Latent Myofascial Trigger Points in the Craniocervical Region

Study Overview
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Brief Summary
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Myofascial pain is a clinical problem that has generated interest, debate and confusion for decades. According to studies anywhere between 33 and 97 % of patients with musculoskeletal pain visiting physicians and manual therapists are diagnosed with Myofascial Trigger Points (MTrPs). MTrPs are localized, hyperirritable points that are associated with palpable nodules in taut bands (TB) of muscle fibres. MTrPs can be classified into active and latent. Latent MTrPs demonstrate the same clinical characteristics as active MTrPs but they do not provoke spontaneous pain. The myofascial trigger points (MTrPs) are common in healthy subjects and in patients with musculoskeletal pain, and could produce sensitive disturbances and motor dysfunctions

Official Title
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Clinical Efficacy of Mobilization of the Nervous System Compared to Soft Tissue Techniques Intervention in Asymptomatic Subjects With Latent Myofascial Trigger Points in the Craniocervical Region: a Randomized Controlled Trial

Conditions
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Myofascial Pain Syndrome

Intervention / Treatment
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* Device: Neural mobilization
* Device: Soft tissue techniques and Stretching
* Device: Control group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Neck pain Exclusion Criteria: myelopathy fracture infection dystonia tumor inflammatory disease fibromyalgia or osteoporosis

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental Group 1<br>Neural mobilization for a total of 12 minutes | Device: Neural mobilization<br>* Neural mobilization on the right side of the craniocervical region for a total of 12 minutes.<br>|
| Experimental: Experimental Group 2<br>Soft tissue techniques and Stretching right side of the craniocervical for a total of 12 minutes | Device: Soft tissue techniques and Stretching<br>* Soft tissue techniques and Stretching on the right side of the craniocervical region for a total of 12 minutes<br>|
| Placebo Comparator: Control group<br>Control group | Device: Control group<br>* Did not receive any treatment.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Pain intensity at 24 hours | Pressure Pain Thresholds (PPT) will be assessed bilaterally over the masseter, temporalis, trapezius and suboccipital muscles by an assessor blinded to the subjects condition. | 24 hours, 5 minutes after the treatment | 
| Maximum mouth opening without pain at 24 hours | Is the ability to open the mouth so widely as you could without pain. | 24 hours, 5 minutes after the treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Catastrophizing Scale (PCS) at 24 hours | Will be used to measure PCS | 24 hours, 5 minutes after the treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Trigger points, Trigegeminal nerve, Pain