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Noninvasive Treatment of Upper Trapezius Active Trigger Points in College Students With Neck Pain

Not Applicable
Completed
Conditions
Neck Pain
Trigger Point Pain, Myofascial
Interventions
Other: Jones Group (Strain Counterstrain)
Other: Lewit Group
Other: Chaitow Group
Other: Placebo Group
Registration Number
NCT05265468
Lead Sponsor
Universidad Católica San Antonio de Murcia
Brief Summary

Hyperexcitable myofascial trigger points located within a taut band of skeletal muscle or fascia cause referred pain, local tenderness, and autonomic changes. The scientific data refer to an immediate improvement in the symptoms of these active points treated with manual therapy. Based on these factors, the objective of the study is to determine the effect of the combined therapy of the Jones, Chaitow, Lewit technique and pain-free positioning in participants with the presence of an active upper trapezius trigger point.

Detailed Description

The treatment will last a total of 15 minutes accompanied by a baseline assessment and after 10 minutes of the intervention in 3 experimental groups and a placebo group, of no-pain positioning. In addition to basic indices and scales of cervical pain and functionality, it is intended to measure flexibility, range of motion, proprioception and cognition through software with sensors of the latest technology when it comes to representing reliable results in differences between techniques.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • persistent neck pain or headache for more than 3 days
  • presence of active trigger point in upper trapezius
Exclusion Criteria
  • Participants who present dizziness, vertigo and/or symptoms aggravated by the movement and/or positioning of the neck;
  • who present infection or febrile state at the time of performing the test;
  • with anxiety and/or extreme emotional tension;
  • who are undergoing pharmacological treatment (analgesics, muscle relaxants, anxiolytics, antidepressants)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Jones Group (Strain Counterstrain)Jones Group (Strain Counterstrain)Jones Group consist in 90 seconds in a ralease positioning of no pain in muscle acortation
Lewit GroupLewit GroupLewit Group consist in a maximum of four minutes of muscular contraction acompaind by stretching techniques
Chaitow GroupChaitow GroupChaitow Group consist in a maximum of four minutes of muscular contraction acompaind by stretching techniques and deep diaphragmatic respiration
Placebo GroupPlacebo GroupPlacebo Group only have to mantain no pain positioning for 3 minutes
Primary Outcome Measures
NameTimeMethod
Neck Disability Index10 minutes

Self-completed neck questionnaire wich consists in 10 sections. Each one of them (cervical pain intensity, personal care, lifting weights, reading, headache, ability to concentrate, ability to work, driving, sleep and leisure activities) offers 6 possible answers that represent 6 progressive levels of functional capacity, and is scored from 0 to 5. The total score is expressed in percentage terms with respect to the maximum possible

Pain intensity10 minutes

Measured with Numeric Rating Scale wich consist in measure pain intensity with a score of 0-10

Pression algometer10 minutes

Measures pressure pain thresholds

Secondary Outcome Measures
NameTimeMethod
Cervical Test10 minutes

Measured with Baiobit Software. The range of movement will be measured in grades as per: flexion/extension; right/left rotation; and right/left inclination

Proprioceptive Test10 minutes

Measured with Baiobit Software o'clock test in a high/medium/low levels wich consist in a velocity and accuracy evaluation of combined cervical movements in the o'clock game test.

Trial Locations

Locations (1)

Universidad Católica de Murcia

🇪🇸

Murcia, Spain

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