Muscle Energy Technique Versus Strain Counterstrain in Treatment of Upper Trapezius Myofascial Pain Syndrome: A Double-Blinded Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Change in cervical flexion range of motion.
研究概览
简要总结
This study will be conducted to examine the superiority of effectiveness between muscle energy technique combined with physical therapy, strain counterstrain combined with physical therapy, and physical therapy alone in terms of pain intensity, pain pressure threshold, cervical lateral flexion and rotation range of motion, and neck function for patients with upper trapezius myofascial trigger points.
详细描述
Myofascial pain syndrome represents a common, overlooked, and under-diagnosed disorder that have very critical negative effects on people's lives. In addition, it overloads the societies and causes several burdens on healthcare systems. However, this disorder is usually dismissed by many clinicians keeping the patients in pain for long periods. The central feature of myofascial pain syndrome is the myofascial trigger points that when managed properly, the painful symptoms disappear. Muscle energy technique and strain counterstrain immediate effects were compared in a recent comparative study for patients with upper trapezius myofascial trigger points in terms of pain intensity, pain pressure threshold, and neck mobility. The results showed that there were improvements of both techniques with no significant differences between them. Regarding the evidence of the two techniques; muscle energy technique and strain counterstrain in the management of patients with upper trapezius myofascial trigger points, there is lack of high-quality evidence investigating the effectiveness and safety of both techniques for this population and there is a need for well-developed randomized controlled trial to take a step in the pyramid of levels of evidence for the use and applicability of them. After reviewing the available literature, it was found that there is no study directly combined both techniques with physical therapy protocol in a randomized clinical trial for patients with upper trapezius myofascial trigger points; this will enable us to compare the effects of them in a controlled design to examine and find out the differences between the three treatment protocols.
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
- Double (Participant, Investigator)
盲法说明
Firstly, the research assistant, another qualified physical therapist, performing the assessment process, pre and post-treatment, will be blinded regarding the patients allocation into the three treatment groups. Secondly, the patients themselves will be blinded regarding which treatment group they will be allocated into. So the research assistant won't know the randomization results, and the main investigator won't know the assessment results which will make it a double-blinded study.
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients will be included in the study if they fulfil the following criteria:
- •They have active myofascial trigger points in the upper trapezius muscle bilaterally according to the established criteria for myofascial trigger points examination.
- •They have neck pain less than three months.
- •Their age ranges from 18 to 40 years old.
排除标准
- •Patients will be excluded from the study if they fulfil the following criteria:
- •Patients with chronic pain syndrome.
- •Patients having myofascial trigger points in other neck muscles.
- •Patients having a history of an injury or surgery or instability or deformity including both; cervical spine and shoulder.
- •Patients diagnosed with a neurological disorder including altered sensation, migraine, cervical spondylosis, radiculopathy, or myelopathy, and tumour.
- •Patients with a systemic disease including rheumatoid arthritis, Reiter's syndrome, diabetes, fibromyalgia syndrome, and severe medical or psychiatric disorders.
研究组 & 干预措施
Group A
Experimental group 1.
干预措施: Muscle energy technique combined with the physical therapy program. (Procedure)
Group B
Experimental group 2.
干预措施: Strain counterstrain technique combined with the physical therapy program (Procedure)
Group C
Experimental group 3.
干预措施: The physical therapy program (Procedure)
结局指标
主要结局
Change in cervical flexion range of motion.
时间窗: Change from Baseline cervical flexion range of motion at one month.
Measurement of cervical flexion range of motion using the cervical range of motion device.
Change in cervical right rotation range of motion.
时间窗: Change from Baseline cervical right rotation range of motion at one month.
Measurement of cervical right rotation range of motion using the cervical range of motion device.
Change in neck function.
时间窗: Change from Baseline neck function at one month.
Measurement of neck function using the neck disability index-Arabic version.
Change in the right side pain pressure threshold.
时间窗: Change from Baseline right side pain pressure threshold at one month.
Measurement of right side pain pressure threshold using the pressure algometer.
Change in cervical extension range of motion.
时间窗: Change from Baseline cervical extension range of motion at one month.
Measurement of cervical extension range of motion using the cervical range of motion device.
Change in pain intensity.
时间窗: Change from Baseline pain intensity at one month.
Measurement of pain intensity using the visual analogue scale.
Change in cervical left lateral flexion range of motion.
时间窗: Change from Baseline cervical left lateral flexion range of motion at one month.
Measurement of cervical left lateral flexion range of motion using the cervical range of motion device.
Change in cervical left rotation range of motion.
时间窗: Change from Baseline cervical left rotation range of motion at one month.
Measurement of cervical left rotation range of motion using the cervical range of motion device.
Change in the left side pain pressure threshold.
时间窗: Change from Baseline left side pain pressure threshold at one month.
Measurement of left side pain pressure threshold using the pressure algometer.
Change in cervical right lateral flexion range of motion.
时间窗: Change from Baseline cervical right lateral flexion range of motion at one month.
Measurement of cervical right lateral flexion range of motion using the cervical range of motion device.
次要结局
未报告次要终点
研究者
Mona Mohamed Ibrahim
Principal Investigator
Cairo University