Subthreshold Stimulation Versus Suprathreshold Stimulation in People With Chronic Low Neck Pain

Not Applicable

Not yet recruiting

• Conditions: Pain; Trigger Point Pain, Myofascial
• Interventions: Device: electrical stimulation

• Registration Number: NCT06559358
• Lead Sponsor: Beni-Suef University

Brief Summary

this trial will involve three groups. Group 1 will receive subthreshold stimulation. Group 2 will receive suprathreshold stimulation. Group 3 will receive shame treatment.

Detailed Description

Not available

Study Timeline

• Status Verified: 2024-08
• Study First Submitted: 2024-08-06
• Study First Submitted QC: 2024-08-16
• Last Update Submitted: 2024-08-16
• Study First Posted: 2024-08-19
• Last Update Posted: 2024-08-19
• Study Start: 2024-09-01
• Primary Completion: 2024-12-30
• Study Completion: 2024-12-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Age from 40 to 65 years old participated in this study, 2
• Having neck pain for more than 6 months with a grade five or greater on the visual analog scale
• Having one or more trigger points in the upper trapezius muscle,
• A significant increase in neck muscle EMG activity indicates the presence of tender points.

Exclusion Criteria

• Taking non-pharmacological therapies (e.g., acupuncture, physical therapy, osteopathy)
• Taking oral or intravenous pain therapy, intramuscular or subcutaneous injection of cortisone, or local anesthetics during the study period,
• Presence of any contraindication to electrical current including pregnancy, epilepsy, cardiac arrhythmia, cardiac surgery, implanted pacemaker or defibrillator, previous surgery in the spinal cord, infectious diseases of the spinal cord, malignant tumors with or without secondary blastomas in the spinal cord, severe radicular pain with acute paralysis in the extremities

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group 1	electrical stimulation	This group will receive subthreshold stimulation
Group 2	electrical stimulation	This group will receive suprathreshold stimulation
Group 3	electrical stimulation	This group will receive no stimulation

Primary Outcome Measures

Name	Time	Method
Pressure threshold	2-3 months	Myofascial trigger points' sensitivity will be measured by a pressure-pain algometer from upper trapezius muscle.
Pain intensity	2-3 months	Neck pain intensity will be assessed by the visual analog scale (VAS). Participants will be asked to explain their present pain by putting a mark on a 10 mm horizontal line with 0 degrees indicating "no pain" and 10 indicating the "worst possible pain"
Electromyography	2-3 months	The EMG activity from the upper trapezius muscle will be recorded during rest and voluntary maximum contraction.
Range of motion	2-3 months	Flexion, lateral rotation to both sides, lateral flexion to both sides