Musculoskeletal Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: a minimum of 1 palpable nodule in the upper trapezius muscle hypersensitive tender spot in a taut band in response to 2.5 kg/cm2 of pressure
Exclusion criteria
Exclusion criteria: 1-A contraindication to manual therapy (inclusive of osteoporosis, thoracic fracture, spinal infection, neoplastic disorders, spondyloarthropathy, clinical examination suggestive of frank disc herniation). 2-A contraindication to Graston technique (inclusive of neoplastic disorders, kidney infection, anticoagulant medication, rheumatoid arthritis, uncontrolled hypertension, thoracic fracture, osteomyelitis or generalized infection) 3-An active history of visceral conditions referring pain to the thoracic spine (inclusive of myocardial ischemia, dissecting thoracic aortic aneurysm, peptic ulcer, acute cholecystitis, pancreatitis, renal colic, acute pyelonephritis) 4-currently receiving care for thoracic pain from any other provider 5-Myofascial pain therapy within the month before the study, 6- Active TP or jump sign.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain pressure threshold that will be determined by pressure algometer, cervical range of motion that will be assessed by inclinometer | — |
Secondary
| Measure | Time frame |
|---|---|
| functional level assessed by neck disability index | — |
Countries
Egypt
Contacts
lecturer at faculty of physical therapy at Egyptian Chinese University