Clinical trial NCT06530329: Short-Term Effects of Ischemic Compression Applied in Addition to Classical Massage in the Treatment of Trigger Points
Official title: Investigation of the Short-Term Effects of Ischemic Compression Applied in Addition to Classical Massage on Pain, Functionality and Quality of Life in the Treatment of Myofascial Trigger Points on the Upper Trapezius Muscle in Women
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Trigger Point Pain, Myofascial
Lead sponsor: Halic University
Sponsor class: OTHER
First posted: 2024-07-31
Enrollment: 22
Sex: FEMALE
Minimum age (years): 20
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of our study was to investigate the short-term effects of ischemic compression applied in addition to classical massage for the treatment of myofascial trigger points on the upper trapezius muscle in women on pain, functionality and quality of life.

Detailed description: The aim of our study was to investigate the short-term effects of ischemic compression applied in addition to classical massage in the treatment of myofascial trigger points on the upper trapezius muscle in women on pain, functionality and quality of life. "Visual Analog Scale (VAS)" was used for pain assessment of individuals who accepted to participate in the study; universal goniometer was used to measure active neck active range of motions (AROM) for functionality; and "Short Form-36 (SF-36)" was used for quality of life. Then, the participants were randomly divided into two groups \[Group 1: classical massage group; Group 2: classical massage + ischemic compression group\]. Classical massage was applied to both groups three times a week for two weeks, and ischemic compression was applied to Group 2 in addition to classical massage. At the end of the treatment period, the participants were re-evaluated in terms of VAS, neck AROM and SF-36 scores.Statistical analysis will be performed with SPSS 24.0 program. If the data is parametric, paired sample t-test will be used for within-group evaluation; independent sample t-test will be used for between-group evaluation. If the data is non-parametric, Wilson test will be used for within-group evaluation and Mann Whitney U test will be used for between-group evaluation.

Eligibility criteria: Inclusion Criteria:

* Being between the ages of 20-50
* Having a myofascial trigger point detected in the upper trapezius muscle for at least two weeks
* Being a student or staff of Halic University
* Being literate

Exclusion Criteria:

* Having a history of cervical surgery
* Having a malignant disease
* Pregnancy
* Menopause
* Having cooperation problems

Primary outcomes:
measure: Visual Analog Scale
timeFrame: at baseline and at week 2.
measure: Active Range of Motion
timeFrame: at baseline and at week 2.
measure: Short-Form 36
timeFrame: at baseline and at week 2.
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Halic University
Study officials:
affiliation: Halic Üniversity
name: Duygu Sahin Altac, PT, MSc.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Alvarez DJ, Rockwell PG. Trigger points: diagnosis and management. Am Fam Physician. 2002 Feb 15;65(4):653-60.
citation: Bethers AH, Swanson DC, Sponbeck JK, Mitchell UH, Draper DO, Feland JB, Johnson AW. Positional release therapy and therapeutic massage reduce muscle trigger and tender points. J Bodyw Mov Ther. 2021 Oct;28:264-270. doi: 10.1016/j.jbmt.2021.07.005. Epub 2021 Jul 14.
citation: Cagnie B, Castelein B, Pollie F, Steelant L, Verhoeyen H, Cools A. Evidence for the Use of Ischemic Compression and Dry Needling in the Management of Trigger Points of the Upper Trapezius in Patients with Neck Pain: A Systematic Review. Am J Phys Med Rehabil. 2015 Jul;94(7):573-83. doi: 10.1097/PHM.0000000000000266.
citation: Sahin D, Kaya Mutlu E, Sakar O, Ates G, Inan S, Taskiran H. The effect of the ischaemic compression technique on pain and functionality in temporomandibular disorders: A randomised clinical trial. J Oral Rehabil. 2021 May;48(5):531-541. doi: 10.1111/joor.13145. Epub 2021 Jan 21.