Clinical trial NCT05297656: The Effect of Instrument Assisted Soft Tissue Mobilization in Female Patients With Myofascial Pain Syndrome
Official title: The Effect of Instrument Assisted Soft Tissue Mobilization in Female Patients With Myofascial Pain Syndrome Due to Active Trigger Points in the Upper Trapezius Muscles
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Myofascial Pain
Instrument Assisted Soft Tissue Mobilization
Keywords: miyofascial pain
Instrument Assisted Soft Tissue Mobilization
Quality of life
Lead sponsor: Kirsehir Ahi Evran Universitesi
Sponsor class: OTHER
First posted: 2022-03-28
Enrollment: 75
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized Controlled Trial
Primary purpose: TREATMENT

Brief summary: The primer aim of this study is to demonstrate the effecti of instrument assisted soft tissue mobilization on pain, functionality, quality of life and depression in the treatment of female patients with myofascial pain syndrome due to active trigger points in the upper trapezius muscles

Detailed description: Myofascial Pain Syndrome (MAS); It is a non-articular, non-inflammatory regional musculoskeletal pain syndrome characterized by myofascial trigger points located at muscle, fascia or tendon insertion sites and the spread of pain to reference areas by palpation of these points.

h The effectiveness of massage therapy in MAS is known. In this study, investigators will apply instrument assisted deep tissue mobilization (graston massage). Instrument-assisted soft tissue mobilization massage, which is a type of massage, will be applied by a physiotherapist who has a certificate on this subject and takes part as an assistant researcher in our study.

Soft tissue mobilization is a unique soft tissue mobilization combined with active mobility and stretching exercises already prescribed for patients with musculoskeletal injuries.

The various sizes and beveled edges of the stainless steel instruments allow physiotherapists to tailor treatment to different muscle structures facing myofascial constraints.

Localized increases in blood flow and soft tissue realignment lead to muscle function, increased normal joint motion, and decreased pain.

It has been investigated in the literature for many different diseases (trigger finger, nonspecific low back pain, myofascial pain syndrome) and found to be effective.CF

Eligibility criteria: Inclusion Criteria:

1. Being woman and between the ages of 18-45
2. Not to be in menopause
3. Pain in the upper trapezius area
4. Detection of a taut band in the upper trapezius region on examination
5. At least one active trigger point in the tension band in the upper trapezius region on examination
6. The pain caused by the compression of the trigger point is the pain that the patient complains about
7. Painful restriction of cervical lateral flexion motion during stretching
8. Pain 4 or more according to NRS

Exclusion Criteria:

1. major surgery or trauma to the musculoskeletal system, especially the spine and upper extremities 2.History of any operation related to the head and neck region 3. Neuromuscular disease 4. History of rheumatic disease, malgnite in the active period 4. Cervical discopathy, cervical spondylosis, pathologies related to the shoulder joint and surrounding soft tissues, scoliosis, kyphosis, leg length difference, polio sequelae, developmental hip dysplasia 5. Psychiatric disease (Beck Depression Inventory score of 30 and above) 6.Obese (BMI≥30 kg/m2)

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Primary outcomes:
measure: Pain Algometer
timeFrame: Baseline
measure: Pain Algometer
timeFrame: Fourth week (Posttreatment)
measure: Visual Analogue Scale (VAS)
timeFrame: Baseline
measure: Visual Analogue Scale (VAS)
timeFrame: Fourth week (Posttreatment)
measure: Number and location of trigger points
timeFrame: Baseline
measure: Number and location of trigger points
timeFrame: Fourth week (Posttreatment)
Secondary outcomes:
measure: Beck depression questionnaire
timeFrame: Baseline
measure: Beck depression questionnaire
timeFrame: Fourth week (Posttreatment)
measure: The World Health Organization health-related quality of life-brief form
timeFrame: Baseline
measure: The World Health Organization health-related quality of life-brief form
timeFrame: Fourth week (Posttreatment)
measure: The neck disability index
timeFrame: Baseline
measure: The neck disability index
timeFrame: Fourth week (Posttreatment)
Other outcomes:
Locations:
city: Kırşehir
country: Turkey
facility: Kırşehir Ahi Evran University Faculty of Medicine
state: City Center
Study officials:
affiliation: university
name: Basak Cigdem Karacay, Asst Prof
role: STUDY_DIRECTOR
References: