Myofascial Pain Syndrome of Neck Clinical Trial
Official title:
Efficacy of Capacitive-Resistive Therapy on the Treatment of Neck/Upper Trapezius Myofascial Pain: A Randomized Double-Blind Placebo-Controlled Study
Myofascial pain syndrome (MPS) is a painful musculoskeletal condition affecting the
individuals' daily life presenting with muscle spasm, referred pain patterns, stiffness,
restricted range of motion caused by trigger points. Capacitive-resistive diathermy therapy
heats deep tissues by transferring energy through radiofrequency waves. Currently, although
this modality is used to treat various acute or chronic musculoskeletal disorders, there is
no specific data about myofascial trigger points in the literature. The investigators aimed
to evaluate the efficacy of capacitive-resistive diathermy on the myofascial trigger point of
neck/upper trapezius muscle area compared with the sham intervention of capacitive-resistive
diathermy.
Volunteers with active myofascial trigger points in the upper trapezius and neck were
included the study after being examined by sports medicine specialists. Exclusion criteria
were fibromyalgia, discal hernia, radiculopathy, myelopathy, having received trigger point
injection and physical therapy within the last 1 month, neck or back surgery, rheumatismal
diseases, pregnancy. Patients were randomly allocated into two groups. Group 1 will be
treated with capacitive resistive diathermy and exercise. Group 2 will be treated with
placebo (sham) capacitive-resistive diathermy and exercise for 10 sessions at intervals of
24-48 hours. Visual analog scale (VAS), neck disability index (NDI) score, cervical range of
motion (cROM), active trigger point numbers will be evaluated before and after treatment. The
study was designed as a prospective, randomized, placebo-controlled double-blind trial. The
study was approved by the Istanbul Faculty of Medicine Ethics Committee. All participants
were informed of the study and signed written informed consent.
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