Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT05158556 |
| Other study ID # |
REC-00936 Irum Nosheen |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
February 15, 2021 |
| Est. completion date |
January 20, 2022 |
Study information
| Verified date |
March 2022 |
| Source |
Riphah International University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Trigger point are hyper-irritable points, appear as nodules on palpation, discrete and focal
spots in the taut band of skeletal muscles. Myofascial release technique and instrument
assisted soft tissue mobilization both techniques are used to break the adhesions and
mobilize the soft tissue, releasing the trigger points. The study will contribute in
comparing the level of pain threshold perceived by males and females in our society.
.Moreover, finding a noninvasive effective treatment that is non-exhaustive for the therapist
and non-painful for the patient.
Description:
Trigger points are hyper-irritable points, appear as nodules on palpation, discrete and focal
spots in the taut band of skeletal muscles. Usually these points are sensitive to pressure,
if direct compression is applied over them, that can evoke jump sign, tenderness and pain is
produced locally but it is referred to surrounding areas. There are many types of trigger
points on the basis of location, chronicity and tenderness. They are classified as central,
satellite, diffuse, inactive,and active. The trigger points can be developed by repetitive
overuse injuries or sustained loading like lifting heavy weight, carrying babies, bags,
briefcase etc. It can also be manifested by poor posture or prolonged period of inactivity
such as bed rest or sitting causing pain, reduced range of motion, muscle tightness. When
there are number of trigger points in muscles causing micro-cramps resulting in myofascial
pain syndrome. Trigger points are the areas of contracted muscles causing restriction of in
blood flow within the tissues. She claimed that by applying sustained pressure over trigger
points with thumbs, knuckles and elbow followed by stretching of the muscle produced much
better results compared to trigger point injections. Myofascial trigger points in lumbar
region play an important role in genesis of mechanical low back pain. The hyper-irritable
spots usually present within the taut band of skeletal muscles which on compression can give
rise to characteristics like; referred pain, autonomic phenomena like (sweating,
vasoconstriction and pilomotor activity) and motor dysfunction. It is essential to inquire
the gender differences in pain perception level because many diseases like migraine,
rheumatoid arthritis, and low back pain are more common among females than males. Females not
only report more pain but they also experience more intense pain in their body parts as
compared to males. Factors like psychological and physiological contribute in difference in
pain perception among females and male. A study suggests that females show greater perception
towards pain threshold as compared to males.
Myofascial release technique is usually considered as alternative of medicine therapy highly
recommended to treat immobility of skeletal muscles and pain by improving blood circulation
and oxygen in these muscles and is non-invasive method. Moreover, it produces stretch reflex
in muscles. By applying sustained pressure for 30 seconds over the trigger points until the
patient's pain intensity is decreased considerably. As this pressure applied would help to
break the adhesive fibres connection within the muscle helping to push out the blood
containing waste products and toxins because after 30 seconds fresh blood containing
nutrients will flow and trigger points are released.
Instrument assisted soft tissue mobilization (IASTM) is also a professional practice to treat
soft tissues. Moreover, IASTM mainly decreases pain sensitivity and pain threshold of
myofascial trigger points. It is applied by using the instrument made up of stainless steel
with edges and contours according to different body locations allowing deeper penetration
treating soft tissue disorders. Instrument assisted soft tissue mobilization is master
intervention using specialized tool to manipulate the skin , muscles, myofascial, tendons by
various direct compressive strokes. IASTM technique is very effective as it effectively break
the restrictions in fascia and scar tissue. Adhesions may developed within the soft tissue
after surgery, immobilization, strain, are broken down by using this instrument allowing full
restoration of function.
The tool I am using in my study for instrument assisted soft tissue mobilization technique is
M2T Blade technique is a multifunctional instrument invented by Adam Broger consisting of
many planes and is very effective in treating pain and spasm. M2T Blade is a new invention
and it is beneficial in reducing myofascial pain. Its efficacy is proven over soft tissues
that it releases fascial tightness. Moreover it also improves range of motion of a joint.
Highly loaded blades are designed to provide a specific distribution is given. The
three-dimensional analysis methodology is used here.
