Effects of Upper Trapezius Stretching With and Without Mid Lower Trapezius Strengthening in Trapezius Myalgia
NCT ID: NCT05856006
Last Updated: 2024-03-05
Study Results
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Basic Information
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COMPLETED
NA
40 participants
INTERVENTIONAL
2023-04-01
2023-09-15
Brief Summary
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Detailed Description
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A Randomized controlled trial will be conducted in physiotherapy outpatient department of Bahria International Hospital Lahore. Non-probability convnience sampling will be used to collect the data. Sample size of 42 subjects with age group between 18 to 40 years will be taken. Data will be collected by using tools Numeric Pain Rate Scale (NPRS) for pain, Neck Disability Index (NDI) for disability and SF-36 for Quality of life. An informed consent will be taken. A total of 20 subjects will be selected by following inclusion and exclusion criteria and will equally divided in to two groups by random number generator table. Both groups will come thrice per week for a total of 4 weeks. The data will be analysed using SPSS software version 25. After assessing normality of data by Shapiro-Wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Stretching Group
upper trapezius stretching plus neck isometrics
upper trapezius stretching plus neck isometrics
upper trapezius stretching plus neck isometrics
Stretching plus strengthening Group
upper trapezius stretching with mid-lower trapezius strengthening exercises plus neck isometrics
upper trapezius stretching with mid-lower trapezius strengthening exercises plus neck isometrics
Mid-Lower Trapezius strengthening exercise includes:
1. Latissimus pull down
2. Prone V- raise
3. Modified Prone Cobra
Interventions
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upper trapezius stretching plus neck isometrics
upper trapezius stretching plus neck isometrics
upper trapezius stretching with mid-lower trapezius strengthening exercises plus neck isometrics
Mid-Lower Trapezius strengthening exercise includes:
1. Latissimus pull down
2. Prone V- raise
3. Modified Prone Cobra
Eligibility Criteria
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Inclusion Criteria
* Examination-Symptoms provoked by neck movement and palpation of Trapezius musculature.
* Positive Trapezius Strength Test
Exclusion Criteria
* Infection or febrile state at the time of performing the test;
* Anxiety or extreme emotional tension;
* pharmacological treatment (analgesics, muscle relaxants, anxiolytics, antidepressants)
* Disc lesions
18 Years
40 Years
FEMALE
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Maryam Azam, MS*
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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Bahria International Hospital
Lahore, Punjab Province, Pakistan
Countries
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References
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Wang YZ, Wang AN, Gao XS, Du Y, Li L, Zhao JJ. [Effect of the small needle knife through the Zusanli(ST 36) on behavior and hippocampal expression of NLRP3 and IL-1beta in myalgia comorbid depressed rats]. Zhongguo Gu Shang. 2019 Dec 25;32(12):1151-1155. doi: 10.3969/j.issn.1003-0034.2019.12.017. Chinese.
Kamper SJ, Henschke N, Hestbaek L, Dunn KM, Williams CM. Musculoskeletal pain in children and adolescents. Braz J Phys Ther. 2016 Feb 16;20(3):275-84. doi: 10.1590/bjpt-rbf.2014.0149.
Lee KW, Kim WH. Effect of thoracic manipulation and deep craniocervical flexor training on pain, mobility, strength, and disability of the neck of patients with chronic nonspecific neck pain: a randomized clinical trial. J Phys Ther Sci. 2016 Jan;28(1):175-80. doi: 10.1589/jpts.28.175. Epub 2016 Jan 30.
Rodriguez-Sanz J, Malo-Urries M, Lucha-Lopez MO, Lopez-de-Celis C, Perez-Bellmunt A, Corral-de-Toro J, Hidalgo-Garcia C. Comparison of an exercise program with and without manual therapy for patients with chronic neck pain and upper cervical rotation restriction. Randomized controlled trial. PeerJ. 2021 Nov 24;9:e12546. doi: 10.7717/peerj.12546. eCollection 2021.
Cote P, Cassidy JD, Carroll L. The Saskatchewan Health and Back Pain Survey. The prevalence of neck pain and related disability in Saskatchewan adults. Spine (Phila Pa 1976). 1998 Aug 1;23(15):1689-98. doi: 10.1097/00007632-199808010-00015.
Suvarnnato T, Puntumetakul R, Kaber D, Boucaut R, Boonphakob Y, Arayawichanon P, Chatchawan U. The effects of thoracic manipulation versus mobilization for chronic neck pain: a randomized controlled trial pilot study. J Phys Ther Sci. 2013 Jul;25(7):865-71. doi: 10.1589/jpts.25.865. Epub 2013 Aug 20.
Chansirinukor W, Wilson D, Grimmer K, Dansie B. Effects of backpacks on students: measurement of cervical and shoulder posture. Aust J Physiother. 2001;47(2):110-6. doi: 10.1016/s0004-9514(14)60302-0.
Lee KS, Lee JH. Effect of maitland mobilization in cervical and thoracic spine and therapeutic exercise on functional impairment in individuals with chronic neck pain. J Phys Ther Sci. 2017 Mar;29(3):531-535. doi: 10.1589/jpts.29.531. Epub 2017 Mar 22.
Other Identifiers
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REC/RCR & AHS/23/0527
Identifier Type: -
Identifier Source: org_study_id
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