Positional Release Technique in Patients With Unilateral Subacute Trapezitis
Condition: Cervical Spine Disease
MeSH terms: Spinal Diseases
Study type: Interventional

Summary: 
      To assess the effects of positional release technique to improve the cervical range of
      motion, relieve pain and function in the patient with unilateral subacute trapezitis.
    

Detailed description: 
      Trapezius pain is the most common muscular pain due to increased stress which results in
      trapezitis. The trapezius muscle is postural muscle diamond shape highly susceptible to
      overuse. It helps in extension, neck rotation, and side bending. Trapezitis is frequently
      caused by bad posture, watching TV or working on computer for a long and use of thick pillo.
      Passive ROM may be painful and restricted due to protective spasm in muscle. This study will
      be a Randomized controlled study and will be conducted in Met Life Rehablitation center
      Lahore. The study will be completed within the time duration of six months . Consecutive
      sampling technique will be used to collect the data. The sample size of 44 patients will be
      taken in this study to find the effect of positional release technique in subacute unilateral
      trapezitis. Patient will be divided into two groups. Mayoficial release therapy and
      ultrasound will be given to both groups as a baseline treatment. (Group A will be treated
      with positional release technique, mayofascial release technique and ultrasound while Group B
      will be treated with mayofascial release technique and ultrasound). All measurements will be
      taken at baseline and at the end of 2nd week.Each group will be given 3 sessions per week for
      2 weeks. Neck disability index will be used to measure function, Numeric pain rating scale
      will be used to measure pain intensity and goniometer will be used to measure cervical
      lateral flexion and extension and rotation range of motion. Data will be analyzed on SPSS 25.
    

Intervention name(s): Positional release technique; Myofascial release technique & Ultrasound
Intervention type(s): Other; Other
Intervention description(s): Positional Release Technique The subject lies supine with therapist standing on the affected side; tender points are located along the upper fibres of the trapezius. Pressure will applied by pinching the muscle between the thumb and fingers. The subject's head is laterally flexed toward the side of tender point, then therapist grasps the subject's forearm and abducts shoulder to approximately 90° a slight flexion or extension is added to obtain fine-tune. The ideal position of comfort achieved is held for a period of 90 seconds and followed by a passive return of the body part to an anatomically neutral position continued for 5 minutes.
Mayofascial Release Technique Therapeutic Ultrasound; Myofascial Release Technique
Position of the patient - sitting comfortably with supported back, elbow flexed with forearm placed on a pillow. A low load, long duration stretch is applied along the lines of maximal fascial restrictions. The fascia is palpated and the pressure is applied directly to the skin, into the direction of restriction just until resistance (tissue barrier) is felt. The pressure will be applied for 90 to120 seconds. This procedure will carried out without sliding over the skin or forcing the tissue until the fascia complex starts to yield and a sensation of softening is achieved.
Therapeutic ultrasound with the frequency of 3Mhz , with continuous mode and an intensity of 0.1-1.5 W/cm2 for a duration of 5 min will given with the patient position back rest.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Positional release therapy; trapezitis; subacute, pain; cervical ROM