Effects of Myofascial Releasing on Neck Pain in Patients With Trigger Points

Not Applicable

Completed

• Conditions: Neck Pain; Trigger Point Pain, Myofascial
• Interventions: Other: Sham Group; Other: Myofascial Group

• Registration Number: NCT03585283
• Lead Sponsor: Abant Izzet Baysal University

Brief Summary

Aim of this study is to investigate effectiveness of myofascial releasing on neck pain related to trigger points located on upper cervical region.

Detailed Description

Neck pain is the second most common musculoskeletal pain after lumbar pain. Prevalence is 27.2% female and 17.4% in male population. Approximately 1/3 of acute onset neck aches become chronic. It causes increasing the cost of treatment and also the loss of labor.

Myofascial pain is usually considered caused by myofascial trigger points. The trigger points in the neck muscles have been associated with a possible source of referred facial and cranial pain. Mechanical neck pain is a non-radicular pain caused by local musculoskeletal structures and is characterized by a spasm of the cervical muscles. Posture, emotional stress, cold and fatigue are etiologic causes, and pain is also reflected to the cervical, occipital and scapular regions depending on the severity of muscle spasm and the presence of trigger point in myofascial pain syndrome.

Myofascial releasing is a specific type of passive soft tissue mobilization. Triggers points often considered as a pathology that occurs after excessive load or trauma on soft tissue which disturbs blood circulation. Fascial restriction can be found with triggers points and taut band.

In this study effects of myofascial release on triggers points will be investigated.

Study Timeline

• Study First Submitted: 2018-06-20
• Study First Submitted QC: 2018-07-11
• Study First Posted: 2018-07-13
• Study Start: 2018-08-12
• Status Verified: 2019-03
• Primary Completion: 2019-03-20
• Study Completion: 2019-03-20
• Last Update Submitted: 2019-03-20
• Last Update Posted: 2019-03-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 75

Inclusion Criteria

• Non specific cervical pain
• Symptoms should last longer than 4 weeks
• Palpable trigger points on upper thoracic region

Exclusion Criteria

• Cervical radiculopathy
• Previous manual therapy treatment history
• Sensory or motor function loss
• Rheumatologic diseases
• Structural damage on cervical spina
• Trauma history

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Sham Group	Sham Group	Sham application will be applied two times a week for four weeks. Each session will be approximately 45 min long. Participant will be reevaluated 8 week later after last session for a follow-up assessment.
Myofascial Group	Myofascial Group	Myofascial release will be applied by physiotherapist two times a week for four weeks which is a manual therapy technique includes stretching and compression of soft tissues according to fascial chains.Each session will be approximately 45 min long. Participant will be reevaluated 8 week later after last session for a follow-up assessment.

Primary Outcome Measures

Name	Time	Method
Assessment of Pain Pressure Threshold on Trigger Points with Algometer	12 weeks	Trigger points will be located with palpation and with slight pressure most painful one will be marked. Pressure will be applied by researcher and patient will be informed to notify researcher immediately after starting to feel pain from pressure.

Secondary Outcome Measures

Name	Time	Method
Assessment of Cervical Active Range of Motion (ROM)	12 weeks	Patients cervical flexion, lateral flexin and rotation ROM's will be assessed with a goniometer.
Global Rating of Change Scale-Turkish Version	12 weeks	Patients global perception on effects of treatment will be assessed with a 9 aspect scale. 5 was considered as no change from the baseline and 1-4 indicate decline in symptoms and 6-9 indicate improvement.
Neck Disability Index	12 weeks	The Neck Disability Index will be used to record perceived disability according to patients with neck pain. Neck disability index is a 10 question self administrated questionaire. Each question scored from 0-5 for a total of 50 point.
Assessment of Perceived Pain on Cervical Region	12 weeks	Visual analog scale (VAS) will be used to assess patients' pain while doing neck rotations. Patients will mark their perceived pain on a 10 cm horizontal line. Left side of line considered as 0 (no pain at all) and right side considered as 10 (most intense pain experienced so far).

Trial Locations

Locations (1)

Abant Izzet Baysal University; 🇹🇷 Bolu, Turkey