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IONTOPHORESIS Versus Ultrasound in Mechanical Neck Pain

Not Applicable
Recruiting
Conditions
Trigger Point Pain, Myofascial
Interventions
Other: Magnesium Sulphate Iontophoresis +conventional therapy
Other: High- Power Pain Threshold Ultrasound +conventional therapy
Other: conventional theapy
Registration Number
NCT05474898
Lead Sponsor
Cairo University
Brief Summary

to investigate the effects of Magnesium Sulphate Iontophoresis versus High Power Pain Threshold Ultrasound on pain, function and range of motion on active MTrPs found in the upper trapezius.

Detailed Description

Myofascial pain syndrome (MPS) is a musculoskeletal chronic pain disorder that affects the majority of pain population and characterized by the presence of trigger points. MPS is usually associated with tenderness, spasm, movement limitation and referred pain .

Myofascial trigger points (MTrPs) are hyperirritable taut fibers of skeletal muscle. The taut fibers within the muscle create palpable nodules that may cause local pain, and refer pain elsewhere with soft tissue examination .

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
90
Inclusion Criteria
  • Subjects, with age ranged from 19-23 years (Forman et al, 2014) from both genders. The subjects had active MTrPs in the upper fibers of trapezius muscle.
Exclusion Criteria
  • • History of whiplash injury.

    • History of cervical spine surgery.
    • Cervical radiculopathy or myelopathy.
    • Having undergone physical therapy within the past three months before the study.
    • Non- rheumatologic diseases as multiple sclerosis, thyroid dysfunction and chronic infection.
    • Rheumatologic condition as poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group (A)Magnesium Sulphate Iontophoresis +conventional therapy-
Group (A)conventional theapy-
Group (B)conventional theapy-
Group (B)High- Power Pain Threshold Ultrasound +conventional therapy-
Group (c)conventional theapy-
Primary Outcome Measures
NameTimeMethod
pain intensityup to four weeks

The scale that will be used the VAS ;each subject will instructed to put point on line from no pain to tolerable pain

Secondary Outcome Measures
NameTimeMethod
range of motionup to four weeks

will be measured by myrin gravity reference goniometer

neck disabilityup to four weeks

will be measured by Arabic neck disability index

Pain pressure threshold (PPT)up to four weeks

Pain pressure threshold (PPT) is used to measure deep muscular tissue sensitivity by Algometer.

Trial Locations

Locations (1)

Faculty of Physical Therapy Cairo University

🇪🇬

Cairo, Egypt

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