Thoracic Paraspinal Soft Tissue Mobilizations in Treatment of Patients With Upper Limb Complex Regional Pain Syndrome

Not Applicable

Completed

• Conditions: Complex Regional Pain Syndromes
• Interventions: Diagnostic Test: massage

• Registration Number: NCT03111225
• Lead Sponsor: Reuth Rehabilitation Hospital

Brief Summary

This study examines the prevalence of trigger points in muscles in the thorax in upper limb Complex Regional Pain Syndrome (CRPS) patients, compared to healthy subjects. In addition, we will examine if adding treatment to muscles in the thoracic area (to the regular physical therapy treatment) will alleviate some of the sensitivity in the upper limb in CRPS patients.

Detailed Description

This study examines the prevalence of trigger points in muscles in the thorax in upper limb Complex Regional Pain Syndrome (CRPS) patients, compared to healthy subjects. The muscles that will be examined are: Subclavius, Pectoralis minor, Rhomboids, Infraspinatus and Serratus superior posterior.

In addition, we will examine if adding treatment to muscles in the thoracic area (to the regular physical therapy treatment) will alleviate some of the sensitivity in the upper limb in CRPS patients.This will be examined in an A-B-A design: at first the patients will be examined. Then they will recieve conventional physiotherapy treatment for a month. After a month, they will be examined again, and then they will recieve soft tissue massage to the thoracic area for 15 minutes in addition to the conventional physiotherapy treatment. After a month of the combined treatment, the patients will be examined a third and final time.

Study Timeline

• Study Start: 2016-06-06
• Study First Submitted: 2017-04-07
• Study First Submitted QC: 2017-04-07
• Study First Posted: 2017-04-12
• Primary Completion: 2017-09-17
• Study Completion: 2017-09-17
• Status Verified: 2019-09
• Last Update Submitted: 2019-09-05
• Last Update Posted: 2019-09-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 49

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
CRPS patients	massage	CRPS patients that will be examined for trigger points in the thoracic muscles. 10 out of the 23 will also be included in the intervention stage and will recieve a month of conventional physiotherapy, and a month of conventional physiotherapy with addition of massage to the thoracic area.

Primary Outcome Measures

Name	Time	Method
Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire	10 minutes	Questionnaire that examines upper limb function

Secondary Outcome Measures

Name	Time	Method
skin rolling test	1 minute
Pressure algometer	10 minutes	pressure pain threshold
Goniometer	1 minute	shoulder flexion range of motion
CRPS severity score (CSS)	20 minutes	form filled by an MD after an interview and examination of a patient
Allodynia in scapula, arm and forearm	5 minutes	von Frey filaments
trigger point examination	5 minutes
NPRS	1 minute	Numerical Pain Rating Scale

Trial Locations

Locations (1)

Reuth Rehabilitation Hospital; 🇮🇱 Tel Aviv, Israel