Efficacy of Instrument Assisted Soft Tissue Mobilization on Pain Pressure Threshold, Range of Motion and Function in Latent Trigger Points of Upper Trapezius Muscle : A Single Blinded, Randomized Clinical Trial
试验速览
- 阶段
- 2/3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- Pain Pressure Threshold measured by Algometer (kg/cm2)
研究概览
简要总结
A Myofascial Trigger Point (MTrP) is defined as a hypersensitive spot in a skeletal muscle associated with a taut band which is painful on compression and refers pain in characteristic pattern for each muscle. They can be activated directly by muscle overload, trauma, prolonged muscle contraction and nerve compression. This type of tissue dysfunctions in musculoskeletal system happens due to continuous exposure to abnormal, adverse physical conditions during rest or in job duty leading to pain and injury in body especially in neck and shoulder.
In accordance to clinical manifestation, MTrPs are classified into Active and Latent Trigger points. Latent Myofascial Trigger Points (LTrPs) are those in which local and referred pain do not produce any familiar or usual symptoms for the individual.
Upper Trapezius is a posture muscle and has a high susceptibility for overuse. Different studies already established the presence of latent trigger points in Upper Trapezius of symptomatic participants with shoulder pain, subacromial impingement, mechanical neck pain and chronic headaches
Instrument Assisted Soft Tissue Mobilization (IASTM) is a practical technique using specially designed instrument which is beveled in edges which minimizes the force applied by therapist but maximizes the force delivered to tissues. It provides therapist a mechanical advantage to treat with deeper force transmission and to detect altered tissue properties.
Different studies were conducted to find different manual technique and electrical modalities to treat Latent Trigger Point. But to best of our knowledge, there are no studies are available which was conducted to find the efficacy of IASTM in Latent Trigger Points.
Hence this study is designed to find out the efficacy of IASTM on Pain Pressure Threshold, Range of Motion and Function in Latent Trigger Points of Upper Trapezius muscle.
NULL HYPOTHESIS (H0): There is no statistically significant effect of IASTM along with Moist Hot Pack and Supervised Exercises on Pain Pressure Threshold, Range of Motion and Function in Latent Trigger Points in Upper Trapezius muscle.
ALTERNATE HYPOTHESIS (H1): There is statistically significant effect of IASTM along with Moist Hot Pack and Supervised Exercises on Pain Pressure Threshold, Range of Motion and Function in Latent Trigger Points in Upper Trapezius muscle.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 30.00 Year(s)（—）
- 性别
- All
入选标准
- •Subjects having minimum one palpable nodule and hypersensitive tender spot in taut band in Upper Trapezius Muscle.
排除标准
- •Any active MTrPs present in Upper trapezius.
- •Diagnosed case of Fibromyalgia or Patients with symptoms of Neck pain, Cervical Radiculopathy or Cervical Myelopathy.
- •History of any musculoskeletal injury in Cervical spine including Road Traffic Accident, Fracture etc.
- •Rheumatoid disorders like Rheumatoid arthritis and Ankylosing Spondylitis.
- •Any vascular symptoms such as Basilar insufficiency, Thoracic outlet syndrome.
- •Diagnosed with Neurological conditions like Stroke, Neuropathy, etc.
- •Having undergone physiotherapy treatment last month.
- •Presence of red flags i.e. infection, malignancy.
- •Drug intake like NSAIDs and steroids during or 1 month before interventions.
结局指标
主要结局
Pain Pressure Threshold measured by Algometer (kg/cm2)
时间窗: Pre-Intervention | Post-Intervention (the day after 10th Session)
Cervical Contralateral Side Flexion Range of Motion measured by Goniometer (in degree)
时间窗: Pre-Intervention | Post-Intervention (the day after 10th Session)
Function measured by Neck Disability Index (in %)
时间窗: Pre-Intervention | Post-Intervention (the day after 10th Session)
次要结局
未报告次要终点
研究者
Sarasij Bit
National Institute for Locomotor Disabilities (Divyangjan)