Effect of Thoracic Manipulation on Latent Trigger Point

Trigger Points Clinical Trial

Official title:

Effect of Thoracic Manipulation on Muscle Strength and Pressure Pain Threshold in Healthy Individuals With Rhomboid Latent Trigger Point: A Randomized Sham Controlled Study.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05554887
• Other study ID #: 26.07.2022/11
• Status: Completed
• Phase: N/A
• Start date: October 11, 2022
• Est. completion date: December 12, 2022

Study information

• Verified date: December 2022
• Source: Pamukkale University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this study is to investigate the effect of one session thoracic manipulation on pressure pain threshold and rhomboid muscle strength in healthy individuals with latent trigger point.

Description:

Within the scope of the study, all individuals studying at Sarayköy Vocational School and volunteering to participate in the study will be screened.Immediately after determining the latent trigger points in the rhomboid muscles, the participants will be randomized by computer method and divided into 2 groups. Participants who underwent thrust thoracic manipulation will form the study group, and participants who received sham thrust thoracic manipulation will form the control group.Pressure pain threshold will be evaluated with an algometer and rhomboid muscle strength will be evaluated with a hand dynamometer.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 38
• Est. completion date: December 12, 2022
• Est. primary completion date: December 1, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 30 Years

Eligibility

Inclusion Criteria:

• not having any systemic disease
• not having any neuromuscular deficit
• To be defined as inactive (less than 30 minutes of moderate physical activity five times a week) according to the minimum activity guidelines published by the American College of Sports Medicine

Exclusion Criteria:

• Being actively involved in any sport
• Participating in a regular exercise program

Related Conditions & MeSH terms

• Trigger Points

Intervention

Other:
• Thrust manipulation
Participants will be positioned prone and the clinician will perform a high-speed, low-amplitude thrust into the most symptomatic segment of the thoracic spine. TM type, thrust direction, and number of thrusts will be at the clinician's discretion and will be based on the individualized assessment of the patient.
• Sham thrust manipulation
The same protocol will be applied as the push thoracic manipulation application, but no push will be applied.

Locations

Country	Name	City	State
Turkey	Sule Simsek	Denizli	Sarayköy

Sponsors (1)

Lead Sponsor	Collaborator
Pamukkale University

Country where clinical trial is conducted

Turkey, 

References & Publications (2)

Hanney WJ, Puentedura EJ, Kolber MJ, Liu X, Pabian PS, Cheatham SW. The immediate effects of manual stretching and cervicothoracic junction manipulation on cervical range of motion and upper trapezius pressure pain thresholds. J Back Musculoskelet Rehabil. 2017 Sep 22;30(5):1005-1013. doi: 10.3233/BMR-169573. — View Citation

The effect of lower cervical and upper thoracic spinal manipulative therapy on pressure algometer readings of rhomboid and infraspinatus muscles by influencing the fascial tension of the spiral line: Doctoral dissertation, Johannesburg: University of Johannesburg, 2015.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	pressure pain threshold	assessed with algometer	up to 3 months
Primary	rhomboid muscle strength	assessed with hand held dynamometer	up to 3 months