Effect of Muscle Energy Technique Versus Strain-counterstrain on Upper Trapezius Trigger Points

Trigger Point Pain, Myofascial Clinical Trial

Official title:

Effect of Muscle Energy Technique Versus Strain-Counterstrain on Upper Trapezius Myofascial Active Trigger Points. A Randomized Control Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05258201
• Other study ID #: REC-FSD-00268
• Status: Completed
• Phase: N/A
• Start date: March 1, 2021
• Est. completion date: March 25, 2022

Study information

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

Clinical Trial Summary

Aim of the study To determine the comparative effects of muscle energy technique and strain counter strain in upper trapezius trigger point.

Description:

A Randomized Controlled trial will be conducted after approval of synopsis. To enroll patients Purposive sampling technique will be used. Patients will be selected according to the pre-defined inclusion and exclusion criteria. The enrolled patients will be allocated into two groups, group A and group B. On Group A muscle energy technique will be applied for 30 seconds and repeat 3 to 5 times per on treatment session and Group B will be treated with strain counter strain for 20-30 seconds and repeat this process for up to five times. Assessment will be done at baseline, 2nd week, 4th week and 6th week of treatment. Follow up will be assessed 15 days after completion of treatment protocol. The patients' outcome will be measured by Visual Analog Scale for pain intensity and Neck Disability Index . Informed consent will be taken from each patient. Statistical Package of Social Sciences software, version 20 will be used for the analysis of data.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: March 25, 2022
• Est. primary completion date: March 20, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 34 Years

Eligibility

Inclusion Criteria:

1. Participants who are 18 to 34 years old

2. In upper trapezius From 2 weeks Had mechanical neck pain and was diagnosed with active myofacial Trigger points

3. Subjects have to exhibit a tendor point in the upper trapezius muscle either on the left or right side

4. Local pain is greater than 3/10 on Visual Analog scale

Exclusion Criteria:

1. Patient with cervical radiculopathy

2. Patients with Fibromyalgia syndrome

3. Patients who had cervical spine surgery

4. Patient with myelopathy

5. Patients who had myofacial pain therapy

Related Conditions & MeSH terms

• Myofascial Pain Syndromes
• Trigger Point Pain, Myofascial

Intervention

Other:
• Strain-counterstrain
Strain-counterstrain is also used for manual Trigger Point processing. This involves identifying active TRP and then applying pressure until a ridiculous reaction occurs. The area is then positioned to reduce tension in the injured muscle and later reduce tripod pain. When the pain subsides, the tissues that are most stressed feel relaxed and there is a local decrease in the ground
• Muscle Energy Technique
Muscle Energy Technique is a common way to achieve muscle tension release (stop) before stretching other's adductor muscles

Locations

Country	Name	City	State
Pakistan	Ripah International University	Faisalabad	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	Visual Analogue Scale	A Visual Analogue Scale is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms.	12th Week
Primary	Neck Disability Index	The Neck Disability Index is a 10-item questionnaire that measures a patient's self-reported neck pain related disability. A higher Neck Disability Index score means the greater a patient's perceived disability due to neck pain	12th Week
Primary	Goniometer	Goniometer has been the most widely used tool for measuring joint range of motion. To ensure reliable measurement, standardized, specific positions and landmarks are used to measure Cervical lateral flexion range of motion.	12th Week