Clinical trial NCT03585283: Effects of Myofascial Releasing on Neck Pain in Patients With Trigger Points
Official title: Effects of Myofascial Releasing on Neck Pain in Patients With Trigger Points: A Single Blinded, Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Trigger Point Pain, Myofascial
Neck Pain
Keywords: Myofascial Release
Manual Therapies
Lead sponsor: Abant Izzet Baysal University
Sponsor class: OTHER
First posted: 2018-07-13
Enrollment: 75
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Patients' information and contact will be obtained from physiatrist and willing participant's gender, age and pain onset data will be processed with a random number generator in order to form groups. Patients will divide randomly into two groups as intervention and control with a normal distribution of gender, age and pain onset.
Primary purpose: TREATMENT

Brief summary: Aim of this study is to investigate effectiveness of myofascial releasing on neck pain related to trigger points located on upper cervical region.

Detailed description: Neck pain is the second most common musculoskeletal pain after lumbar pain. Prevalence is 27.2% female and 17.4% in male population. Approximately 1/3 of acute onset neck aches become chronic. It causes increasing the cost of treatment and also the loss of labor.

Myofascial pain is usually considered caused by myofascial trigger points. The trigger points in the neck muscles have been associated with a possible source of referred facial and cranial pain. Mechanical neck pain is a non-radicular pain caused by local musculoskeletal structures and is characterized by a spasm of the cervical muscles. Posture, emotional stress, cold and fatigue are etiologic causes, and pain is also reflected to the cervical, occipital and scapular regions depending on the severity of muscle spasm and the presence of trigger point in myofascial pain syndrome.

Myofascial releasing is a specific type of passive soft tissue mobilization. Triggers points often considered as a pathology that occurs after excessive load or trauma on soft tissue which disturbs blood circulation. Fascial restriction can be found with triggers points and taut band.

In this study effects of myofascial release on triggers points will be investigated.

Eligibility criteria: Inclusion Criteria:

* Non specific cervical pain
* Symptoms should last longer than 4 weeks
* Palpable trigger points on upper thoracic region

Exclusion Criteria:

* Cervical radiculopathy
* Previous manual therapy treatment history
* Sensory or motor function loss
* Rheumatologic diseases
* Structural damage on cervical spina
* Trauma history

Primary outcomes:
measure: Assessment of Pain Pressure Threshold on Trigger Points with Algometer
timeFrame: 12 weeks
Secondary outcomes:
measure: Neck Disability Index
timeFrame: 12 weeks
measure: Assessment of Perceived Pain on Cervical Region
timeFrame: 12 weeks
measure: Global Rating of Change Scale-Turkish Version
timeFrame: 12 weeks
measure: Assessment of Cervical Active Range of Motion (ROM)
timeFrame: 12 weeks
Other outcomes:
Locations:
city: Bolu
country: Turkey
facility: Abant Izzet Baysal University
Study officials:
affiliation: Abant Izzet Baysal University
name: Şebnem Avcı, Ph.D
role: STUDY_DIRECTOR
References: