Trigger Point Pain, Myofascial
Conditions
Keywords
Muscle Energy Technique, Myofascial, Trigger Point, Upper Trapezius, Strain-counterstrain
Brief summary
Aim of the study To determine the comparative effects of muscle energy technique and strain counter strain in upper trapezius trigger point.
Detailed description
A Randomized Controlled trial will be conducted after approval of synopsis. To enroll patients Purposive sampling technique will be used. Patients will be selected according to the pre-defined inclusion and exclusion criteria. The enrolled patients will be allocated into two groups, group A and group B. On Group A muscle energy technique will be applied for 30 seconds and repeat 3 to 5 times per on treatment session and Group B will be treated with strain counter strain for 20-30 seconds and repeat this process for up to five times. Assessment will be done at baseline, 2nd week, 4th week and 6th week of treatment. Follow up will be assessed 15 days after completion of treatment protocol. The patients' outcome will be measured by Visual Analog Scale for pain intensity and Neck Disability Index . Informed consent will be taken from each patient. Statistical Package of Social Sciences software, version 20 will be used for the analysis of data.
Interventions
OTHERStrain-counterstrain
Strain-counterstrain is also used for manual Trigger Point processing. This involves identifying active TRP and then applying pressure until a ridiculous reaction occurs. The area is then positioned to reduce tension in the injured muscle and later reduce tripod pain. When the pain subsides, the tissues that are most stressed feel relaxed and there is a local decrease in the ground
OTHERMuscle Energy Technique
Muscle Energy Technique is a common way to achieve muscle tension release (stop) before stretching other's adductor muscles
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Our study will be single-blinded, outcome assessor-blinded. The assessor will be blinded to avoid being biased during the outcome assessment.
Eligibility
Sex/Gender
ALL
Age
18 Years to 34 Years
Healthy volunteers
No
Inclusion criteria
1. Participants who are 18 to 34 years old 2. In upper trapezius From 2 weeks Had mechanical neck pain and was diagnosed with active myofacial Trigger points 3. Subjects have to exhibit a tendor point in the upper trapezius muscle either on the left or right side 4. Local pain is greater than 3/10 on Visual Analog scale
Exclusion criteria
1. Patient with cervical radiculopathy 2. Patients with Fibromyalgia syndrome 3. Patients who had cervical spine surgery 4. Patient with myelopathy 5. Patients who had myofacial pain therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale | 12th Week | A Visual Analogue Scale is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms. |
| Neck Disability Index | 12th Week | The Neck Disability Index is a 10-item questionnaire that measures a patient's self-reported neck pain related disability. A higher Neck Disability Index score means the greater a patient's perceived disability due to neck pain |
| Goniometer | 12th Week | Goniometer has been the most widely used tool for measuring joint range of motion. To ensure reliable measurement, standardized, specific positions and landmarks are used to measure Cervical lateral flexion range of motion. |
Countries
Pakistan
Outcome results
None listed