Diclofenac Phonophoresis Versus High Power Pain Threshold Ultrasound on Patients With Neck Pain

NCT ID: NCT05434039

Last Updated: 2022-07-27

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-07-30
• Study Completion Date: 2022-09-01

Brief Summary

the aim of this study is to investigate the effect of diclofenac phonophoresis versus high power pain threshold ultrasound in patients with mechanical non-specific neck pain

Detailed Description

Neck pain can be a long-lasting condition, Between half and three quarters of patients with neck pain will experience recurrence within 1-5 years. Costs for the society due to neck pain are consequently high. Neck pain (NP) is one of the common musculoskeletal problems. NP can be caused by the stress over the musculoskeletal system due to postural disorders and may also be associated with other causes such as intervertebral disc herniation, nerve compression, or fracture. Musculoskeletal pain due to trigger points is one of the most prevalent reasons for patients to seek treatment. The aim of physical therapy treatment in patient with myofascial pain syndrome is to reduce the pain and restore normal function. Most physical therapy treatments for MPS are targeted to the deactivation of MTrPs. Physical therapy techniques include manual therapies; such as ischemic compression, spray and stretch, strain and counter strain, muscle energy techniques, trigger point pressure release, transverse friction massage; needling therapies, and other techniques such as thermotherapy, ultrasound therapy , phonophoresis and laser therapy.Due to the semi-solid properties, a special method is needed for transdermal permeation of lidocaine. Therefore, many studies have focused on enhancing the level of transdermal permeation by either changing the physiochemical properties of lidocaine or using physical modalities In particular, there has been considerable interest in transdermal permeation using various methods based on the idea that the amount and depth of transdermal permeation can be increased using various physical modalities. patients with mechanical neck pain will be allocated randomly into three equal groups; group A will receive phonophoresis and traditional therapy, group B will receive high power pain thresholdand traditional therapy and group C will receive traditional therapy

Conditions

Neck Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

diclofenac phonophoresis

the patients will receive diclofenac phonophoresis and traditional therapy three times a week for four weeks

Group Type: EXPERIMENTAL

diclofenac phonophoresis

Intervention Type: OTHER

the patients will be in comfortable position and apply diclofenac phonophoresis on upper trapezius and suboccipital muscle by ultrasound device. diclofenac gel was applied circularly with a thickness of 2-3 mm. Then ultrasound with was applied with 1 MHz frequency and 1.5 Wt/cm2 power over the trigger points on the trapezius and suboccipital muscle, for 10 min.

conventional therapy

Intervention Type: OTHER

the patient will receive an active range of motion exercise, stretching and strengthening of all cervical muscles

high power pain threshold ultrasound

the patients will receive high power pain threshold ultrasound and traditional therapy three times a week for four weeks

Group Type: EXPERIMENTAL

high power pain threshold ultrasound

Intervention Type: OTHER

the patients will be in comfortable position and The frequency was set to 1 MHz, and the intensity will be increased from 0.5 to 2 until the patient reported an unpleasant sensation. The probe was held there for 4 s; then, the intensity was reduced by 50%, and the probe will be moved over and around the trigger point. This process is done several times for three minutes

conventional therapy

Intervention Type: OTHER

the patient will receive an active range of motion exercise, stretching and strengthening of all cervical muscles

conventional therapy

the patients will receive traditional therapy three times a week for four weeks

Group Type: ACTIVE_COMPARATOR

conventional therapy

Intervention Type: OTHER

the patient will receive an active range of motion exercise, stretching and strengthening of all cervical muscles

Interventions

diclofenac phonophoresis

the patients will be in comfortable position and apply diclofenac phonophoresis on upper trapezius and suboccipital muscle by ultrasound device. diclofenac gel was applied circularly with a thickness of 2-3 mm. Then ultrasound with was applied with 1 MHz frequency and 1.5 Wt/cm2 power over the trigger points on the trapezius and suboccipital muscle, for 10 min.

Intervention Type: OTHER

high power pain threshold ultrasound

the patients will be in comfortable position and The frequency was set to 1 MHz, and the intensity will be increased from 0.5 to 2 until the patient reported an unpleasant sensation. The probe was held there for 4 s; then, the intensity was reduced by 50%, and the probe will be moved over and around the trigger point. This process is done several times for three minutes

Intervention Type: OTHER

conventional therapy

the patient will receive an active range of motion exercise, stretching and strengthening of all cervical muscles

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. diagnosed as non-specific neck pain with upper trapezius and suboccipital muscles active myofascial trigger points less than 3 months of duration and have these criteria: taut band on palpation, hyper sensible tender spot in the taut band, local twitch response referred pain pattern

2. body mass index from 18 to 25 kg/m2

3. their ages from 18-30

Exclusion Criteria

1. if they had trigger point injections within the past 6 months

2. history of neck or upper back surgery, trauma or fracture

3. history of a whiplash injury, skin diseases and lesions, any sensory disturbances, any vascular syndromes, neck and back deformities

4. cervical radiculopathy, and diagnosis of fibromyalgia syndrome, skin diseases

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 30 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Al Shaymaa Shaaban Abd El Azeim

principle investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

al shaymaa sh abd el azeim, lecturer

Role: CONTACT

shimaashaaban30@yahoo.com

01033771553

al shaymaa abd el azeim, lecturer

Role: CONTACT

shimaashaaban30@yahoo.com

01033771553

Other Identifiers

p.t.REC/012/003672

Identifier Type: -

Identifier Source: org_study_id