Effects of Myofascial Releasing on Neck Pain in Patients With Trigger Points: A Single Blinded, Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 75
- Locations
- 1
- Primary Endpoint
- Assessment of Pain Pressure Threshold on Trigger Points with Algometer
Study Overview
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 Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Masking Description
Intervention group will receive myofascial release and control group will receive a sham therapy by using same treatment and handling position without applying myofascial release techniques.
Participant will be evaluated at baseline, 4 weeks later and 12 week later by an another investigator who does not aware of groups.
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
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.
Intervention: Myofascial Group (Other)
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.
Intervention: Sham Group (Other)
Outcomes
Primary Outcomes
Assessment of Pain Pressure Threshold on Trigger Points with Algometer
Time Frame: 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 Outcomes
- Assessment of Cervical Active Range of Motion (ROM)(12 weeks)
- Global Rating of Change Scale-Turkish Version(12 weeks)
- Neck Disability Index(12 weeks)
- Assessment of Perceived Pain on Cervical Region(12 weeks)
Investigators
Ramazan KURUL
Ms.C Research Assistant
Abant Izzet Baysal University