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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04360668
Other study ID # PoznanUPhyEd
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date April 29, 2020
Est. completion date May 12, 2020

Study information

Verified date May 2020
Source Poznan University of Physical Education
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The main objective of this study is to evaluate the effectiveness of therapy which will be a combination of Muscle Energy Technique (MET) and Trigger Point Therapy (TPT), performed bilaterally on the upper trapezius muscle in the group of asymptomatic persons with latent trigger point. The study will show whether one-time therapy has an impact on: mobility of the cervical spine, biophysical parameters (muscle tone, stiffness and elasticity) of soft tissues and pressure pain threshold of upper trapezius muscle. An additional goal will be to compare the effectiveness of the three treatments used: combination of MET with TPT, single MET and single TPT.

Research hypotheses:

- The combination of MET with TPT will increase the angular ranges of basic cervical spine movements immediately after the therapy and these effects will persist the second day after the intervention.

- The combination of MET with TPT will increase the elasticity and reduce muscle tone and stiffness in the area of the upper trapezius immediately after the therapy, and these effects will persist the second day after the intervention.

- The combination of MET with TPT will increase the pressure pain threshold of upper trapezius muscle immediately after the therapy, and this effect will persist the second day after the intervention.

- The combination of MET with TPT will be more effective than single MET and single TPT methods.

Muscle Energy Techniques (MET) can be defined as a group of soft tissue manipulation methods. They are a multi-task techniques that can be performed to improve the function of the musculoskeletal system and reduce pain. METs are used by clinicians who treat various myofascial and joint dysfunctions as well as a form of prevention and protection of the musculoskeletal system.

Trigger point therapy (TPT) uses manual techniques such as ischemic compression (IC), positional release (PR), dry needling and soft tissue manipulations [TP1]. Their main purpose is to reduce or eliminate the symptoms generated by myofascial trigger points (TrPs), which are defined as severely irritated areas within the hypertonic muscle fiber band or the fascia itself. Latent TrPs are described as those that do not generate symptoms on their own. However, they can cause refered pain at the time of provocation, i.e. pressure at the place of their occurrence.

In the scientific literature there are no reports on the assessment of the combination of MET with TPT


Description:

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Study Design


Related Conditions & MeSH terms


Intervention

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Locations

Country Name City State
Poland Poznan University of Physical Education, Department of Biology and Anatomy, Department of Motor Organ Rehabilitation Poznan Wielkopolska

Sponsors (1)

Lead Sponsor Collaborator
Poznan University of Physical Education

Country where clinical trial is conducted

Poland, 

References & Publications (20)

