The Effectiveness of Radial ESWT on Upper Trapezius Mtrps

Not Applicable

Completed

• Conditions: Myofascial Pain Syndrome; Upper Trapezius Trigger Points; Myofascial Trigger Point Pain
• Interventions: Device: Extracorporeal Shockwave Therapy; Device: Ultrasound therapy, Massage, Heat pack

• Registration Number: NCT05187468
• Lead Sponsor: European University Cyprus

Brief Summary

This study looked after the effectiveness of radial ESWT on upper trapezius mtrps. There were three intervention groups which recieved either ESWT or standard care. VAS, PPT, Neck ROM and Cervical functionality were the main outcomes.

Detailed Description

This study was a randomized controlled trial consisted of three intervention groups. Two of them recieved ESWT with different parameters in each group, while the third one was standard care recieving Ultrasound therapy, Therapeutic massage and Heat packs Participants were divided randomly into the three groups. Participants were blind to the group allocated and also the therapist and outcome investigator were blind.

The participants recieved three weekly sessions. The evaluation took place before therapy, after each session and one month after last session.

The outcome measures was the pain intensity with VAS, the pain tolerance to pressure by an algometer device, the range of motion of neck measured by electronic goniometer and and functionality of neck measured by the Northwick Park Neck Pain

Study Timeline

• Study Start: 2019-08-01
• Primary Completion: 2019-10-30
• Study Completion: 2020-02-28
• Status Verified: 2021-09
• Study First Submitted: 2021-09-19
• Study First Submitted QC: 2022-01-09
• Last Update Submitted: 2022-01-09
• Study First Posted: 2022-01-11
• Last Update Posted: 2022-01-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 56

Inclusion Criteria

• Pain between shoulder and neck on upper trapezius muscle
• Three out of five of Travel and Simons criteria for myofascial trigger points

Exclusion Criteria

• Fibromyalgia diagnosis
• Systemic diseases diagnosis,
• Pacemaker, under 18,
• Any kind of cervical disorder or surgery,
• Mental disorders

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
ESWT 1	Extracorporeal Shockwave Therapy	Extracorporeal Shockwave Therapy 1000 pulses, 60 mJ, 10 Hz
ESWT 2	Extracorporeal Shockwave Therapy	Extracorporeal Shockwave Therapy 2000 pulses, 60 mJ, 10 Hz
Ultrasound therapy, Massage, Heat Pack	Ultrasound therapy, Massage, Heat pack	10 Min massage 5 min US therapy 10 min Heat pack

Primary Outcome Measures

Name	Time	Method
Pressure Pain Threshold	one month after	Pain tolerance to compression. Measured in kilos
Pain intensity on myofascial trigger points	1 month after	Visual Analogue Scale 1-10 (1 is the least pain, 10 is the worst pain)
cervical range of motion	one month after	Goniometer (measured in degrees)
Northwick Park Neck Pain questionnaire	one month after	functionality of Neck related to pain for daily activities. measured in % (36 questions). Higher the %, greater the disability

Trial Locations

Locations (1)

European University Cyprus; 🇨🇾 Nicosia, Cyprus