Myofascial Pain Syndrome (MPS) in the Upper Trapezius muscle of the neck and shoulder region Myofascial Pain Syndrome Trigger point Upper Trapezius Repetitive Peripheral Magnetic Stimulation Pain Pressure Threshold Visual Analog Scale Muscle strength Neck Disability Index Cervical Range of Motion
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Symptom Duration: Chronic neck pain more than 3 months interfering with work or daily activities 2. Confirmed myofascial pain syndrome with upper trapezius involvement 3. Moderate pain (VAS score 4-6) 4. Voluntary written consent
Exclusion criteria
Exclusion criteria: 1. Physical modalities used within past 3 months, or other concurrent therapy such as manual therapy, dry needling, massage, other physical therapy 2. Previous magnetic stimulation device use on any time 3. Cervical radiculopathy, musculoskeletal injury, scoliosis, myelopathy, fibromyalgia, migraine, postmenopausal syndrome 4. Autoimmune disorders, malignancy, rheumatoid arthritis 5. Metabolic Diseases such as Diabetes, thyroid disorders, low serum vitamin D levels 6. Contraindications of rPMS : Pregnancy, untreated cancer, epilepsy, pacemaker, cochlear implant, metal implants in skull/spine 7. Severe communication or cognitive problems 8. Recent use of NSAIDs or opioids within past 2 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain Pressure Threshold before treatment, 2wk, 4wk, 6wk and after treatment ends at 1 mo. kg/s, Algometry | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual analog scale before treatment, 2wk, 4wk, 6wk and after treatment ends at 1 mo. mm.,Upper Trapezius muscle strength before treatment, 2wk, 4wk, 6wk and after treatment ends at 1 mo. Dynamometer,Cervical range of motion before treatment, 2wk, 4wk, 6wk and after treatment ends at 1 mo. Goniometer,NDI-TH before treatment, 2wk, 4wk, 6wk and after treatment ends at 1 mo. points | — |
Countries
Thailand
Contacts
Faculty of Medicine, Chulalongkorn Hospital