Effect of Thoracic Manipulation on Latent Trigger Point

Study Overview
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Brief Summary
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The aim of this study is to investigate the effect of one session thoracic manipulation on pressure pain threshold and rhomboid muscle strength in healthy individuals with latent trigger point.

Detailed Description
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Within the scope of the study, all individuals studying at Sarayköy Vocational School and volunteering to participate in the study will be screened.Immediately after determining the latent trigger points in the rhomboid muscles, the participants will be randomized by computer method and divided into 2 groups. Participants who underwent thrust thoracic manipulation will form the study group, and participants who received sham thrust thoracic manipulation will form the control group.Pressure pain threshold will be evaluated with an algometer and rhomboid muscle strength will be evaluated with a hand dynamometer.

Official Title
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Effect of Thoracic Manipulation on Muscle Strength and Pressure Pain Threshold in Healthy Individuals With Rhomboid Latent Trigger Point: A Randomized Sham Controlled Study.

Conditions
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Trigger Points

Intervention / Treatment
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* Other: Thrust manipulation
* Other: Sham thrust manipulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: not having any systemic disease not having any neuromuscular deficit To be defined as inactive (less than 30 minutes of moderate physical activity five times a week) according to the minimum activity guidelines published by the American College of Sports Medicine Exclusion Criteria: Being actively involved in any sport Participating in a regular exercise program

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: randomised sham controlled study involving 2 parallel groups
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Thrust manipulation Group<br>Participants undergoing thrust manipulation | Other: Thrust manipulation<br>* Participants will be positioned prone and the clinician will perform a high-speed, low-amplitude thrust into the most symptomatic segment of the thoracic spine. TM type, thrust direction, and number of thrusts will be at the clinician's discretion and will be based on the individualized assessment of the patient.<br>|
| Sham Comparator: Sham thrust manipulation group<br>Participants undergoing sham thrust manipulation | Other: Sham thrust manipulation<br>* The same protocol will be applied as the push thoracic manipulation application, but no push will be applied.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pressure pain threshold | assessed with algometer | up to 3 months | 
| rhomboid muscle strength | assessed with hand held dynamometer | up to 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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latent trigger point, thorasic manipulation, muscle strength, pressure pain threshold