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Outcome

Type Measure Description Time frame Safety issue
Primary Cervical Anterior Flexion before the intervention Electrogoniometric measurement of the angular range of motion immediately before the intervention. PRE (immediately before the intervention)
Primary Cervical Anterior Flexion after the intervention Electrogoniometric measurement of the angular range of motion immediately after the intervention. POST (immediately after the intervention)
Primary Cervical Anterior Flexion on the next day after the intervention Electrogoniometric measurement of the angular range of motion on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
Primary Cervical Posterior Flexion before the intervention Electrogoniometric measurement of the angular range of motion immediately before the intervention. PRE (immediately before the intervention)
Primary Cervical Posterior Flexion after the intervention Electrogoniometric measurement of the angular range of motion immediately after the intervention. POST (immediately after the intervention)
Primary Cervical Posterior Flexion on the next day after the intervention Electrogoniometric measurement of the angular range of motion on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
Primary Cervical Right Flexion before the intervention Electrogoniometric measurement of the angular range of motion immediately before the intervention. PRE (immediately before the intervention)
Primary Cervical Right Flexion after the intervention Electrogoniometric measurement of the angular range of motion immediately after the intervention. POST (immediately after the intervention)
Primary Cervical Right Flexion on the next day after the intervention Electrogoniometric measurement of the angular range of motion on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
Primary Cervical Left Flexion before the intervention Electrogoniometric measurement of the angular range of motion immediately before the intervention. PRE (immediately before the intervention)
Primary Cervical Left Flexion after the intervention Electrogoniometric measurement of the angular range of motion immediately after the intervention. POST (immediately after the intervention)
Primary Cervical Left Flexion on the next day after the intervention Electrogoniometric measurement of the angular range of motion on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
Primary Cervical Right Rotation before the intervention Electrogoniometric measurement of the angular range of motion immediately before the intervention. PRE (immediately before the intervention)
Primary Cervical Right Rotation after the intervention Electrogoniometric measurement of the angular range of motion immediately after the intervention. POST (immediately after the intervention)
Primary Cervical Right Rotation on the next day after the intervention Electrogoniometric measurement of the angular range of motion on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
Primary Cervical Left Rotation before the intervention Electrogoniometric measurement of the angular range of motion immediately before the intervention. PRE (immediately before the intervention)
Primary Cervical Left Rotation after the intervention Electrogoniometric measurement of the angular range of motion immediately after the intervention. POST (immediately after the intervention)
Primary Cervical Left Rotation on the next day after the intervention Electrogoniometric measurement of the angular range of motion on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
Primary Stiffness (S) of the upper right trapezius muscle before the intervention Myotonometric examination of soft tissue properties immediately before the intervention. PRE (immediately before the intervention)
Primary Stiffness (S) of the upper right trapezius muscle after the intervention Myotonometric examination of soft tissue properties immediately after the intervention. POST (immediately after the intervention)
Primary Stiffness (S) of the upper right trapezius muscle on the next day after the intervention Myotonometric examination of soft tissue properties on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
Primary Stiffness (S) of the upper left trapezius muscle before the intervention Myotonometric examination of soft tissue properties immediately before the intervention. PRE (immediately before the intervention)
Primary Stiffness (S) of the upper left trapezius muscle after the intervention Myotonometric examination of soft tissue properties immediately after the intervention. POST (immediately after the intervention)
Primary Stiffness (S) of the upper left trapezius muscle on the next day after the intervention Myotonometric examination of soft tissue properties on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
Primary Elasticity (D) of the upper right trapezius muscle muscle before the intervention Myotonometric examination of soft tissue properties immediately before the intervention. PRE (immediately before the intervention)
Primary Elasticity (D) of the upper right trapezius muscle after the intervention Myotonometric examination of soft tissue properties immediately after the intervention. POST (immediately after the intervention)
Primary Elasticity (D) of the upper right trapezius muscle on the next day after the intervention Myotonometric examination of soft tissue properties on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
Primary Elasticity (D) of the upper left trapezius muscle before the intervention Myotonometric examination of soft tissue properties immediately before the intervention. PRE (immediately before the intervention)
Primary Elasticity (D) of the upper left trapezius muscle after the intervention Myotonometric examination of soft tissue properties immediately after the intervention. POST (immediately after the intervention)
Primary Elasticity (D) of the upper left trapezius muscle on the next day after the intervention Myotonometric examination of soft tissue properties on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
Primary Muscle tone (F) of the upper right trapezius muscle before the intervention Myotonometric examination of soft tissue properties immediately before the intervention. PRE (immediately before the intervention)
Primary Muscle tone (F) of the upper right trapezius muscle after the intervention Myotonometric examination of soft tissue properties immediately after the intervention. POST (immediately after the intervention)
Primary Muscle tone (F) of the upper right trapezius muscle on the next day after the intervention Myotonometric examination of soft tissue properties on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
Primary Muscle tone (F) of the upper left trapezius muscle before the intervention Myotonometric examination of soft tissue properties immediately before the intervention. PRE (immediately before the intervention)
Primary Muscle tone (F) of the upper left trapezius muscle after the intervention Myotonometric examination of soft tissue properties immediately after the intervention. POST (immediately after the intervention)
Primary Muscle tone (F) of the upper left trapezius muscle on the next day after the intervention Myotonometric examination of soft tissue properties on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
Primary Pressure pain threshold (PPT) of the upper right trapezius muscle before the intervention Examination of the first discomfort threshold using an algometer immediately before the intervention. PRE (immediately before the intervention)
Primary Pressure pain threshold (PPT) of the upper right trapezius muscle after the intervention Examination of the first discomfort threshold using an algometer immediately after the intervention. POST (immediately after the intervention)
Primary Pressure pain threshold (PPT) of the upper right trapezius muscle on the next day after the intervention Examination of the first discomfort threshold using an algometer on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
Primary Pressure pain threshold (PPT) of the upper left trapezius muscle before the intervention Examination of the first discomfort threshold using an algometer immediately before the intervention. PRE (immediately before the intervention)
Primary Pressure pain threshold (PPT) of the upper left trapezius muscle after the intervention Examination of the first discomfort threshold using an algometer immediately after the intervention. POST (immediately after the intervention)
Primary Pressure pain threshold (PPT) of the upper left trapezius muscle on the next day after the intervention Examination of the first discomfort threshold using an algometer on the next day after the intervention. FOLLOW-UP (the next day after the intervention)
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