Effects of Upper Trapezius Stretching With and Without Mid Lower Trapezius Strengthening in Trapezius Myalgia

Study Overview
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Brief Summary
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A Randomized controlled trial will be conducted. Non-probability convnience sampling will be used to collect the data. Sample size of 42 subjects with age group between 18 to 40 years will be taken. Data will be collected by using tools Numeric Pain Rate Scale (NPRS) for pain, Neck Disability Index (NDI) for disability and SF-36 for Quality of life. An informed consent will be taken. A total of 20 subjects will be selected by following inclusion and exclusion criteria and will equally divided in to two groups by random number generator table. Both groups will come thrice per week for a total of 4 weeks.

Detailed Description
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Trapezius myalgiais the complaint of pain, stiffness, and tightness of the upper trapezius muscle. It is characterised by acute or persistent neck-shoulder pain. In today's society, due to the increased use of computers, where the neck and shoulders are maintained in static abnormal postures to look at the computer screens and become vulnerable to cause neck pain. The aim of the study is to determine effects of upper trapezius stretching with and without mid lower trapezius strengthening exercises on pain, disability and quality of life in females with work related trapezius myalgia. A Randomized controlled trial will be conducted in physiotherapy outpatient department of Bahria International Hospital Lahore. Non-probability convnience sampling will be used to collect the data. Sample size of 42 subjects with age group between 18 to 40 years will be taken. Data will be collected by using tools Numeric Pain Rate Scale (NPRS) for pain, Neck Disability Index (NDI) for disability and SF-36 for Quality of life. An informed consent will be taken. A total of 20 subjects will be selected by following inclusion and exclusion criteria and will equally divided in to two groups by random number generator table. Both groups will come thrice per week for a total of 4 weeks. The data will be analysed using SPSS software version 25. After assessing normality of data by Shapiro-Wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Official Title
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Effects of Upper Trapezius Stretching With and Without Mid Lower Trapezius Strenghthening Exercises on Pain, Disability and Quality of Life in Female Desk Workers With Trapezius Myalgia

Conditions
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Trapezius Myalgia

Intervention / Treatment
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* Other: upper trapezius stretching plus neck isometrics
* Other: upper trapezius stretching with mid-lower trapezius strengthening exercises plus neck isometrics


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Females between the age range of 18-40 years Examination-Symptoms provoked by neck movement and palpation of Trapezius musculature. Positive Trapezius Strength Test Exclusion Criteria: Participants who present with dizziness and vertigo Infection or febrile state at the time of performing the test; Anxiety or extreme emotional tension; pharmacological treatment (analgesics, muscle relaxants, anxiolytics, antidepressants) Disc lesions

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

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 |
| --- | --- |
| Active Comparator: Stretching Group<br>upper trapezius stretching plus neck isometrics | Other: upper trapezius stretching plus neck isometrics<br>* upper trapezius stretching plus neck isometrics<br>|
| Experimental: Stretching plus strengthening Group<br>upper trapezius stretching with mid-lower trapezius strengthening exercises plus neck isometrics | Other: upper trapezius stretching with mid-lower trapezius strengthening exercises plus neck isometrics<br>* Mid-Lower Trapezius strengthening exercise includes: Latissimus pull down Prone V- raise Modified Prone Cobra<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric Pain Rate Scale (NPRS) | Patient level of pain will be assessed using this scale. This scale ranges from 0to10.0indicates no pain and 10 indicates worst pain. | up to 4 weeks | 
| Neck Disability Index | NDI is a 10-item questionnaire that measures a patient's self-reported neck pain related disability | up to 4 weeks | 
| SF-36 for Quality of life | The SF-36 is a 36-item scale constructed to survey health status and quality. The SF-36 assesses eight health concepts: limitations in Quality of lifephysical activities because of health problems; limitations in social activities because of physical or emotional problems; limitations in usual role activities because of physical health problems); bodily pain; general mental health (psychological distress and well-being); limitations in usual role activities because of emotional problems; vitality (energy and fatigue); and general health perceptions. The standard form of the instruments asks for participants to reply to questions according to how they have felt over the previous week. The items use Likert-type scales, some with 5 or 6 points and others with 2 or 3 pointsmotions | up to 4 weeks |