Which Type of Transcutaneous Electrical Nerve Stimulation is More Effective in Myofascial Pain Syndrome?

Myofascial Pain Syndromes Clinical Trial

Official title:

Which Type of Transcutaneous Electrical Nerve Stimulation is More Effective in Myofascial Pain Syndrome? A Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04645095
• Other study ID #: 10-427-16
• Status: Completed
• Phase: N/A
• Start date: May 5, 2017
• Est. completion date: March 1, 2020

Study information

• Verified date: November 2020
• Source: Ankara University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this project is to compare the effects of conventional, burst and modulated TENS primarily on pain level, number of trigger points, pressure pain threshold, neck joint range of motion and disability in MAS treatment.

Description:

Myofascial pain syndrome (MAS) is a regional pain syndrome characterized by trigger points detected by one or several muscle groups and reflected pain manifestation caused by palpation of these points. Transcutaneous electrical nerve stimulation (TENS) is a physical therapy modality that provides an analgesic effect by delivering a controlled low voltage electrical current to the nervous system through electrodes placed on the skin. Knowledge on how modulation parameters such as frequency, wave width and form alter TENS activity are limited.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 101
• Est. completion date: March 1, 2020
• Est. primary completion date: December 6, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Having a diagnosis of myofascial pain syndrome according to the criteria defined by Travell and Simons

Exclusion Criteria:

• The onset of symptoms is less than 3 months

• Severe cervical disc hernia, radiculopathy or myelopathy

• Stage 3-4 cervical degeneration

• Tumoral, infectious, psychiatric, neurological, uncontrolled systemic disease

• Cardiac pacemaker

• Diagnosed with fibromyalgia syndrome

• Kyphoscoliosis

• Acute trauma history

• Having had previous brain or shoulder surgery

• Injections for MAS and / or physiotherapy programs in the last 3 months

• Pregnancy

Related Conditions & MeSH terms

• Fibromyalgia
• Myofascial Pain Syndromes
• Somatoform Disorders
• Syndrome

Intervention

Device:
• Transcutaneous electrical nerve stimulation
All groups were administered hotpack for 20 minutes, different types of TENS therapy for 20 minutes, 5 days a week, total of 15 sessions.
• Hot pack
All groups were administered hotpack for 20 minutes, different types of TENS therapy for 20 minutes, 5 days a week, total of 15 sessions.

Locations

Country	Name	City	State
Turkey	Birkan Sonel Tur	Ankara

Sponsors (1)

Lead Sponsor	Collaborator
Ankara University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain intensity	using Visual Analog Scale score; (0-10); 0 indicates no pain and 10 indicates worst imaginable pain	Measurements will be made before treatment, at the 1st week after treatment and at the 1st month after treatment.
Primary	Number of trigger points in the upper back region	using number	Measurements will be made before treatment, at the 1st week after treatment and at the 1st month after treatment.
Primary	Pressure pain	using algometer (kg/cm2)	Measurements will be made before treatment, at the 1st week after treatment and at the 1st month after treatment.
Primary	Neck joint range of motion	using double inclinometer	Measurements will be made before treatment, at the 1st week after treatment and at the 1st month after treatment.
Primary	Disability	using Modified Neck Disability Index	Measurements will be made before treatment, at the 1st week after treatment and at the 1st month after treatment.