Comparison of Instrument Assisted Soft Tissue Mobilization and Myofascial Gun in Upper Cross Syndrome

Postural; Defect Clinical Trial

Official title:

Comparison of Instrument Assisted Soft Tissue Mobilization and Myofascial Gun in Upper Cross Syndrome

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05474443
• Other study ID #: REC/01217 Hafsa
• Status: Completed
• Phase: N/A
• Start date: November 25, 2021
• Est. completion date: July 10, 2022

Study information

• Verified date: July 2022
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To compare the effects of Instrument Assisted Soft Tissue Mobilization and Myofascial gun in Upper Cross Syndrome

Description:

Upper Cross Syndrome is a very common postural abnormality developed due to prolong slouched postures in desk jobs and also in students. Janda explained it that it is simultaneous presence of Forward Head Posture and protracted shoulders.

This includes weakness of lower and middle trapezius, deep neck flexors, rhomboids and serratus anterior. It also includes tightness of upper trapezius, Sternocleidomastoid, Pectoralis major and minor. The simultaneous occurrence of FHP and rounded shoulder is nothing but upper crossed syndrome.

Upper Trapezius is the primary muscle that is involved in Upper Cross Syndrome. Instrument Assisted Soft Tissue Mobilization is applied over the tight muscles to improve muscle length to its normal length. It is applied from origin to insertion with some pressure to apply compression on the muscle.

Myofascial gun is a recent technology that can be applied by the clinician and also by the affected person for self mobilization. They provide varying amount of frequencies through various shaped heads according to the area they are used,

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: July 10, 2022
• Est. primary completion date: July 1, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years to 50 Years

Eligibility

Inclusion Criteria:

• Patients with forward head posture and upper crossed syndrome

Exclusion Criteria:

• Congenital anomalies of shoulder

• Malalignment/previous fracture of clavicle

• Malignancy and Tuberculosis of spine

• Pigeon and Barrel chest

Related Conditions & MeSH terms

• Postural; Defect

Intervention

Other:
• Myofascial gun with conventional therapy
MYofascial gun was applied for the duration of 5 minutes over upper trapezius muscle. every week, on first two sessions frequency was set to 1-2 then for next two 3-4 and so on conventional therapy Hot Pack applied at the beginning of session for 10 minutes Muscle stretching of Upper Trapezius, Levator Scapulae and Pectoralis Major applied with holding time 20 seconds and 4 repetitions. Cold pack was applied at the end of the session for few minutes
• Instrument Assisted Soft Tissue Mobilization with Conventional therapy
Graston's tool was applied over upper trapezius muscle from its origin to insertion kept at the angle of 45 Conventional Therapy Hot pack 10mins Upper Trapezius, Levator scapule and Pectoralis major muscle stretching(20s hold and 4 reps) Cold pack for few minutes

Locations

Country	Name	City	State
Pakistan	Pakistan Railway General Hospital	Rawalpindi	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Numeric Pain Rating Scale	Changes from baseline Numeric pain Rating Scale is used to objectively assess musculoskeletal pain as marked by the patient. It is a 10 point scale from 0 to 10. 0 depicts no pain at all and 10 shows worst pain ever felt. It was measured at baseline and after 4 weeks of the intervention	4th week
Primary	Tragus to wall distance test	Changes from baseline Tragus to wall distance test is used to measure Forward Head Posture. The subject stands 10cm away from wall and then with the help of a ruler the distance from tragus of ear to wall is measured. If the distance was more than 9.5 cm then it was considered as forward head posture. it was measured at baseline and after 4 weeks of intervention	4th week
Primary	Neck Disability Index	Changes from baseline NDI is the most widely used instrument for assessing self-rated disability in patients with neck pain. The NDI is a self-report questionnaire with 10-items. The response to each item is rated on a 6-point scale from 0 (no disability) to 5 (complete disability). The numeric responses for each item are summed for a total score ranging between 0 and 50. Most of the subjects did not know how to drive so their total score was taken from 45. The questionnaire was filled by the subjects at basline and after 4 weeks of the intervention	4th week
Primary	Inclinometer	Changes from baseline Bubble inclinometers are portable, lightweight, inexpensive and require training. With the movement of neck the ink in the inclinometer moves and the level of ink gives the measure of the range of motion. For flexion, extension and lateral flexion of cervical Range of motion in sitting position and inclinometer was positioned at the top of head in sagittal plane. For rotations the subject was in supine position and inclinometer was placed over the forehead. Cervical ranges of motions were measured at baseline and then after 4 weeks of intervention	4th week