Clinical trial NCT04645095: Which Type of Transcutaneous Electrical Nerve Stimulation is More Effective in Myofascial Pain Syndrome?
Official title: Which Type of Transcutaneous Electrical Nerve Stimulation is More Effective in Myofascial Pain Syndrome? A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Myofascial Pain Syndromes
Keywords: Myofascial Pain Syndromes
Transcutaneous Electrical Nerve Stimulation
Lead sponsor: Ankara University
Sponsor class: OTHER
First posted: 2020-11-27
Enrollment: 101
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this project is to compare the effects of conventional, burst and modulated TENS primarily on pain level, number of trigger points, pressure pain threshold, neck joint range of motion and disability in MAS treatment.

Detailed description: Myofascial pain syndrome (MAS) is a regional pain syndrome characterized by trigger points detected by one or several muscle groups and reflected pain manifestation caused by palpation of these points. Transcutaneous electrical nerve stimulation (TENS) is a physical therapy modality that provides an analgesic effect by delivering a controlled low voltage electrical current to the nervous system through electrodes placed on the skin. Knowledge on how modulation parameters such as frequency, wave width and form alter TENS activity are limited.

Eligibility criteria: Inclusion Criteria:

* Having a diagnosis of myofascial pain syndrome according to the criteria defined by Travell and Simons

Exclusion Criteria:

* The onset of symptoms is less than 3 months
* Severe cervical disc hernia, radiculopathy or myelopathy
* Stage 3-4 cervical degeneration
* Tumoral, infectious, psychiatric, neurological, uncontrolled systemic disease
* Cardiac pacemaker
* Diagnosed with fibromyalgia syndrome
* Kyphoscoliosis
* Acute trauma history
* Having had previous brain or shoulder surgery
* Injections for MAS and / or physiotherapy programs in the last 3 months
* Pregnancy

Primary outcomes:
measure: Pain intensity
timeFrame: Measurements will be made before treatment, at the 1st week after treatment and at the 1st month after treatment.
measure: Number of trigger points in the upper back region
timeFrame: Measurements will be made before treatment, at the 1st week after treatment and at the 1st month after treatment.
measure: Pressure pain
timeFrame: Measurements will be made before treatment, at the 1st week after treatment and at the 1st month after treatment.
measure: Neck joint range of motion
timeFrame: Measurements will be made before treatment, at the 1st week after treatment and at the 1st month after treatment.
measure: Disability
timeFrame: Measurements will be made before treatment, at the 1st week after treatment and at the 1st month after treatment.
Secondary outcomes:
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Birkan Sonel Tur
Study officials:
affiliation: Ankara University
name: Birkan Sonel Tur, Prof.
role: PRINCIPAL_INVESTIGATOR
References: