The Effects of Cervicothoracic Mobilization on Pain, Cervical Side Flexion ROM and Functional Disability in Cervical Myofascial Pain Syndrome of Upper Trapezius Muscles in Computer Workers: A Randomized Controlled Trail
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 入组人数
- 56
- 试验地点
- 1
- 主要终点
- Visual Analogue Scale
研究概览
简要总结
This study aims to evaluate the effects of cervicothoracic mobilization, a hands-on manual therapy technique applied to the neck and upper back joints, on pain, neck movement, and functional disability in computer users experiencing upper trapezius muscle trigger points. Prolonged computer use and poor posture often lead to muscle tightness and pain in the upper trapezius area, resulting in reduced neck mobility and discomfort during daily activities. In this randomized controlled trial, participants will be assigned to either a treatment group receiving cervicothoracic mobilization along with conventional physiotherapy or a control group receiving only conventional physiotherapy. Outcomes will be measured before and after the intervention using pain scales, cervical side flexion range of motion tests, and functional disability questionnaires. The goal of the study is to determine whether adding joint mobilization provides greater relief from pain and improvement in function compared to standard therapy alone in people with work-related neck pain.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 25.00 Year(s) 至 45.00 Year(s)（—）
- 性别
- All
入选标准
- •Diagnosis of trigger point in upper trapezius (Unilateral) according to criteria given by Simons et al
- •a) A taut palpable band in the affected muscle.
- •b) Exquisite focal tenderness to digital pressure (the trigger point), in the taut band of the muscle.
- •c) A local twitch response, elicited through snapping palpation or needling of the tender spot.
- •d) Reproduction of typical referred pain pattern of Trigger Point in response to compression.
- •(Simons et al 1999) 2) Clinical presentation of unilateral upper trapezius shortness.
- •The ROM of the side contra lateral to presence of trigger point should be decreased than ipsilateral side.
排除标准
- •Any contraindication to manual therapy 2) Diagnosis of fibromyalgia syndrome according to American college of Rheumatology.
- •History of any surgery in cranio-cervical region 4) History of whiplash injury 5) Any diagnosed case of neurological/ Psychological/ psychiatric / dermatological/ deficit or disorders that can affect the study.
- •Participants who are not willing to participate or discontinue.
结局指标
主要结局
Visual Analogue Scale
时间窗: At Baseline and after 4 weeks
次要结局
- cervical ROM(pre and post treatment of 4 weeks)
- ain pressure threshold measure through syringe Algometer. (PPT)(pre and post treatment of 4 weeks)
- Neck pain and disability scale(pre and post treatment of 4 weeks)
研究者
Dr Tajuddin Chitapurte
MGM School of Physiotherapy