myofascial trigger points.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age 18 to 45 years The dominance of the right hand Ability to perform active movement in the full range of abduction and scaption and internal rotation of the shoulder There is only one trigger point in the upper trapezius muscle based on clinical findings that have the following characteristics:1- Touching the taut band inside the muscle2- Existence of a very sensitive point inside the taut band3. The presence of pain at least three based on the VAS scale in the initial evaluation4- The occurrence of a refferal and familiar pain pattern when stimulating a taut band.
Exclusion criteria
Exclusion criteria: History of shoulder surgery or trauma (dislocation, replacement, joint sprain) in the last 6 months History of chronic or acute diseases such as neurological, cardiac and metabolic diseases Pregnancy during the test Skin lesions, infections or inflammation in the trigger point area Take sedatives before or during treatment History of neck trauma injuries (Wiplash injury) History of neck surgery Any malignancy and bad posture Fibromyalgia syndrome Drug abuse Consumption of corticosteroids reatment of trigger points in the past month evere hearing problems - vision and color blindness Epilepsy Taking any medication or any specific illness that affects a person's cognitive symptoms Drink any stimulant drink (such as tea, alcohol, coffee and cocoa) before the test session. People with lower education than diplomas
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain Pressure threshold that the pressure sensation becomes a sensation of pain or discomfort. Timepoint: Three times before and immediately after treatment. Method of measurement: The algorithmic device has a disc with a cross-sectional area of 1 cm2, which is pressed perpendicular to the desired point, to start the patient's pain.This test is performed 3 times for each point with a time interval of 30 seconds and an average of three data is recorded.;Pain measured by the visual scale of pain, which is between zero and ten. Timepoint: before and immediately after treatment. Method of measurement: The visual scale of the pain is a 100 mm unmarked ruler, with the number zero in the painless position and the number 100 in the most painful position. After acquainting the person with this diagram, we ask him to mark the amount of pain on the ruler. We then measure the distance from the zero point to the mark.;The range of motion of the sideflexion of the neck that is 25 to 45 degrees. Timepoint: Three times before and immediately after treatment. Method of measurement: The patient is placed in a flat position with a 90-degree flexion of the knee and thigh while the hands are resting on the thighs. The method of measurement is that the Goniameter axis is placed on the spinous process of seventh cervical vertebra. the fixed arm of the Goniameter perpendicular to the ground and its movable arm is placed parallel to the hypothetical vertical line of the head. To measure range of motion, the movement of the head is placed in an anatomical position and the end of the movement of the ear is close to the shoulder.;Age. Timepoint: Before treatment, which should be between 18 and 45 years. Method of measurement: Through a questionnaire and by year. | — |
Countries
Iran (Islamic Republic of)
Contacts
Tehran University of Medical Sciences