A comparative study of the efficacy of ultrasound therapy against dry needling and against corticosteroid topical injection in cervical and periscapular myofascial pain syndrome.
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- 1. Compare the effectiveness and results of three distinct treatment approaches, such as ultrasound therapy (UST), ,dry needling and local steroid injection to identify trigger sites in the clinical course of myofascial pain syndrome. 2. To propose early rehabilitation and identify the area needing further clinical research.
研究概览
简要总结
A musculoskeletal ailment known asmyofascial pain is characterised by discomfort in the region of a muscle inthe body as well as the fascia, or surrounding connective tissue. Inaddition to being local or regional, the pain may have several triggerlocations. Trigger points are extremely sensitive, touch-sensitive muscle focithat radiate pain throughout the surrounding tissue.
These are tiny, sensitive spotsin the muscle that, either on their own or in reaction to compression, producea local twitch response and pain in a distant area known as the “referred painzone”.
The muscles in the neck, shoulders—such as the trapezius, scalene, sternocleidomastoid, levator scapulae, —arefrequently impacted. The cause of the discomfort, which can be either acute orchronic, is either muscle injuries, postural abnormalities, or overuse.
A patient with myofascial painsyndrome mainly attended in clinics with:-
1.Severe discomfort in certain musclelocations
- Pain that increases with stretching orstraining the injured muscle
3. Pain that worsens over time or does not go better with the presence ofexcruciating knots in the muscles
4.When pressed, cause excruciating localised or referred pain weak, stiff,inflexible,
- with a reduced range of motion of theaffected joint, mood or sleep disturbances
Palpation is the basic method ofdiagnosis . Therefore, history and clinical examination play an importantrole in identifying trigger points in MPS.
研究设计
- 研究类型
- Interventional
- 分配方式
- Other
- 盲法
- Open Label
入排标准
- 年龄范围
- 30.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •Aduld Trigger point pain who had not responded to conservative treatment.
- •Recurrent pain inspite of local steroid injection at least for two epiosodes.
- •Age Group: 30-70 years 4) Both Sexes.
排除标准
- •1] Patients who are not willing or not in a sound mental state to give consent 2] Bony deformities 3] Uncontrolled Diabetes Mellitus 4] Uncontrolled Hypertension 5] Patients with neurological deficits (motor, sensory) 6] Patients with bleeding disorders 7] Local sepsis 8] Patients with Psychiatric disorders 9] Patients with implanted pacemaker 10] Patients with skin disease 11] Known hypersensitivity to lignocaine 12] Gout 13] Rheumatoid arthritis 14] Pregnancy 15] Patients on anticoagulants 16] Previous steroid injections within past 6 months 17] Immuno suppressed patient.
结局指标
主要结局
1. Compare the effectiveness and results of three distinct treatment approaches, such as ultrasound therapy (UST), ,dry needling and local steroid injection to identify trigger sites in the clinical course of myofascial pain syndrome. 2. To propose early rehabilitation and identify the area needing further clinical research.
时间窗: 1stvisit (0week), 2nd (6weeks), 3rd (12weeks)
次要结局
- To propose early rehabilitation & identify the area needing further clinical research.(1stvisit (0week), 2nd (6weeks), 3rd (12weeks))