Influence of Adding High Power Pain Threshold Ultrasound to Traditional Therapy on Axioappendicular Muscles Amplitude and Fatigue in Mechanical Neck Pain Randomized Clinical Trials

Neck Pain Clinical Trial

— MNP  

Official title:

Influence of Adding High Power Pain Threshold Ultrasound to Traditional Therapy on Axioappendicular Muscles Amplitude and Fatigue in Mechanical Neck Pain Randomized Clinical Trials

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05540093
• Other study ID #: p.t.REC/012/003619
• Status: Completed
• Phase: N/A
• Start date: September 20, 2022
• Est. completion date: January 1, 2023

Study information

• Verified date: January 2023
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study will investigate the effect of adding high power pain threshold ultrasound to traditional therapy on axioappendicular muscles amplitude and fatigue in neck pain

Description:

Myofascial pain syndrome is a common musculoskeletal pain disorder affecting almost 95% of people with chronic pain disorders and is a common finding in especially pain management centres.It is characterized by trigger points, defined as hyperirritable spots within taut bands of skeletal muscle fibers. The syndrome is associated with tenderness in the muscle, referred pain, spasm and restriction of motion. Patients with MPS begin with one active MTrP (called the primary MTrP) in the affected muscles due to chronic repetitive minor muscle strain, poor posture, systemic diseases, or neuro-musculoskeletal lesions. When not treated correctly, expansion of the pain region and additional active MTrPs (called secondary or satellite MTrPs) will develop one of the most appropriate treatments for trigger points ultrasound therapy. The high-power pain threshold ultrasound (HPPTUS) technique is one of the ultrasound modifications used to treat trigger points In 2004, Majlesi et al. performed the first clinical study to compare this technique with the traditional ultrasound technique in patients with myofascial trigger points. The results showed that HPPTUS was much more effective than the traditional technique, and pain reduction and improved range of motion (ROM) were significant in a smaller number of sessions.sixty patients with mechanical neck pain will be assigned randomly to two equal group. one group will receive high power pain threshold ultrasound and traditional therapy and the other receive traditional therapy alone for four weeks. .

Recruitment information / eligibility

• Status: Completed
• Enrollment: 70
• Est. completion date: January 1, 2023
• Est. primary completion date: January 1, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 19 Years to 38 Years

Eligibility

Inclusion Criteria:

• patients with mechanical neck pain from both genders.
• age between 19 and 38 years
• patients will be required to have active TrPs in the upper trapezius and levator muscle and neck pain

Exclusion Criteria:

• Patients will be excluded if they have History of whiplash injury,
• History of cervical spine surgery,
• Cervical radiculopathy or myelopathy,
• Having undergone physical therapy within the past 3 months before the study
• Non- rheumatologic diseases as multiple sclerosis,
• thyroid dysfunction and chronic infection and Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.

Related Conditions & MeSH terms

• Neck Pain

Intervention

Other:
• high power pain threshold ultrasound
After explaining the procedure, and the trigger points will be marked by a physical therapist that . Then, the hand placed next to the prone position with the head in the neutral position, and the hands placed next to the body. The frequency was set to 1 MHz, and the intensity increased from 0.5 to 2 until the patient reported an unpleasant sensation. The probe will be held there for 4 s; then, the intensity was reduced by 50%, and the probe was moved over and around the trigger point. This process is done several times for three minutes.
• traditional therapy
the patients will receive traditional therapy in the form of postural correction exercise, active range of motion and stretching exercise for cervical muscles

Locations

Country	Name	City	State
Egypt	Al Shaymaa Shaaban Abd El Azeim	Giza

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	pain intensity	pain will be measured by visual analogue scale	up to four weeks
Primary	pressure pain threshold	commander algometer device will be used to measure pressure pain threshold	up to four weeks
Secondary	neck disability	neck disability index will be used to measure neck disability.	up to four weeks
Secondary	muscle amplitude and fatigue	electromyography will be used to measure muscle amplitude and fatigue	up to four weeks