Myofascial pain syndrome is one of the most musculoskeletal pain conditions, characterized by the presence of a myofascial trigger point, which produces localized and referred pain to particular area upon irritation, most common active trigger point found in upper trapezius muscle Myofascial pain syndrome, Upper trapezius, Repetitive magnetic stimulation, High intensity laser therapy, Pain reduction, Randomized Controlled Trial, Rehabilitation, Physical Therapy modalities, Non invasive treatm
Conditions
Interventions
round coil, total 3500 pulses, 10 minutes, twice a week for 3 weeks and exercise for upper trapezius myofascial pain syndrome which include stretching upper trapezius muscle and isometric strengthenin
power 3 watts, total energy 900 J, 10 minutes, twice a week for 3 weeks and exercise for upper trapezius myofascial pain syndrome which include stretching upper trapezius muscle and isometric strength
Experimental Device,Active Comparator Device
rPMS + exercise ,HILT + exercise
Sponsors
Ramathibodi hosital, Mahidol university
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1. Patients with chronic neck pain and diagnosed with myofascial pain syndrome by Travell and Simons criteria, 2. Patients with taut band in upper trapezius and at least one active trigger point, 3. Persistent pain more than 3 months, 4. Patients with VAS greater than or equals to 4, 5. Patients aged 18-60 years
Exclusion criteria
Exclusion criteria: 1. Patients suspected of fibromyalgia syndrome, cervical myelopathy or radiculopathy, disc herniation, spinal stenosis, history of trauma, or pathologic findings on cervical x-ray, 2. Patients with a history of spine surgery, 3. Patients with cancer or tumors in the neck region, 4. Patients who received any myofascial pain syndrome treatment within 6 months, 5. Patients who received any treatment with repetitive magnetic stimulation or high intensity laser therapy, 6. Patients with contraindication for magnetic stimulation: cardiac pacemaker, metallic implants near the stimulation side, 7. Patients with pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analog Scale (VAS) Baseline, immediately after second, fourth, sixth session, 1 week, and 1 month post session The scale consists of a single line of 10-centimeter line that represents the continuum of pain experience. The left end of the line represents no pain, and the right end represents the worst pain. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pressure pain threshold (PPT) Baseline, immediately after second, fourth, sixth session, 1 week, and 1 month post session A pressure algometer was placed directly over the active myofascial trigger point. Pressure was applied and ceased immediately when the patient reported pain. The result recorded in kg/cm2,Neck disability index Thai version (NDI-TH) Baseline, immediately after second, fourth, sixth session, 1 week, and 1 month post session Neck disability index is a specific task functional status questionnaire with 10 items to assess disability due to neck pain. | — |
Countries
Thailand
Contacts
Public ContactNatthikul Thanteeraphap
Faculty of Medicine Ramathibodi hospital, Mahidol university
Outcome results
None listed