Effects of Myofascial Releasing on Neck Pain in Patients With Trigger Points

Neck Pain Clinical Trial

Official title:

Effects of Myofascial Releasing on Neck Pain in Patients With Trigger Points: A Single Blinded, Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03585283
• Other study ID #: AbantIBU-Phys2
• Status: Completed
• Phase: N/A
• Start date: August 12, 2018
• Est. completion date: March 20, 2019

Study information

• Verified date: March 2019
• Source: Abant Izzet Baysal University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Aim of this study is to investigate effectiveness of myofascial releasing on neck pain related to trigger points located on upper cervical region.

Description:

Neck pain is the second most common musculoskeletal pain after lumbar pain. Prevalence is 27.2% female and 17.4% in male population. Approximately 1/3 of acute onset neck aches become chronic. It causes increasing the cost of treatment and also the loss of labor.

Myofascial pain is usually considered caused by myofascial trigger points. The trigger points in the neck muscles have been associated with a possible source of referred facial and cranial pain. Mechanical neck pain is a non-radicular pain caused by local musculoskeletal structures and is characterized by a spasm of the cervical muscles. Posture, emotional stress, cold and fatigue are etiologic causes, and pain is also reflected to the cervical, occipital and scapular regions depending on the severity of muscle spasm and the presence of trigger point in myofascial pain syndrome.

Myofascial releasing is a specific type of passive soft tissue mobilization. Triggers points often considered as a pathology that occurs after excessive load or trauma on soft tissue which disturbs blood circulation. Fascial restriction can be found with triggers points and taut band.

In this study effects of myofascial release on triggers points will be investigated.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 75
• Est. completion date: March 20, 2019
• Est. primary completion date: March 20, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Non specific cervical pain

• Symptoms should last longer than 4 weeks

• Palpable trigger points on upper thoracic region

Exclusion Criteria:

• Cervical radiculopathy

• Previous manual therapy treatment history

• Sensory or motor function loss

• Rheumatologic diseases

• Structural damage on cervical spina

• Trauma history

Related Conditions & MeSH terms

• Myofascial Pain Syndromes
• Neck Pain
• Trigger Point Pain, Myofascial

Intervention

Other:
• Myofascial Group
Manual myofascial release will be applied at prone position. Patient's upper thoracic and cervical region will be undressed. Researcher will use direct and indirect myofascial release techniques on upper thoracic and cervical region focusing on trigger point located muscles (most frequently m. trapezius)
• Sham Group
Patient's upper thoracic and cervical region will be undressed. Researcher will place his hands on points that used for myofascial release however no pressure or release techniques will be used.

Locations

Country	Name	City	State
Turkey	Abant Izzet Baysal University	Bolu

Sponsors (1)

Lead Sponsor	Collaborator
Abant Izzet Baysal University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Assessment of Pain Pressure Threshold on Trigger Points with Algometer	Trigger points will be located with palpation and with slight pressure most painful one will be marked. Pressure will be applied by researcher and patient will be informed to notify researcher immediately after starting to feel pain from pressure.	12 weeks
Secondary	Neck Disability Index	The Neck Disability Index will be used to record perceived disability according to patients with neck pain. Neck disability index is a 10 question self administrated questionaire. Each question scored from 0-5 for a total of 50 point.	12 weeks
Secondary	Assessment of Perceived Pain on Cervical Region	Visual analog scale (VAS) will be used to assess patients' pain while doing neck rotations. Patients will mark their perceived pain on a 10 cm horizontal line. Left side of line considered as 0 (no pain at all) and right side considered as 10 (most intense pain experienced so far).	12 weeks
Secondary	Global Rating of Change Scale-Turkish Version	Patients global perception on effects of treatment will be assessed with a 9 aspect scale. 5 was considered as no change from the baseline and 1-4 indicate decline in symptoms and 6-9 indicate improvement.	12 weeks
Secondary	Assessment of Cervical Active Range of Motion (ROM)	Patients cervical flexion, lateral flexin and rotation ROM's will be assessed with a goniometer.	12 weeks