Myofascial pain syndrome. Chronic widespread pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Females aged 18 to 50 years old with bilateral myofascial pain syndrome of the upper trapezius muscle. As stated by Simon’s diagnostic criteria, following sings should be present: Five majors: 1. Pain in a region 2. Pain referring to another area 3. A tight muscle band 4. A tender/painful location in the tight muscle band 5. Limited ROM. One minor: 1. Pain that can be regenerated by applying pressure on the location of the tender area 2. A local twitch response in the affected area 3. With prolonged neck and/or shoulder region pain, pain relief that can be achieved with injection or stretching. Complaint of pain from at least 8 weeks. Pain score between 30mm to 80mm on VAS. Neck extension range up to 30 degrees. Neck right and left side flexion range up to 20 degrees. NDI score between 10 and 24
Exclusion criteria
Exclusion criteria: Neck or shoulder pain that has lasted less than 8 weeks Within the previous three months, local injectable physiotherapy Infection Febrile state Cervical radiculopathy symptoms Hypertension that has not been treated Coagulatory disease or anticoagulant therapy Injury to the cervical spine or surgery Implants and metal devices
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Pain measurement by visual analogue scale.;Neck disability Index. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Neck functioning measurement by neck disability index. | — |
Secondary
| Measure | Time frame |
|---|---|
| (1) Cervical extension ROM. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Ranges of motion are measured by goniometry.;Cervical right lateral flexion ROM. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Ranges of motion are measured by goniometry.;Cervical left lateral flexion ROM. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Ranges of motion are measured by goniometry. | — |
Countries
Pakistan
Contacts
The University of Faisalabad