Immediate effect of neurodynamic mobilization on pain, pressure sensitivity and cervical range of motion in individuals with upper trapezius myofascial pain syndrome – A single blinded randomized controlled trial.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- 1.Visual Analogue Scale (VAS)
研究概览
简要总结
Approval will be obtained from the institutional ethics committee. Subjects will be recruited according to inclusion criteria on basis of voluntary participation and written consent form will be signed by the participants. Demographic data will be obtained and filled in the case record sheet. Subjects will be randomly allocated by the SNOSE technique using computer-generated numbers into Group A and B. Pre-treatment assessment will be done for pain using Visual Analogue scale, pressure sensitivity using digital pressure algometer and cervical lateral flexion and rotation range of motion using Universal goniometer. Each group will have 20 participants. Group A participants will receive standard physiotherapy protocol and group B participants will receive neurodynamic mobilisation along with standard physiotherapy protocol. Immediately Post treatment assessment will be taken for pain using visual analogue scale (VAS), pressure sensitivity using digital algometer and cervical lateral flexion and rotation range of motion using universal goniometer. Single blinding will be maintained as intervention and assessment will be done by two different investigators .The assessor will be blinded throughout the procedure. Statistical Analysis will be done, Test for normality will be done using Shapiro Wilk Test. If data follows normality, Test that will be applied for pre-post comparison in the group – Paired t-test and test that will be applied for comparison between the group – Unpaired t-test. If data does not follow normality, Test that will be done for pre-post comparison in the group – Wilcoxson sign rank test, test that will be done for comparison between the group – Mann Whitney test.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Investigator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 24.00 Year(s)(—)
- 性别
- Female
入选标准
- •Individuals in the age group of 18 to 40 years having unilateral or bilateral (more severe side in case of bilateral) myofascial pain syndrome of upper trapezius, Having minimum pain intensity 30mm based on VAS, Presence of at least one active trigger point in upper trapezius based on Simon’s criteria which included 1-taut band in upper trapezius muscle, 2- point sensitive to touch in upper trapezius muscle, 3- recognition of spreading pain in upper trapezius muscle after the application of pressure on the trigger points (posterior and lateral of cervical spine, temporal, supraorbital, maxillary, and mandibular areas on the affected side) (2).
- •Patients who are willing to participate and will give consent for the same.
排除标准
- •Any diagnosed inflammatory condition (eg: rheumatoid disease) 2)Fracture or dislocation of cervical vertebrae 3)Any diagnosed pathology related to cervical spine or shoulder 4)Recent Cervical spine or shoulder surgery 5)Radiculopathy or neuropathy affecting upper extremity 6)cognitive impairments that prevent them from following instructions 7)Patients undergoing treatment over the last 3 months targeting the trigger points.
结局指标
主要结局
1.Visual Analogue Scale (VAS)
时间窗: 1. pre assessment -- baseline assessment will we done immediately prior to giving intervention | 2. post-assessment -- Immediately after giving the intervention assessment will be done
2.Pressure algometer
时间窗: 1. pre assessment -- baseline assessment will we done immediately prior to giving intervention | 2. post-assessment -- Immediately after giving the intervention assessment will be done
3.Cervical range of motion - Lateral flexion ,Rotation
时间窗: 1. pre assessment -- baseline assessment will we done immediately prior to giving intervention | 2. post-assessment -- Immediately after giving the intervention assessment will be done
次要结局
未报告次要终点
研究者
Dr Sakshi Ashish Parekh
KJ Somaiya College of Physiotherapy Sion
