Effectiveness of Manual Myofascial Release Versus Instrument Assisted Soft Tissue Mobilization (IASTM) in Patients With Chronic Neck Pain"

NCT ID: NCT05502406

Last Updated: 2022-08-16

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-03-01
• Study Completion Date: 2023-02-28

Brief Summary

Neck pain has a global prevalence of 30%, being the fourth leading cause of disability among general population and is more prevalent among females than males, as per concluded by evidence. It is undoubtedly the need of time, to address its proper treatment and to hinder its recurrence amongst the general population. The current physical therapy management of neck pain is more focused towards achieving the short term goals for the patient rather than addressing and amending the actual cause of its relapse. Manual Myofascial Release is one of the very effective treatment used to release soft tissue and fascial adhesions over the myofascia inorder to relieve chronic neck pain. The study aims to compare this manual treatment against Instrument Assisted soft tissue mobilization in order to determine which of the two provides improved outcome in terms of pain, neck disability and cervical Range of motion.

Conditions

Chronic Neck Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

IASTM

The participants of the respective group will receive myofascial release using a C shaped glider, by the help of gentle horizontal strokes the targeted soft tissue restrictions will be relieved over the cervicodorsal fascia

Group Type: EXPERIMENTAL

Instrument Assisted Soft tissue Mobilization

Intervention Type: PROCEDURE

Using a C shaped IASTM tool gentle horizontal stroking at an angle of 45 degree will be given over the cervicodorsal fascia

MMFR

The participants of the respective group will recieve manual soft tissue release over the cervicodorsal fascia using velvet glove technique for a period of 5 to 7 mins inorder to set free any adhesion in the underlying myofascia

Group Type: EXPERIMENTAL

Manual Myofascial Release

Intervention Type: PROCEDURE

Participants will receive myofascial release through velvet glove technique on upper trapezius and sternocleidomastoid muscle using four strokes in the following fashion:

• Begin superior to the clavicle with a loose fist and move the back of the hand over the upper trapezius, fastening the tissue and bringing it over the table.
• The next stroke addresses the curve of the neck, again hooking the tissue while moving the bak of your fist towards the table.

The last stroke goes over the entire cervical spine hooking over the sternocleidomastoid muscle bringing it into myofascial release. Stay away from the carotid pulse, and incase a pulse is felt, do not apply pressure and reposition your hand

Interventions

Instrument Assisted Soft tissue Mobilization

Using a C shaped IASTM tool gentle horizontal stroking at an angle of 45 degree will be given over the cervicodorsal fascia

Intervention Type: PROCEDURE

Manual Myofascial Release

Participants will receive myofascial release through velvet glove technique on upper trapezius and sternocleidomastoid muscle using four strokes in the following fashion:

• Begin superior to the clavicle with a loose fist and move the back of the hand over the upper trapezius, fastening the tissue and bringing it over the table.
• The next stroke addresses the curve of the neck, again hooking the tissue while moving the bak of your fist towards the table.

The last stroke goes over the entire cervical spine hooking over the sternocleidomastoid muscle bringing it into myofascial release. Stay away from the carotid pulse, and incase a pulse is felt, do not apply pressure and reposition your hand

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Male and Female participants belonging to the age group of 18 to 40 years
• Participants suffering from neck pain for more than 3months.

Exclusion Criteria

• Recent history of Whiplash Injury.
• Recent traumatic history of head, cervical spine, shoulder girdle or fractures of the cervical spine or shoulder complex.
• History of Cervical Radiculopathy, spondylosis, spondylolisthesis, disc prolapse, any other systemic disease or vascular syndrome such as vertebro-basilar Insufficiency.
• Diagnosed Fibromyalgia, myopathy or myelopathy
• Sensory/Motor dysfunction owing to any neurological pathology in the mid or upper back.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Foundation University Islamabad

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Fauji Foundation Hospital

Rawalpindi, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

FUI/CTR/2022/9

Identifier Type: -

Identifier Source: org_study_id