Trigger Point Pain, Myofascial
Conditions
Brief summary
to investigate the effects of Magnesium Sulphate Iontophoresis versus High Power Pain Threshold Ultrasound on pain, function and range of motion on active MTrPs found in the upper trapezius.
Detailed description
Myofascial pain syndrome (MPS) is a musculoskeletal chronic pain disorder that affects the majority of pain population and characterized by the presence of trigger points. MPS is usually associated with tenderness, spasm, movement limitation and referred pain . Myofascial trigger points (MTrPs) are hyperirritable taut fibers of skeletal muscle. The taut fibers within the muscle create palpable nodules that may cause local pain, and refer pain elsewhere with soft tissue examination .
Interventions
will receive Mgso4 Iontophoresis in addition to conventional therapy twice a week/4 weeks
will receive HPPT-US on the upper trapezius in addition to conventional therapy twice a week/4 weeks
will receive postural correction exercise-stretching and strengthening twice a week/4weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects, with age ranged from 19-23 years (Forman et al, 2014) from both genders. The subjects had active MTrPs in the upper fibers of trapezius muscle.
Exclusion criteria
* • History of whiplash injury. * History of cervical spine surgery. * Cervical radiculopathy or myelopathy. * Having undergone physical therapy within the past three months before the study. * Non- rheumatologic diseases as multiple sclerosis, thyroid dysfunction and chronic infection. * Rheumatologic condition as poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity | up to four weeks | The scale that will be used the VAS ;each subject will instructed to put point on line from no pain to tolerable pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain pressure threshold (PPT) | up to four weeks | Pain pressure threshold (PPT) is used to measure deep muscular tissue sensitivity by Algometer. |
| neck disability | up to four weeks | will be measured by Arabic neck disability index |
| range of motion | up to four weeks | will be measured by myrin gravity reference goniometer |
Countries
Egypt