The Effect of Instrument Assisted Soft Tissue Mobilization in Female Patients With Myofascial Pain Syndrome
- Conditions
- Instrument Assisted Soft Tissue MobilizationMyofascial Pain
- Interventions
- Other: Instrument Assisted Soft Tissue MobilizationOther: Sham Instrument Assisted Soft Tissue MobilizationOther: Home exercises programe
- Registration Number
- NCT05297656
- Lead Sponsor
- Kirsehir Ahi Evran Universitesi
- Brief Summary
The primer aim of this study is to demonstrate the effecti of instrument assisted soft tissue mobilization on pain, functionality, quality of life and depression in the treatment of female patients with myofascial pain syndrome due to active trigger points in the upper trapezius muscles
- Detailed Description
Myofascial Pain Syndrome (MAS); It is a non-articular, non-inflammatory regional musculoskeletal pain syndrome characterized by myofascial trigger points located at muscle, fascia or tendon insertion sites and the spread of pain to reference areas by palpation of these points.
h The effectiveness of massage therapy in MAS is known. In this study, investigators will apply instrument assisted deep tissue mobilization (graston massage). Instrument-assisted soft tissue mobilization massage, which is a type of massage, will be applied by a physiotherapist who has a certificate on this subject and takes part as an assistant researcher in our study.
Soft tissue mobilization is a unique soft tissue mobilization combined with active mobility and stretching exercises already prescribed for patients with musculoskeletal injuries.
The various sizes and beveled edges of the stainless steel instruments allow physiotherapists to tailor treatment to different muscle structures facing myofascial constraints.
Localized increases in blood flow and soft tissue realignment lead to muscle function, increased normal joint motion, and decreased pain.
It has been investigated in the literature for many different diseases (trigger finger, nonspecific low back pain, myofascial pain syndrome) and found to be effective.CF
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 75
- Being woman and between the ages of 18-45
- Not to be in menopause
- Pain in the upper trapezius area
- Detection of a taut band in the upper trapezius region on examination
- At least one active trigger point in the tension band in the upper trapezius region on examination
- The pain caused by the compression of the trigger point is the pain that the patient complains about
- Painful restriction of cervical lateral flexion motion during stretching
- Pain 4 or more according to NRS
- major surgery or trauma to the musculoskeletal system, especially the spine and upper extremities 2.History of any operation related to the head and neck region 3. Neuromuscular disease 4. History of rheumatic disease, malgnite in the active period 4. Cervical discopathy, cervical spondylosis, pathologies related to the shoulder joint and surrounding soft tissues, scoliosis, kyphosis, leg length difference, polio sequelae, developmental hip dysplasia 5. Psychiatric disease (Beck Depression Inventory score of 30 and above) 6.Obese (BMI≥30 kg/m2)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Experimental Group Instrument Assisted Soft Tissue Mobilization A total of 8 sessions of graston massage protocol will be applied to the patients in the experimental group for 4 weeks, 2 days a week for 5 minutes, at the hospital operating within the body of Kırşehir Ahi Evran University Physical Therapy and Rehabilitation Center. All patients will also receive home exercise therapy including stretching of the trapezius muscle and posture exercises Experimental Group Home exercises programe A total of 8 sessions of graston massage protocol will be applied to the patients in the experimental group for 4 weeks, 2 days a week for 5 minutes, at the hospital operating within the body of Kırşehir Ahi Evran University Physical Therapy and Rehabilitation Center. All patients will also receive home exercise therapy including stretching of the trapezius muscle and posture exercises Sham Comparator Group Home exercises programe A total of 8 sessions of sham graston massage protocol will be applied to the patients in the experimental group for 4 weeks, 2 days a week for 5 minutes, at the hospital operating within the body of Kırşehir Ahi Evran University Physical Therapy and Rehabilitation Center. Sham graston massage is not a deep tissue massage, but will be performed with the device superficially, without applying pressure and mobilization. All patients will also receive home exercises. Sham Comparator Group Sham Instrument Assisted Soft Tissue Mobilization A total of 8 sessions of sham graston massage protocol will be applied to the patients in the experimental group for 4 weeks, 2 days a week for 5 minutes, at the hospital operating within the body of Kırşehir Ahi Evran University Physical Therapy and Rehabilitation Center. Sham graston massage is not a deep tissue massage, but will be performed with the device superficially, without applying pressure and mobilization. All patients will also receive home exercises. Control group Home exercises programe The volunteers in the control group will be only given home exercise therapy including stretching of the trapezius muscle and posture exercises
- Primary Outcome Measures
Name Time Method Pain Algometer Fourth week (Posttreatment) The pain threshold level will be measured with an algometer. The algometer manually evaluates the patient's pain threshold and gives a numerical data
Visual Analogue Scale (VAS) Fourth week (Posttreatment) Visual Analogue Scale (VAS) for pain assessment. In this scale, which evaluates pain with a 10-point Likert scale, 0 is scored as no pain, 5 as moderate pain, and 10 as excruciating pain.
Number and location of trigger points Fourth week (Posttreatment) The number and location of trigger points that cause myofascial pain will be determined and recorded by examination.
- Secondary Outcome Measures
Name Time Method The neck disability index Fourth week (Posttreatment) The neck disability index is a questionnaire consisting of 10 questions with Turkish validity and reliability, which recognizes the functional evaluation of neck pain (3). Each question is scored between 0 and 5. High scores are associated with increased disability.
The World Health Organization health-related quality of life-brief form Fourth week (Posttreatment) The World Health Organization health-related quality of life-brief form (WHO-health-related quality of life-brief form)
Beck depression questionnaire Fourth week (Posttreatment) Beck depression questionnaire is a questionnaire consisting of 21 questions that evaluates the mood of the patient and has Turkish validity and reliability(1).
Trial Locations
- Locations (1)
Kırşehir Ahi Evran University Faculty of Medicine
🇹🇷Kırşehir, City Center, Turkey