Myofacial Trigger Points of Upper Trapezius
Conditions
Keywords
Myofascial Pain Syndromes Trigger Points Neck Pain Massage Musculoskeletal Pain Physical Therapy Modalities Rehabilitation
Brief summary
This study compares the effectiveness of Massage Gun Therapy and Deep Friction Massage in individuals with upper trapezius myofascial trigger points. The interventions will be evaluated for their effects on pain intensity, pressure pain threshold, cervical range of motion, and neck disability. The aim is to determine which treatment is more effective in reducing pain and improving functional outcomes.
Interventions
OTHERMassage Gun Therapy
Massage Gun Therapy will be applied to the upper trapezius myofascial trigger point using a handheld percussive massage device. Participants will receive treatment for 5 minutes per session, three sessions per week for 2 weeks. The intervention aims to reduce pain, decrease muscle tension, improve pressure pain threshold, and enhance cervical range of motion and functional ability.
OTHERDeep Friction Massage Group
Deep Friction Massage will be applied manually over the upper trapezius myofascial trigger point using transverse friction techniques. Each session will last 5 minutes and will be administered three times per week for 2 weeks. The intervention aims to reduce pain, decrease muscle tightness, improve pressure pain threshold, increase cervical range of motion, and enhance functional ability.
Sponsors
Ibadat International University, Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
24 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
Presence of active trigger points in the upper trapezius (confirmed by palpation, referred pain pattern, and pain reproduction)(travell and simson's method). Moderate to severe pain (VAS\>4/10). No prior treatment for neck/shoulder pain in past 4 weeks. Age 24-45 years (young adults according to WHO classification) Both genders
Exclusion criteria
History of cervical spine surgery or severe musculoskeletal pathology. Neurological deficits. Systemic disease (e.g., rheumatoid arthritis, fibromyalgia). Recent trauma or fractures in the neck/shoulder region. Current pregnancy. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numaric Pain Rating scale(NPRS) | Baseline and post-intervention( From enrollment of first week and then to the end of 2 weeks) | Numeric Pain Rating Scale (NPRS): Pain intensity will be assessed using the Numeric Pain Rating Scale, an 11-point self-reported scale ranging from 0 to 10, where 0 indicates "no pain" and 10 indicates "worst imaginable pain." Participants will rate their current level of pain, with higher scores indicating greater pain intensity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cervical Range of Motion (CROM) Neck Disability Index (NDI) | Cervical ROM (Inclinometer): Baseline and after 2 weeks of intervention. Neck Disability Index(NDI):Baseline and after 2 weeks of intervention. | Cervical ROM (Inclinometer): Cervical range of motion will be measured using an inclinometer to assess neck movements including flexion, extension, lateral flexion, and rotation. Higher values indicate greater cervical mobility and improved neck function. Neck Disability Index(NDI):The Neck Disability Index (NDI) is a self-reported questionnaire used to assess neck-related functional disability. Scores range from 0 to 50, with higher scores indicating greater disability. |
| Neck Disability Index (NDI) | Baseline and after 2 weeks of intervention. | The Neck Disability Index (NDI) is a self-reported questionnaire used to assess neck-related functional disability. Scores range from 0 to 50, with higher scores indicating greater disability. |
Countries
Pakistan
Contacts
CONTACTMUHAMMAD ASHAR RAFI, DPT, MS-NMPT
CONTACTTaila Nazir Malik, DPT
PRINCIPAL_INVESTIGATORMUHAMMAD ASHAR RAFI, DPT, MS-NMPT
Ibadat International University, Islamabad
Outcome results
None listed