Treatment of Cervical Syndrome With Myofascial Therapies

Not Applicable

Completed

• Conditions: Cervical Syndrome
• Interventions: Procedure: Physiotherapy treatment

• Registration Number: NCT03184220
• Lead Sponsor: University of Cadiz

Brief Summary

This study aimed to investigate the effects of myofascial release therapy (MRT) for improving pressure pain thresholds (PPTs), range of motion and pain in patients with mechanical neck pain (NP).

Detailed Description

Fifty-four participants with NP were randomly allocated to either an MRT (five sessions) or a physical therapy (PT) groups (ten sessions) during two weeks. Multimodal PT program included: ultrasound therapy (US), transcutaneous electric nerve stimulation (TENS) and massage. Visual Analogue Scale (VAS), range of motion and (CROM) PPTs in sub-occipital and upper trapezius muscles were measured at baseline, at the end of treatment and at 1 month follow-up. T-tests and a repeated-measures multivariate analysis of variance (RM-MANOVA) were used for VAS, CROM and PPTs, respectively.

Study Timeline

• Study First Submitted: 2017-05-18
• Study First Submitted QC: 2017-06-09
• Study First Posted: 2017-06-12
• Study Start: 2017-11-01
• Primary Completion: 2017-12-20
• Study Completion: 2018-02-01
• Status Verified: 2019-04
• Last Update Submitted: 2019-04-12
• Last Update Posted: 2019-04-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

• Patients of both sexes, aged between 20 and 60 years, in an active state of pain and diagnosed with muscle breakdown

Exclusion Criteria

• Patients who are pregnant, have pacemakers and surgically operated in the area to be treated

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
EXPERIMENTAL GROUP	Physiotherapy treatment	Patients who are pregnant, have pacemaker and those surgically operated cervical spine patients who have been treated with myofascial therapy a month earlier. Multimodal physical therapy program includes: Myofascial syndrome cervical therapy treatment.
CONTROL GROUP	Physiotherapy treatment	Multimodal physical therapy program includes: * ultrasound therapy (US), * transcutaneous electric nerve stimulation (TENS) * massage.

Primary Outcome Measures

Name	Time	Method
The intensity of cervical pain	Baseline	A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of cervical pain, and the worst and lowest level of pain experienced in the preceding week in the cervical area.

Secondary Outcome Measures

Name	Time	Method
The intensity of cervical pain	Eight weeks	A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of cervical pain, and the worst and lowest level of pain experienced in the preceding week in the cervical area.
Active cervical range of motion	Baseline, four weeks and eight weeks	Measured by goniometer type crom
Pressure pain thresholds in cervical trigger points	Baseline, four weeks and eight weeks	Pressure pain thresholds (PPTs) will be measured with a pressure algometer (Baseline, Pain TestTM, Wagner Instruments). The clinimetric properties of this instrument have been evaluated previously. The PPT will the point at which pressure elicited pain and will presented as kilograms per square centimeter. All measurements will be conducted by the same well-trained physician.

Trial Locations

Locations (1)

Policlínica Santa maría; 🇪🇸 Cadiz, Cádiz, Spain