Stripping Massage Technique and Post-isometric Relaxation

Not Applicable

Not yet recruiting

• Conditions: Trapezius Myalgia

• Registration Number: NCT07063355
• Lead Sponsor: Riphah International University

Brief Summary

This randomized clinical trial investigates the synergistic effects of stripping massage and Post-Isometric Relaxation (PIR) on pain alleviation, ROM and functional movement improvement in individuals with Trapezius myalgia. A purposive sampling approach will select participants aged 18 and 50 years. A total of 44 patients will be taken, who will be randomly divided into two equal groups, each containing 22 patients. Group A will receive standard baseline management, supplemented with heating pad, active stretching, isometrics and ischemic compression, while Group B will receive the combined management (stripping massage + PIR) .

Detailed Description

The study will assess pain intensity using NPRS, ROM using goniometer and neck disability or functional movement of neck using Neck Disability Index (NDI) at baseline and four weeks follow-up. Ethical approval and informed consent will ensure the study's integrity. The primary outcomes will focus on pain reduction and improved neck function, with secondary outcomes including trigger point severity and range of motion. Data analysis will utilize SPSS version 25. This study aims to provide valuable insights into the combined efficacy of stripping massage and PIR, ultimately informing evidence-based practice and enhancing patient outcomes in patients with trapezius myalgia.

Study Timeline

• Status Verified: 2025-07
• Study First Submitted: 2025-07-03
• Study First Submitted QC: 2025-07-03
• Last Update Submitted: 2025-07-03
• Study First Posted: 2025-07-14
• Last Update Posted: 2025-07-14
• Study Start: 2025-07-24
• Primary Completion: 2025-09-20
• Study Completion: 2025-10-20

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• Presenting with neck pain and stiffness
• Experiencing tightness in the upper trapezius muscle
• Having pain at rest, local twitch response or jump sign in upper trapezius
• Patients having functional limitations while performing certain activities of everyday living.

Exclusion Criteria

• Patients with an NPRS score of 3 or less.
• Presence of structural abnormalities like torticollis or scoliosis.
• Presence of skin disease on the back.
• Having undergone upper limb surgery within the past year .
• Participation in another clinical trial.
• Severe psychiatric conditions that would impair participation or compliance

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
NPRS	4 weeks	The Numerical Pain Rating Scale (NPRS) is a numeric adaptation of the Visual Analogue Scale (VAS). In this version, the patient selects a number from 0 to 10 that best represents the intensity of their pain. This 11-point scale ranges from "no pain" to "worst pain imaginable," where 0 indicates no pain and 10 signifies extreme pain.
Universal Goniometer	4 weeks	Range of motion (ROM) is a crucial parameter for assessing movement limitations. While clinicians commonly use goniometers to measure ROM, the accuracy of this method largely relies on the clinician's skill and experience.
NDI	4 Weeks	The NDI (Neck Disability Index) is a condition-specific, patient-completed questionnaire consisting of 10 items designed to evaluate pain and functional status, primarily used for reporting neck pain. Each item on the scale is scored from 0 to 5, with the total score interpreted as a percentage. A score of 0 points (0%) indicates no activity limitation, while a score of 50 points (100%) indicates complete activity limitation. The NDI is a reliable and valid questionnaire for neck pain patients, with interclass correlation coefficients ranging from 0.50 to 0.98

Trial Locations

Locations (1)

The Perfect Physiotherapy Clinic; 🇵🇰 Muzaffargarh, Punjab, Pakistan