasound in addition to physical therapy program
group c	especially designed physical therapy program	received lidocaine phonophoresis in addition to physical therapy program
group A	especially designed physical therapy program	received especially designed physical therapy program
group b	pulsed ultrasound	received pulsed ultrasound in addition to physical therapy program
group c	pulsed ultrasound	received lidocaine phonophoresis in addition to physical therapy program
group c	Lidocaine	received lidocaine phonophoresis in addition to physical therapy program
group b	Lidocaine	received pulsed ultrasound in addition to physical therapy program

Primary Outcome Measures

Name	Time	Method
interleukin 6	three months	measurement of interleukin 6 cncentration in blood plasma

Trial Locations

Locations (1)

faculty of physical therapy,Cairo University; 🇪🇬 Giza, Egypt