Myofascial Pain Syndrome, Myofascial Trigger Point Pain, Upper Trapezius Trigger Points
Conditions
Keywords
Myofascial Trigger points, upper trapezius, Myofascial pain syndrome, Mtrps
Brief summary
This study looked after the effectiveness of radial ESWT on upper trapezius mtrps. There were three intervention groups which recieved either ESWT or standard care. VAS, PPT, Neck ROM and Cervical functionality were the main outcomes.
Detailed description
This study was a randomized controlled trial consisted of three intervention groups. Two of them recieved ESWT with different parameters in each group, while the third one was standard care recieving Ultrasound therapy, Therapeutic massage and Heat packs Participants were divided randomly into the three groups. Participants were blind to the group allocated and also the therapist and outcome investigator were blind. The participants recieved three weekly sessions. The evaluation took place before therapy, after each session and one month after last session. The outcome measures was the pain intensity with VAS, the pain tolerance to pressure by an algometer device, the range of motion of neck measured by electronic goniometer and and functionality of neck measured by the Northwick Park Neck Pain
Interventions
DEVICEExtracorporeal Shockwave Therapy
1000 pulses at 60 mj, 10 Hz
DEVICEUltrasound therapy, Massage, Heat pack
Ultrasound therapy 5 min, 1,2W/cm2, 10 min Massage, 10 min heat pack
Sponsors
European University Cyprus
Study design
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Pain between shoulder and neck on upper trapezius muscle * Three out of five of Travel and Simons criteria for myofascial trigger points
Exclusion criteria
* Fibromyalgia diagnosis * Systemic diseases diagnosis, * Pacemaker, under 18, * Any kind of cervical disorder or surgery, * Mental disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity on myofascial trigger points | baseline | Visual Analogue Scale 1-10 (1 is the least pain, 10 is the worst pain) |
| Pressure Pain Threshold | baseline | Pain tolerance to compression. Measured in kilos |
| cervical range of motion | baseline | Goniometer (measured in degrees) |
| Northwick Park Neck Pain questionnaire | baseline | functionality of Neck related to pain for daily activities. measured in % (36 questions). Higher the %, greater the disability |
Countries
Cyprus
Outcome results
None listed