Efficacy of Extracorporeal Shockwave Therapy on Ultrasonography Changes of Upper Trapezius Myofascial Trigger Points in Patients With Non Specific Neck Pain

NCT ID: NCT06267755

Last Updated: 2024-02-20

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-02-20
• Study Completion Date: 2024-08-30

Brief Summary

this study will be conducted to investigate the effect of Extracorporeal Shockwave Therapy on Ultrasonography Changes of Upper Trapezius Myofascial Trigger Points in Patients With Non Specific Neck Pain

Detailed Description

Neck pain is one of the most commonly reported musculoskeletal disorders. The prevalence for neck pain varies between 16.7% and 75.1% in the general population. Up to 67% of world's population may present chronic non-specific neck pain at least once in their lives. The upper trapezius is probably the muscle most often beset by trigger points, it is indicated that the upper trapezius is the most sensitive of 8 different muscles (upper trapezius, pectoralis major, levator scapulae, teres major, supraspinatus, gluteus medius, infraspinatus, paraspinal) to the pressure of an algometer.Recently, the extracorporeal shock wave has been widely known to be an effective therapeutic modality in myofascial pain syndrome treatment and a systematic review provided promising insight into the effectiveness of ESWT in Myofascial pain syndrome treatment. sixty patients with non specific neck pain will be assigned randomly to two groups; first one will receive shock wave therapy and traditional therapy and the second one will receive traditional therapy only for six weeks.

Conditions

Neck Pain

Study Design

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

Study Groups

Extracorporeal Shockwave therapy

Thirty patients will receive Extracorporeal Shockwave therapy and Traditional physical therapy three times per week for six consecutive weeks.

Group Type: EXPERIMENTAL

Extracorporeal Shockwave therapy

Intervention Type: OTHER

the patients will receive Extracorporeal Shockwave therapy sessions by 600 impulses with 1.6 bar pressure at a frequency of 8 Hz on site of the upper trapezius

Traditional physical therapy

Intervention Type: OTHER

the patients will receive Traditional physical therapy in the form of Integrated neuro-muscular inhibition technique + posture correction and scapular stabilization exercises.

Traditional physical therapy

Thirty patients will receive Traditional physical therapy three times per week for six consecutive weeks.

Group Type: ACTIVE_COMPARATOR

Traditional physical therapy

Intervention Type: OTHER

the patients will receive Traditional physical therapy in the form of Integrated neuro-muscular inhibition technique + posture correction and scapular stabilization exercises.

Interventions

Extracorporeal Shockwave therapy

the patients will receive Extracorporeal Shockwave therapy sessions by 600 impulses with 1.6 bar pressure at a frequency of 8 Hz on site of the upper trapezius

Intervention Type: OTHER

Traditional physical therapy

the patients will receive Traditional physical therapy in the form of Integrated neuro-muscular inhibition technique + posture correction and scapular stabilization exercises.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Sixty patients receiving a diagnosis of non-specific neck pain with upper trapezius myofascial trigger points by an orthopaedist physician.
• Body mass index of participants was normal less than (30 kg/m2)(Al-asadi, 2018).
• Age over 18 years.
• Presence of taught band.
• Presence of hyper irritable spot in a taught band, and reproduction of the typical referred pain pattern of the myofascial trigger point in response to compression

Exclusion Criteria

• Having signs and symptoms of neurological disorders that cause nerve root compression.
• Headache as a consequence of specific headache diagnosis.
• Having a history of specific signs of malignancy, or infection.
• Having a history of trauma with or without proven structural disorders in the region of the neck, shoulder, and head (e.g. whiplash).
• Having signs and symptoms of cerebrovascular insufficiency.
• Having a severe chronic disease of the locomotor system (e.g. polyarthritis, muscular disease
• Any participant with contraindications to shock wave therapy

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Nabil Mahmoud Ismail Abdel-Aal

principle investigator nabil mahmoud ismail abdel-aal

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

Mahmoud Fouad, master

Role: CONTACT

mahmoud.adel27392@gmail.com

01227740639

Maher El keblawy, professor

Role: CONTACT

katyary@yahoo.com

01001419544

Other Identifiers

P.T.REC/012/004884

Identifier Type: -

Identifier Source: org_study_id