Efficacy of Extracorporeal Shockwave Therapy on Ultrasonography Changes of Upper Trapezius Myofascial Trigger Points in Patients With Non Specific Neck Pain

Neck Pain Clinical Trial

— MTP  

Official title:

Efficacy of Extracorporeal Shockwave Therapy on Ultrasonography Changes of Upper Trapezius Myofascial Trigger Points in Patients With Non Specific Neck Pain

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06267755
• Other study ID #: P.T.REC/012/004884
• Status: Not yet recruiting
• Phase: N/A
• Start date: February 20, 2024
• Est. completion date: August 30, 2024

Study information

• Verified date: February 2024
• Source: Cairo University
• Contact: Mahmoud Fouad, master
• Phone: 01227740639
• Email: mahmoud.adel27392[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

this study will be conducted to investigate the effect of Extracorporeal Shockwave Therapy on Ultrasonography Changes of Upper Trapezius Myofascial Trigger Points in Patients With Non Specific Neck Pain

Description:

Neck pain is one of the most commonly reported musculoskeletal disorders. The prevalence for neck pain varies between 16.7% and 75.1% in the general population. Up to 67% of world's population may present chronic non-specific neck pain at least once in their lives. The upper trapezius is probably the muscle most often beset by trigger points, it is indicated that the upper trapezius is the most sensitive of 8 different muscles (upper trapezius, pectoralis major, levator scapulae, teres major, supraspinatus, gluteus medius, infraspinatus, paraspinal) to the pressure of an algometer.Recently, the extracorporeal shock wave has been widely known to be an effective therapeutic modality in myofascial pain syndrome treatment and a systematic review provided promising insight into the effectiveness of ESWT in Myofascial pain syndrome treatment. sixty patients with non specific neck pain will be assigned randomly to two groups; first one will receive shock wave therapy and traditional therapy and the second one will receive traditional therapy only for six weeks.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 60
• Est. completion date: August 30, 2024
• Est. primary completion date: August 30, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 70 Years

Eligibility

Inclusion Criteria:

• Sixty patients receiving a diagnosis of non-specific neck pain with upper trapezius myofascial trigger points by an orthopaedist physician.

• Body mass index of participants was normal less than (30 kg/m2)(Al-asadi, 2018).

• Age over 18 years.

• Presence of taught band.

• Presence of hyper irritable spot in a taught band, and reproduction of the typical referred pain pattern of the myofascial trigger point in response to compression

Exclusion Criteria:

• Having signs and symptoms of neurological disorders that cause nerve root compression.

• Headache as a consequence of specific headache diagnosis.

• Having a history of specific signs of malignancy, or infection.

• Having a history of trauma with or without proven structural disorders in the region of the neck, shoulder, and head (e.g. whiplash).

• Having signs and symptoms of cerebrovascular insufficiency.

• Having a severe chronic disease of the locomotor system (e.g. polyarthritis, muscular disease

• Any participant with contraindications to shock wave therapy

Related Conditions & MeSH terms

• Neck Pain

Intervention

Other:
• Extracorporeal Shockwave therapy
the patients will receive Extracorporeal Shockwave therapy sessions by 600 impulses with 1.6 bar pressure at a frequency of 8 Hz on site of the upper trapezius
• Traditional physical therapy
the patients will receive Traditional physical therapy in the form of Integrated neuro-muscular inhibition technique + posture correction and scapular stabilization exercises.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	muscle thickness	Ultrasonography device will be used to assess muscle thickness	up to six weeks
Primary	hypoechoic area intensity	An ultrasonography device will be used to assess the hypoechoic area intensity	up to six weeks
Secondary	neck disability	Arabic version of neck disability index will be used to measure neck disability. It consists of 10 questions: pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. 5 Each item is scored from 0 (no disability) to 5 (total disability). The maximum possible score is 50.	up to six weeks
Secondary	pressure pain threshold	Digital algometer will be used to measure pressure pain threshold	up to six weeks
Secondary	cervical range of motion	The cervical range of motion (CROM) device will be used to measure cervical ROM	up to six weeks
Secondary	pain intensity	The visual analog scale (VAS) will be used to measure pain intensity. it is a10 cm line, oriented vertically or horizontally, with one end representing "no pain" and the other end representing pain as bad as it can be	up to six weeks