Clinical trial NCT02953236: INSTRUMENTED-MANUAL PHYSIOTHERAPY VERSUS NONINSTRUMENTED
Official title: THE INMEDIATE EFFECTS OF RICHELLI'S PAINRELIEVER ON UPPER TRAPEZIUS MYOFASCIAL TRIGGER POINT IN PATIENTS SUFFERING FROM NECK PAIN: A RANDOMIZED CONTROLLED TRIAL
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Lead sponsor: University of Malaga
Sponsor class: OTHER
First posted: 2016-11-02
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study aimed to verify the mechanical and clinical effects of instrumented massage on myofascial trigger points of trapezius muscle in adult subjects.

Detailed description: Background: There are several therapies currently used to treat myofascial trigger points, including conservative and invasive techniques. It has been shown that conservative techniques including therapeutic massage, stretching, transcutaneal electrical nerve stimulation, spray and stretch, cold laser treatment, and ultrasound are the most applied treatments for myofascial pain syndrome, but no single strategy has proved to be universally successful. Instrumented massage has shown clinical effectiveness on shoulder pain, low back pain, and only one study (case report) on myofascial trigger points. This study aimed to verify the mechanical and clinical effects of instrumented massage on myofascial trigger points of trapezius muscle in adult subjects.

Methods/Design: The study includes 31 volunteers with myofascial trigger points on right trapezius muscle. Clinical and patient data were obtained from questionnaires, VAS, algometry, sono-myoelastography and myotonometry. Also, physiotherapist grip strength was measured. Subjects were randomly allocated into one of two groups: Instrumented massage or Manual massage. The intervention consisted in a single 20 minutes session of massage on the back and neck by the same therapist, depending of the group, massage was applied manually or instrumented.

Eligibility criteria: Inclusion Criteria:

* • To be of legal age.

  * To understand correctly Spanish.
  * To show their approval by signing the informed consent.
  * Suffering from mechanical neck pain

Exclusion Criteria:

-

Primary outcomes:
measure: • Pain as measured by VAS
timeFrame: 10 minutes
measure: • Stiffness of the right upper trapezius myofascial trigger point measured by MyoptronPRO.
timeFrame: 10 minutes
measure: • Stiffness (Hz) of the right upper trapezius myofascial trigger point measured by sono-myoelastography.
timeFrame: 10 minutes
Secondary outcomes:
measure: pain threshold pressure PPT
timeFrame: 10 minutes
measure: • Grip strength as measured by a Dynamometer
timeFrame: 10 minutes
measure: •PRO Spine Functional Index SFI-Sp
timeFrame: 10 minutes
measure: •PRO Neck Disability Index-Sp
timeFrame: 10 minutes
measure: • Blood flow of the right upper trapezius myofascial trigger point measured by sono-myoelastography.
timeFrame: 10 minutes
Other outcomes:
measure: • Tone of the right upper trapezius myofascial trigger point measured by MyoptronPRO
timeFrame: 10 minutes
measure: • Elasticity of the right upper trapezius myofascial trigger point measured by MyoptronPRO
timeFrame: 10 minutes
measure: • Morphology of the right upper trapezius myofascial trigger point measured by sono-myoelastography.
timeFrame: 10 minutes
Locations:
city: Malaga
country: Spain
facility: Antonio Cuesta-Vargas
Study officials:
References: