Effect of Shock Wave Therapy on Myofascial Pain Syndrome in Adolescent Athletes
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Assessment of pain level
研究概览
简要总结
The purpose of the study is to determine the effect of extracorporeal shockwave therapy on pain, neck range of motion, and functional activity in adolescent athletes.
详细描述
Myofascial pain syndrome is a syndrome characterized by pain and accompanying muscle spasms, referred pain patterns, stiffness, and restricted range of motion caused by trigger points on constricted fibers of muscles and/or fasciae. Myofascial pain syndrome is the most common reason for back pain, shoulder pain, tension-type headaches, and regional pains such as facial pain.
Myofascial trigger points (MTrPs) are understood as the morphological correlate of the myofascial pain syndrome (MPS), an acute or chronic muscular pain condition affecting a single muscle or a group of muscles. Active MTrPs are spontaneously painful, while latent MTrPs are only painful upon pressure. MTrP stimulation can also cause referred pain and the characteristic local twitch response.
The main goal of MPS treatment is to break down the vicious circle of "spasm - pain - spasm" and release trigger points. Various physical therapy modalities such as trigger point injection, stretching-spray technique or ultrasound (US), heat packs and transcutaneous electrical nerve stimulation (TENS), and extracorporeal shock wave therapy (ESWT), are used for the treatment of MPS. These modalities inactivate the trigger point with their thermal and mechanical effects.
Due to the lack of research area of extracorporeal shock wave therapy on myofascial pain syndrome on upper trapezius in adolescents' athletes, so the purpose of the study is to know impact of the extracorporeal shock wave therapy on myofascial pain syndrome on upper trapezius in adolescents' athletes.
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
- 14 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ranges from 14 to 18 years.
- •All adolescents have regional pain complaint.
- •Tenderness in cervical trigger points in the midpoint of the upper border of the trapezius muscle, from grade 2 to grade 4 according to the tenderness grading scheme (Hubbard, 1993) (Appendix II).
- •Palpation of a trigger point elicits a stereotypic zone of referred pain specific to that muscle.
- •Identification of a palpable taut band, as well as a palpable, and exquisitely tender spot along the length of that taut band.
- •All adolescents are allowed to practice their regular sports activities.
排除标准
- •Dermatological disorders.
- •Having myofascial trigger points injection.
- •Chronic pain in both sides of the body.
- •History of findings of cervical injury whether orthopedic or soft tissue injury.
- •Analgesic drugs or NSAIDs during the treatment period.
研究组 & 干预措施
Designed physical therapy program
It will consist of 20 adolescents, who will receive a designed physical therapy program for the treatment of Myofascial pain syndrome.
干预措施: Designed physical therapy program (Other)
Designed physical therapy program + Extracorporeal shock wave therapy (ESWT)
It will consist of 20 adolescents, who will receive the same designed physical therapy program in addition to extracorporeal shock wave therapy (ESWT).
干预措施: Designed physical therapy program (Other)
Designed physical therapy program + Extracorporeal shock wave therapy (ESWT)
It will consist of 20 adolescents, who will receive the same designed physical therapy program in addition to extracorporeal shock wave therapy (ESWT).
干预措施: Extracorporeal shock wave therapy (ESWT) (Other)
结局指标
主要结局
Assessment of pain level
时间窗: 4 weeks
By Pain Quality Assessment Scale (PQAS), which help to measure different aspects of pain. For one patient, a pain might feel extremely hot and burning, but not at all dull, while another patient may not experience any burning pain, but feel like their pain is very dull and achy. High test-retest reliability has been observed in both literate and illiterate patients with neuropathic pain, for construct validity, was high in patients with chronic pain conditions. The scale creates a 20- item measures that would be even more useful for assessing neuropathic pain and also would be used to assess pain qualities associated with non-neuropathic pain. PQAS can be scored as individual ratings (20 items), or the PQAS items can be combined into composite scores.
次要结局
- Assessment cervical flexion range of motion (ROM)(4 weeks)
- Assessment cervical extension range of motion (ROM)(4 weeks)
- Assessment cervical lateral flexion ROM to the right(4 weeks)
- Assessment cervical lateral flexion ROM to the left(4 weeks)
- Assessment cervical rotation ROM to the right(4 weeks)
- Assessment cervical rotation ROM to the left(4 weeks)
- Assessment of functional activity of neck(4 weeks)
研究者
Mohamed Hafez Mohamed
Principal Investigator
Cairo University