Instrument-Assisted Soft Tissue Mobilization Versus High Power Pain Threshold Ultrasound For Trapezius Myofascial Trigger Points
Condition: Myofascial Pain Syndrome of Neck
MeSH terms: Myofascial Pain Syndromes; Fibromyalgia
Study type: Interventional

Summary: 
      the purpose of this trial is to compare the effectiveness of instrument-assisted soft tissue
      mobilization and high power pain threshold ultrasound on pain intensity, pressure pain
      threshold (PPT), neck range of motion, and neck function in participants with upper trapezius
      myofascial trigger points.
    

Detailed description: 
      Myofascial trigger points (MTPs) are hyperirritable, palpable nodules that form along with
      taut bands of muscle fibers. The trapezius is the muscle that is most commonly affected. MTPs
      can have a considerable impact on a person's daily activities and ability to work. Stretching
      exercises, ultrasound, massage, kinesiology taping, trigger point release, dry needling,
      laser, ischemic compression treatment, and high-power pain threshold ultrasound can all be
      used in a physical therapy program for myofascial pain and trigger points. There were
      previous studies on the effect of instrument-assisted soft tissue mobilization (IASTM) on
      upper trapezius myofascial trigger points that have shown positive effects such as reduction
      in pain level, improved neck function, and range of motion, increased activity level, and
      increased pressure pain threshold. There have been previous studies on the effect of
      high-power pain threshold ultrasound on upper trapezius trigger points that have shown a
      reduction in pain level, increased activity level, and increased pressure pain threshold.
      However till now, there is no study comparing the therapeutic potential of HPPT US and IASTM
      on upper trapezius trigger points, This study is conducted to compare the effect of
      instrument-assisted soft tissue mobilization (IASTM) and high-power pain threshold ultrasound
      ( HPPT US ) on upper trapezius trigger points. : Sixty participants ranging in age from 25 to
      40 years old, from both genders, were diagnosed with active MTPs in the upper fibers of the
      trapezius muscle bilaterally. Participants were randomly allocated to the following three
      groups using sealed envelopes. Group (A) 20 participants received conventional physical
      therapy. Group (B) 20 participants received IASTM and conventional physical therapy. Group
      (C) 20 participants received HPPT US and conventional physical therapy for two weeks, twice
      per week.
    

Intervention name(s): Instrument assisted soft tissue mobilization ( IASTM ) and Ultrasound
Intervention type(s): Device
Intervention description(s): Instrument-assisted soft tissue mobilization (IASTM) is a popular treatment for the myofascial limitation that is based on James Cyriax's rationale.
High-power pain threshold ultrasound is a noninvasive approach used in myofascial pain syndrome ( MPS) treatment, and it has no serious adverse effects.
Other intervention name(s): Ultrasound
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment