High Intensity Laser vs Instrument-assisted Soft Tissue Mobilization on Trapezius Myofascial Pain Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Assessment of change of pain intensity
研究概览
简要总结
The purpose of the study was to
- Investigate the effect of high-intensity laser therapy versus Instrument-assisted soft tissue mobilization on pain level in patients with myofascial pain syndrome of upper trapezius muscle.
- Investigate the effect of High intensity laser therapy versus Instrument-assisted soft tissue mobilization on ROM in patients with myofascial pain syndrome of upper trapezius muscle
详细描述
Myofascial pain syndrome is a common musculoskeletal pain affecting 30% of patients in primary care. It is characterized by trigger points in the upper trapezius muscle, which is linked to neck and shoulder pain. Non-invasive treatments like exercises, manipulation, and physical agents have been suggested for managing neck pain. Laser therapy, including low-level and high-intensity, has been found effective in reducing pain intensity and improving functional activity. Instrument-assisted soft tissue mobilization is another technique used to treat Myofascial pain syndrome. Instrument-assisted soft tissue mobilization stimulates connective tissue remodeling, resorbing excessive fibrosis, and promoting collagen repair and regeneration. The study aims to investigate the effect of high intensity laser therapy versus Instrument-assisted soft tissue mobilization in treating Myofascial pain syndrome of the upper trapezius muscle.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The patient age ranged from 20 to 50 years
- •Presence of myofascial trigger points in the upper trapezius muscle
- •Having neck discomfort symptoms that were triggered by certain neck positions and by palpating the cervical musculature for at least three months
- •Patient willing and able to participate in an exercise program safely
排除标准
- •medical red flag history (such as tumour, fracture, metabolic diseases, rheumatoid arthritis and osteoporosis)
- •Neck pain with cervical radiculopathy or neck pain associated with externalized cervical disc herniation.
- •If the patient had previous surgery in the neck area (irrespective of the reason for the operation)
- •Neck pain accompanied by vertigo caused by vertebra basilar insufficiency or accompanied by non-cervicogenic headaches
研究组 & 干预措施
High Intensity Laser
this group consists of 20 subjects will receive conventional treatment combined with High-intensity laser therapy, three times per week for one month
干预措施: High Intensity Laser (Device)
High Intensity Laser
this group consists of 20 subjects will receive conventional treatment combined with High-intensity laser therapy, three times per week for one month
干预措施: Conventional treatment (Other)
Instrument-assisted soft tissue mobilization
this group consists of 20 subjects will receive conventional treatment combined with Instrument-assisted soft tissue mobilization, three times per week for one month
干预措施: Instrument-assisted Soft Tissue Mobilization (Other)
Instrument-assisted soft tissue mobilization
this group consists of 20 subjects will receive conventional treatment combined with Instrument-assisted soft tissue mobilization, three times per week for one month
干预措施: Conventional treatment (Other)
conventional treatment
this group consists of 20 subjects will receive conventional treatment only, three times per week for one month
干预措施: Conventional treatment (Other)
结局指标
主要结局
Assessment of change of pain intensity
时间窗: At baseline and after 1 month
The Visual Analog Scale is a self-reported pain measurement scale with a 10-cm line labeling extreme pain levels. It is valid, reliable, and suitable for clinical practice, especially for individuals over 18. Studies have shown moderate to strong correlations for VAS validity in pain measurement.
次要结局
- Assessment of change of pressure pain threshold(At baseline and after 1 month)
- Assessment of change of Cervical range of motion(At baseline and after 1 month)
- Assessment of impact of neck pain on quality of life(At baseline and after 1 month)
研究者
Ahmed Adel Ahmed Abdelmoaty AboHashish
principal investigator
Cairo University