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Clinical Trials/CTRI/2025/06/089543
CTRI/2025/06/089543Not yet recruitingNot Applicable

Effectiveness 0f Instrument-Assisted soft tissue mobilization [IASTM] versus Percussion therapy with stretching in the individuals having upper trapezius myofascial trigger points: A single blinded randomized control trial .

DVVPFS College of Physiotherapy Ahmednagar1 site in 1 country48 target enrollmentStarted: August 29, 2025Last updated:

Trial Snapshot

Phase
Not Applicable
Status
Not yet recruiting
Sponsor
Enrollment
48
Locations
1
Primary Endpoint
Numeric pain rating scale

Study Overview

Brief Summary

Myofascial pain syndrome (MPS) is a major contributor to musculoskeletal disorders, affecting millions worldwide. The upper trapezius is one of the most commonly affected muscles, often linked to poor posture, prolonged screen time, and repetitive strain. Traditional interventions such as massage, dry needling, and stretching have demonstrated efficacy, but there is a growing need for evidence-based, non-invasive techniques like Instrument-Assisted Soft Tissue Mobilization (IASTM). Recent advances in IASTM suggest that it can enhance myofascial release by stimulating mechanoreceptors, improving circulation, and modulating pain perception.

Studies indicate that IASTM, when combined with stretching or percussion therapy, may yield superior outcomes in reducing muscle stiffness and improving functional mobility. However, there is a lack of consensus on the optimal treatment combination for managing upper trapezius MTrP, necessitating further research. Additionally, the increasing reliance on technology has led to a surge in cases of neck and shoulder pain, emphasizing the urgency of developing effective physiotherapeutic interventions.

This study will compare the effectiveness of IASTM alone and in combination with stretching or percussion therapy. By identifying the most effective approach, this research will contribute to evidence-based rehabilitation strategies, ultimately improving patient outcomes and reducing the burden of musculoskeletal disorders.

Study Design

Study Type
Interventional
Allocation
Coin toss, Lottery, toss of dice, shuffling cards etc
Masking
Participant Blinded

Eligibility Criteria

Ages
15.00 Year(s) to 29.00 Year(s) (—)
Sex
All

Inclusion Criteria

  • Presence of active myofascial trigger points in the upper trapezius muscle confirmed by palpation.
  • Reporting pain intensity of more than or equal to four on the Numeric Pain Rating Scale (NPRS).
  • no history of recent corticosteroid injections or surgery in the neck/shoulder region.

Exclusion Criteria

  • Presence of any neurological disorder affecting the cervical spine.
  • Recent trauma or fracture in the cervical or shoulder region.
  • Individuals undergoing concurrent alternative treatment e.g., acupuncture, chiropractic therapy.
  • Bilateral trigger points in upper trapezius.

Outcomes

Primary Outcomes

Numeric pain rating scale

Time Frame: Baseline , 2 weeks

Neck Disability Index

Time Frame: Baseline , 2 weeks

Cervical range of motion

Time Frame: Baseline , 2 weeks

Pressure pain threshold

Time Frame: Baseline , 2 weeks

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor
DVVPFS College of Physiotherapy Ahmednagar
Sponsor Class
Private medical college

Study Sites (1)

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