Neck Pain, Trigger Point Pain, Myofascial
Conditions
Keywords
Physiotherapy, Rehabilitation, Treatment, Active Trigger Point
Brief summary
Hyperexcitable myofascial trigger points located within a taut band of skeletal muscle or fascia cause referred pain, local tenderness, and autonomic changes. The scientific data refer to an immediate improvement in the symptoms of these active points treated with manual therapy. Based on these factors, the objective of the study is to determine the effect of the combined therapy of the Jones, Chaitow, Lewit technique and pain-free positioning in participants with the presence of an active upper trapezius trigger point.
Detailed description
The treatment will last a total of 15 minutes accompanied by a baseline assessment and after 10 minutes of the intervention in 3 experimental groups and a placebo group, of no-pain positioning. In addition to basic indices and scales of cervical pain and functionality, it is intended to measure flexibility, range of motion, proprioception and cognition through software with sensors of the latest technology when it comes to representing reliable results in differences between techniques.
Interventions
No pain positioning technique with diaphragmatic breathing
OTHERLewit Group
Isometric muscular exercise acompained with stretching technique
OTHERChaitow Group
Isometric muscular exercise acompained with stretching technique and diaphragmatic breathing
OTHERPlacebo Group
No pain positioning of participants
Sponsors
Universidad Católica San Antonio de Murcia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
19 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* persistent neck pain or headache for more than 3 days * presence of active trigger point in upper trapezius
Exclusion criteria
* Participants who present dizziness, vertigo and/or symptoms aggravated by the movement and/or positioning of the neck; * who present infection or febrile state at the time of performing the test; * with anxiety and/or extreme emotional tension; * who are undergoing pharmacological treatment (analgesics, muscle relaxants, anxiolytics, antidepressants)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neck Disability Index | 10 minutes | Self-completed neck questionnaire wich consists in 10 sections. Each one of them (cervical pain intensity, personal care, lifting weights, reading, headache, ability to concentrate, ability to work, driving, sleep and leisure activities) offers 6 possible answers that represent 6 progressive levels of functional capacity, and is scored from 0 to 5. The total score is expressed in percentage terms with respect to the maximum possible |
| Pain intensity | 10 minutes | Measured with Numeric Rating Scale wich consist in measure pain intensity with a score of 0-10 |
| Pression algometer | 10 minutes | Measures pressure pain thresholds |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cervical Test | 10 minutes | Measured with Baiobit Software. The range of movement will be measured in grades as per: flexion/extension; right/left rotation; and right/left inclination |
| Proprioceptive Test | 10 minutes | Measured with Baiobit Software o'clock test in a high/medium/low levels wich consist in a velocity and accuracy evaluation of combined cervical movements in the o'clock game test. |
Countries
Spain
Outcome results
None listed