Muscle Tonus Clinical Trial
Official title:
Effectiveness of Digital Capacitive Diathermy Versus Ultrasound on Myofascial Trigger Points
Verified date | May 2017 |
Source | Universidad San Jorge |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The main objective:
To compare the effect on muscle tone between the application of digital capacitive diathermy
and the application of ultrasound on the myofascial trigger points (MTP) of the upper
trapezius muscle.
Hypothesis:
The application of digital capacitive diathermy on myofascial trigger points of the trapezius
muscle compared to the application of ultrasound produces objective changes in muscle tone,
and this change is superior to the changes generated by the US.
Status | Completed |
Enrollment | 19 |
Est. completion date | October 15, 2017 |
Est. primary completion date | October 1, 2017 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Older than 18 years - Presence of an active or latent MTrP 1 in the upper trapezius: - Presence of taut band in a skeletal muscle. - Presence of a hypersensitive point in the taut band. - Local twitch response caused by palpation of the taut band. - Reproduction of the typical referred pain pattern of MTrPs in response to compression. - Spontaneous presence of the typical pain pattern and/or patient's recognition of that pain as familiar (criteria only applicable to the active MTrPs). Exclusion Criteria: - History of neurological disorders (radiculopathy). - Cervical surgery. - Chronic pain in any part of the body as a result of a traumatic incident. - Chronic rheumatic disease. - Medical diagnosis of fibromyalgia. - Systemic diseases. - Actual pregnancy. - Clinical depression. - Body mass index =30. - To receive treatment of myofascial syndrome in the muscles of the cervico-dorsal area (physical therapy, invasive techniques ...) during the month prior to the beginning of the study. - Ingestion of medication (analgesics, muscle relaxants, psychotropic or anti-inflammatory agents) in the three days prior to the start of the study. Exit criteria: - Patient´s petition. - Appearance of any lesion that might contraindicate the use of electrotherapy techniques. |
Country | Name | City | State |
---|---|---|---|
Spain | Universidad San Jorge | Villanueva de Gállego |
Lead Sponsor | Collaborator |
---|---|
Universidad San Jorge |
Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Stiffness | The muscle stiffness reflects muscle resistance to the force that changes its shape (Nm). This outcome measure is obtained by a device named MyotonPro®. It is a non-invasive commercial device made to calculate myotonometric properties of the muscle. | Pre-intervention; Post-intervention (30 minutes after intervention); Follow up (1 week after the intervention). | |
Primary | Change in Decrement (elasticity) | Logarithmic decrement of the dampening of muscle oscillations is an indicator of the elasticity. This outcome measure is obtained by a device named MyotonPro®. It is a non-invasive commercial device made to calculate myotonometric properties of the muscle. | Pre-intervention; Post-intervention (30 minutes after intervention); Follow up (1 week after the intervention). | |
Primary | Change in Frequency | Frequency of muscle oscillations (Hz) is an indicator of the tone. This outcome measure is obtained by a device named MyotonPro®. It is a non-invasive commercial device made to calculate myotonometric properties of the muscle. The assessment is realized in these points: MTrP 1 of the affected superior trapezius. MTrP 3 of the affected superior trapezius. MTrP 1 of the NO affected superior trapezius. Point in the middle of the muscle belly of the affected superior trapezius. 10 mechanical stimuli of 0.4 N of force and 0.15 ms of duration will be applied. The MyotonPro® must remain perpendicular to the surface to be measured (the subject will be lying in a prone position for the MTrP 3, and sit down for the three other points). Each assessment will consist of 10 multiple measurements, spaced for 1 second. To be considerate as valid, the variation coefficient of the measure should not exceed 3%. |
Pre-intervention; Post-intervention (30 minutes after intervention); Follow up (1 week after the intervention). | |
Secondary | Change in the Pressure Pain Threshold (PPT) | The PPT is measured using a pressure algometer in these points: MTrP 1 of the affected superior trapezius. MTrP 3 of the affected superior trapezius. MTrP 1 of the NO affected superior trapezius. MTrP 2 of the lateral gastrocnemius of the affected side. The subject will be lying in a prone position for more stability and with a pillow under his feet. The algometer must remain perpendicular to the surface to be measured. It will be measured three consecutive times, with an interval of 30 seconds between each measurement. |
Pre-intervention; Post-intervention (30 minutes after intervention); Follow up (1 week after the intervention). | |
Secondary | Change in the Range Of Motion (ROM) of cervical spine lateral inclination | It will be used a portable inclinometer to assess the ROM of the contralateral active cervical spine inclination. The subject will be in a relaxed and comfortable sitting position, leaning on the backrest, arms resting on his knees and fixing a point with his eyes. It will be measured three consecutive times, with an interval of 30 seconds between each measurement. | Pre-intervention; Post-intervention (30 minutes after intervention); Follow up (1 week after the intervention). | |
Secondary | Change in Pain Perception | Change in pain perception using Numeric Pain Rating Scale (NPRS). The NPRS is a scale from 0-10 ("0" = no pain; "10" = the most intense pain imaginable). | Pre-intervention; Post-intervention (30 minutes after intervention); Follow up (1 week after the intervention). | |
Secondary | Change in Neck Disability Index (NDI) | The NDI consists of ten questions in the following domains: Pain Intensity, Personal Care, Lifting, Reading, Headaches, Concentration, Work, Driving, Sleeping, and Recreation. | Pre-intervention; Follow up (1 week after the intervention). |
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