Comparison between the effectiveness of laser therapy and graston technique on trigger points of upper trapezius

Phase 3

Conditions: Myofascial pain syndrome.
Chronic widespread pain
MG30.01

Registration Number: IRCT20210809052129N1

Lead Sponsor: The University of Faisalabad

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Complete

Sex: Female

Target Recruitment: 30

Inclusion Criteria

Females aged 18 to 50 years old with bilateral myofascial pain syndrome of the upper trapezius muscle.
As stated by Simon’s diagnostic criteria, following sings should be present: Five majors: 1. Pain in a region 2. Pain referring to another area 3. A tight muscle band 4. A tender/painful location in the tight muscle band 5. Limited ROM.
One minor: 1. Pain that can be regenerated by applying pressure on the location of the tender area 2. A local twitch response in the affected area 3. With prolonged neck and/or shoulder region pain, pain relief that can be achieved with injection or stretching.
Complaint of pain from at least 8 weeks.
Pain score between 30mm to 80mm on VAS.
Neck extension range up to 30 degrees.
Neck right and left side flexion range up to 20 degrees.
NDI score between 10 and 24

Exclusion Criteria

Neck or shoulder pain that has lasted less than 8 weeks
Within the previous three months, local injectable physiotherapy
Infection
Febrile state
Cervical radiculopathy symptoms
Hypertension that has not been treated
Coagulatory disease or anticoagulant therapy
Injury to the cervical spine or surgery
Implants and metal devices

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pain. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Pain measurement by visual analogue scale.;Neck disability Index. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Neck functioning measurement by neck disability index.

Secondary Outcome Measures

Name	Time	Method
(1) Cervical extension ROM. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Ranges of motion are measured by goniometry.;Cervical right lateral flexion ROM. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Ranges of motion are measured by goniometry.;Cervical left lateral flexion ROM. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Ranges of motion are measured by goniometry.