Trapezius Myalgia
Conditions
Keywords
Pain, Range of Motion, Functional Movement
Brief summary
This randomized clinical trial investigates the synergistic effects of stripping massage and Post-Isometric Relaxation (PIR) on pain alleviation, ROM and functional movement improvement in individuals with Trapezius myalgia. A purposive sampling approach will select participants aged 18 and 50 years. A total of 44 patients will be taken, who will be randomly divided into two equal groups, each containing 22 patients. Group A will receive standard baseline management, supplemented with heating pad, active stretching, isometrics and ischemic compression, while Group B will receive the combined management (stripping massage + PIR) .
Detailed description
The study will assess pain intensity using NPRS, ROM using goniometer and neck disability or functional movement of neck using Neck Disability Index (NDI) at baseline and four weeks follow-up. Ethical approval and informed consent will ensure the study's integrity. The primary outcomes will focus on pain reduction and improved neck function, with secondary outcomes including trigger point severity and range of motion. Data analysis will utilize SPSS version 25. This study aims to provide valuable insights into the combined efficacy of stripping massage and PIR, ultimately informing evidence-based practice and enhancing patient outcomes in patients with trapezius myalgia.
Interventions
OTHERStripping Massage Technique:
* The back of the neck and shoulder were uncovered. * Controlled and steady pressure was administered using the thumb along the entirety of the tense trapezius muscle, moving from origin to insertion and perpendicular to the muscle fibers, for approximately 3 minutes, twice weekly over a period of 4 weeks. * The pressure was progressively raised with each subsequent stroke, based on tolerance level.
* During the PIR intervention, the patients rested in a supine position with their necks tilted to the side, away from the affected side, placing the upper trapezius muscle fibers in a stretched position. * A moderate isometric contraction, around 75% of the patient's maximum effort, was performed by the upper trapezius and maintained for 5 seconds, followed by a 3-second relaxation phase. * The therapist then gently mobilized the cervical spine to a new range of motion barrier. * This sequence was repeated four times per session.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Presenting with neck pain and stiffness * Experiencing tightness in the upper trapezius muscle * Having pain at rest, local twitch response or jump sign in upper trapezius * Patients having functional limitations while performing certain activities of everyday living.
Exclusion criteria
* Patients with an NPRS score of 3 or less. * Presence of structural abnormalities like torticollis or scoliosis. * Presence of skin disease on the back. * Having undergone upper limb surgery within the past year . * Participation in another clinical trial. * Severe psychiatric conditions that would impair participation or compliance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NPRS | 4 weeks | The Numerical Pain Rating Scale (NPRS) is a numeric adaptation of the Visual Analogue Scale (VAS). In this version, the patient selects a number from 0 to 10 that best represents the intensity of their pain. This 11-point scale ranges from no pain to worst pain imaginable, where 0 indicates no pain and 10 signifies extreme pain. |
| Universal Goniometer | 4 weeks | Range of motion (ROM) is a crucial parameter for assessing movement limitations. While clinicians commonly use goniometers to measure ROM, the accuracy of this method largely relies on the clinician's skill and experience. |
| NDI | 4 Weeks | The NDI (Neck Disability Index) is a condition-specific, patient-completed questionnaire consisting of 10 items designed to evaluate pain and functional status, primarily used for reporting neck pain. Each item on the scale is scored from 0 to 5, with the total score interpreted as a percentage. A score of 0 points (0%) indicates no activity limitation, while a score of 50 points (100%) indicates complete activity limitation. The NDI is a reliable and valid questionnaire for neck pain patients, with interclass correlation coefficients ranging from 0.50 to 0.98 |
Countries
Pakistan
Contacts
Primary ContactAyesha Mashal, MS student
Backup ContactMuzna Munir, PhD Scholar
Outcome results
None listed