Clinical Trial Details
— Status: Active, not recruiting
Administrative data
| NCT number |
NCT05296226 |
| Other study ID # |
IRB-UOL-FAHS/1085/2021 |
| Secondary ID |
|
| Status |
Active, not recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
January 3, 2020 |
| Est. completion date |
May 24, 2022 |
Study information
| Verified date |
February 2022 |
| Source |
University of Lahore |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Neck pain can occur from a number of conditions, most common is trigger points. Trigger
points are of two point one is active and other is latent trigger point, hyperirritable spots
located in a taut band of skeletal muscle. They produce pain locally and in a referred
pattern and often accompany chronic musculoskeletal disorders. Acute trauma or repetitive
micro trauma may lead to the development of stress on muscle fibers and the formation of
trigger points Khadijeh Otadi and her colleague study in 2020, to compare immediate and
short-term effects of combining dry needling patient education vs ischemic compression
patient education for treating myofascial trigger points in office workers with neck pain.
Both intervention groups had some positive immediate and short-term effects after 2 treatment
sessions. However, Ischemic compression was more effective than Dry needling in the treatment
of MTPs in office workers with neck pain.
Study design: randomized control trial (RCT) Settings: study will be conducted in DHQ
hospital Okara physiotherapy department.
Duration of study: nine months after the approval of synopsis. Sample Size: 72 patients will
be randomly divided into two equal groups of 36 each.
Description:
A trigger points is composed of numerous so-called contraction knots. An individual
contraction knot appears as a segment of a muscle fiber with extremely contracted sarcomeres
and an increased diameter. 2 Trigger point can occur in a number of muscles but they are most
common in rhomboid and trapezius muscles. The trapezius is a large paired trapezoid-shaped
surface muscle that extends longitudinally from the occipital bone to the lower thoracic
vertebrae of the spine and laterally to the spine of the scapula. The trapezius has three
functional parts: upper, middle and inferiorfinding typically associated with a trigger
point. 5 Active trigger point is any point that causes tenderness and referral pain pattern
on palpation. Almost always central trigger points are active and some satellite trigger
points are also active. Active trigger points usually produce referred pain and tenderness.
In contrast, latent trigger points are foci of hyperirritability in a taut band of muscle,
which are clinically associated with a local twitch response, tenderness and referred pain
upon manual examination A researcher assessed in 2017, the immediate neurophysiological and
clinical effects of DN in patients with upper trapezius MTrPs. The results of this study
showed that one session of DN targeting active MTrPs appears to reduce hyperactivity of the
sympathetic nervous system and irritability of the motor endplate. DN seems effective at
improving symptoms and deactivating active MTrPs.
A study was conducted by Aleksandra k et al in 2018 that aimed to assess the effects of
compression trigger point therapy on the stiffness of the trapezius muscle in professional
basketball players. Study confirmed that a single treatment session of active myofascial
trigger points with ischemic compression causes a decrease in muscle stiffness of the upper
portion of the trapezius muscle. A decrease of muscle stiffness has been suggested to improve
deficits in range of motion and thereby lower the risk of injuries among baseball players.
The patient's total session of treatment will be 4 weeks. The date will be collected by using
questionnaire Neck disability index and Numerical pain rating scale. The number of patients
will be randomly allocated 72 patients and 36 patients in each group. And they will be given
session of dry needling and ischemic compression in 3 alternate days in a week. Results will
be noted immediate after the treatment session then again note the response 3 days after
treatment session and ultimately note the response 1 month after the treatment session
