Clinical trial NCT04716192: Positional Release Technique in Patients With Unilateral Subacute Trapezitis
Official title: Effects of Positional Release Technique on Pain, Range of Motion and Function in Patients With Unilateral Subacute Trapezitis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cervical Spine Disease
Keywords: Positional release therapy
trapezitis
subacute, pain
cervical ROM
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2021-01-20
Enrollment: 44
Sex: ALL
Minimum age (years): 25
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: To assess the effects of positional release technique to improve the cervical range of motion, relieve pain and function in the patient with unilateral subacute trapezitis.

Detailed description: Trapezius pain is the most common muscular pain due to increased stress which results in trapezitis. The trapezius muscle is postural muscle diamond shape highly susceptible to overuse. It helps in extension, neck rotation, and side bending. Trapezitis is frequently caused by bad posture, watching TV or working on computer for a long and use of thick pillo. Passive ROM may be painful and restricted due to protective spasm in muscle. This study will be a Randomized controlled study and will be conducted in Met Life Rehablitation center Lahore. The study will be completed within the time duration of six months . Consecutive sampling technique will be used to collect the data. The sample size of 44 patients will be taken in this study to find the effect of positional release technique in subacute unilateral trapezitis. Patient will be divided into two groups. Mayoficial release therapy and ultrasound will be given to both groups as a baseline treatment. (Group A will be treated with positional release technique, mayofascial release technique and ultrasound while Group B will be treated with mayofascial release technique and ultrasound). All measurements will be taken at baseline and at the end of 2nd week.Each group will be given 3 sessions per week for 2 weeks. Neck disability index will be used to measure function, Numeric pain rating scale will be used to measure pain intensity and goniometer will be used to measure cervical lateral flexion and extension and rotation range of motion. Data will be analyzed on SPSS 25.

Eligibility criteria: Inclusion Criteria:

* Pain with less than 3 months duration
* Subjects of sub- acute trapezitis with trigger points
* Taut band palpable in upper trapezius muscle
* Excruciating spot tenderness at one point along the length of the taut band of the upper trapezius muscle
* Restriction in cervical lateral flexion when measured
* Pain increased by elongating (stretching) the trapezius muscle.

Exclusion Criteria:

* Traumatic Neck Injury
* Fracture of cervical vertebras
* Cervical Spinal Cord Compromise
* Cervical Radiculopathy
* Spondylolisthesis of the cervical spine
* A history of heart disease or the presence of a pacemaker

Primary outcomes:
measure: UNIVERSAL GONIOMETER
timeFrame: 2 weeks
measure: NUMERIC PAIN RATING SCALE
timeFrame: 2 weeks
measure: NECK DISABILITY INDEX
timeFrame: 2 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Met Life Rehab center
state: Punjab
Study officials:
affiliation: Riphah International University
name: Saima Zahid, PhD*
role: PRINCIPAL_INVESTIGATOR
References:
citation: Parab AA, Pattanshetty R. Effect of myofascial release versus muscle energy technique on trapezius spasm in head and neck cancer patients: A randomized clinical trial. Indian Journal of Physical Therapy and Research. 2019;1(2):114.
citation: Chaudhary ES, Shah N, Vyas N, Khuman R, Chavda D, Nambi G. Comparative study of myofascial release and cold pack in upper trapezius spasm. International Journal of Health Sciences & Research. 2013;3(12):20-7.
citation: Mishra D, Prakash RH, Mehta J, Dhaduk A. Comparative Study of Active Release Technique and Myofascial Release Technique in Treatment of Patients with Upper Trapezius Spasm. Journal of Clinical & Diagnostic Research. 2018;12(11).
citation: Karthick K. A Study on the Effectiveness of Positional Release Therapy in the Management of Trapezitis. Research & Reviews: Journal of Computational Biology. 2018;6(2):19-25.