Neck Pain
Conditions
Keywords
Extracorporeal Shockwave Therapy, Ultrasonography Changes, Non Specific Neck Pain
Brief summary
this study will be conducted to investigate the effect of Extracorporeal Shockwave Therapy on Ultrasonography Changes of Upper Trapezius Myofascial Trigger Points in Patients With Non Specific Neck Pain
Detailed description
Neck pain is one of the most commonly reported musculoskeletal disorders. The prevalence for neck pain varies between 16.7% and 75.1% in the general population. Up to 67% of world's population may present chronic non-specific neck pain at least once in their lives. The upper trapezius is probably the muscle most often beset by trigger points, it is indicated that the upper trapezius is the most sensitive of 8 different muscles (upper trapezius, pectoralis major, levator scapulae, teres major, supraspinatus, gluteus medius, infraspinatus, paraspinal) to the pressure of an algometer.Recently, the extracorporeal shock wave has been widely known to be an effective therapeutic modality in myofascial pain syndrome treatment and a systematic review provided promising insight into the effectiveness of ESWT in Myofascial pain syndrome treatment. sixty patients with non specific neck pain will be assigned randomly to two groups; first one will receive shock wave therapy and traditional therapy and the second one will receive traditional therapy only for six weeks.
Interventions
OTHERExtracorporeal Shockwave therapy
the patients will receive Extracorporeal Shockwave therapy sessions by 600 impulses with 1.6 bar pressure at a frequency of 8 Hz on site of the upper trapezius
OTHERTraditional physical therapy
the patients will receive Traditional physical therapy in the form of Integrated neuro-muscular inhibition technique + posture correction and scapular stabilization exercises.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
opaque sealed envelope
Intervention model description
extracorporeal shockwave and traditional therapy
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Sixty patients receiving a diagnosis of non-specific neck pain with upper trapezius myofascial trigger points by an orthopaedist physician. * Body mass index of participants was normal less than (30 kg/m2)(Al-asadi, 2018). * Age over 18 years. * Presence of taught band. * Presence of hyper irritable spot in a taught band, and reproduction of the typical referred pain pattern of the myofascial trigger point in response to compression
Exclusion criteria
* Having signs and symptoms of neurological disorders that cause nerve root compression. * Headache as a consequence of specific headache diagnosis. * Having a history of specific signs of malignancy, or infection. * Having a history of trauma with or without proven structural disorders in the region of the neck, shoulder, and head (e.g. whiplash). * Having signs and symptoms of cerebrovascular insufficiency. * Having a severe chronic disease of the locomotor system (e.g. polyarthritis, muscular disease * Any participant with contraindications to shock wave therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| muscle thickness | up to six weeks | Ultrasonography device will be used to assess muscle thickness |
| hypoechoic area intensity | up to six weeks | An ultrasonography device will be used to assess the hypoechoic area intensity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| neck disability | up to six weeks | Arabic version of neck disability index will be used to measure neck disability. It consists of 10 questions: pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. 5 Each item is scored from 0 (no disability) to 5 (total disability). The maximum possible score is 50. |
| pressure pain threshold | up to six weeks | Digital algometer will be used to measure pressure pain threshold |
| cervical range of motion | up to six weeks | The cervical range of motion (CROM) device will be used to measure cervical ROM |
| pain intensity | up to six weeks | The visual analog scale (VAS) will be used to measure pain intensity. it is a10 cm line, oriented vertically or horizontally, with one end representing no pain and the other end representing pain as bad as it can be |
Contacts
Primary ContactMahmoud Fouad, master
Backup ContactMaher El keblawy, professor
Outcome results
None listed