Trigger Point Pain, Myofascial
Conditions
Brief summary
This trial will involve three groups. The Integrated Neuromuscular Inhibition group will receive the integrated neuromuscular inhibition technique. The cervical and Scapular stabilization group will receive cervical and scapular stabilization exercises. The ultrasound group will receive ultrasound therapy
Interventions
a device that transmit ultrasound waves to the participant through direct contact
Integrated Neuromuscular technique is a kind of Manual therapy which include Ischemic Compression, Strain counter-strain and muscle energy technique
Cervical and Scapular Stabilization exercises are a group of therapeutic exercises.
Sponsors
Study design
Masking description
double blind
Eligibility
Inclusion criteria
* Patients with active trigger points in the upper trapezius for more than 2 weeks based on the Simons Criteria. * Age ranged from 18-25 years. * Pain intensity ≥ 3 on VAS. * Females and males.
Exclusion criteria
* Patients indicated for surgery. * Patients with symptomatic disc lesions. * Patients with rheumatological diseases or traumatic neck injury. * Patients injected with corticosteroids in the last 6 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale (VAS) | 1-3 months | Visual Analogue Scale is a scale that measures pain intensity. Subjects will instructed to indicate their current pain by marking a point on a 10 mm transverse line with 0 degrees meaning no pain and 10 meaning the worst pain |
| Pressure Pain Algometer | 1-3 months | The pressure pain Algometer is a device that measures the pain threshold of the subjects. |
| Neck Pain and Disability Questionnaire (NDI) | 1-3 months | Neck Pain and Disability is a questionnaire that measures neck pain and disabilities in subjects. Each question in the questionnaire will explained in detail and the subject will be asked to select one sentence out of six that best describes their function, a higher score indicates a great loss of function. |
| 36-item Short-Form Health Questionnaire | 1-3 months | 36-item Short-Form Health Questionnaire will measure quality of life |
Countries
Egypt