Evaluation of Pain Quality in Young Swimmers Suffering From Myofascial Pain Syndrome Using Lidocaine Phonophoresis

NCT ID: NCT06573775

Last Updated: 2024-08-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 45 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-06-05
• Study Completion Date: 2024-07-29

Brief Summary

To evaluate pain quality by pain quality assessment scale (PQAS) using lidocaine phonophoresis on myofascial pain syndrome (MPS) in athletic children.

Detailed Description

Forty five males athletic swimmer children (10 to 14 years old) with MPS in the upper trapezius muscle were evaluated before and after treatment. They were randomly divided into three groups, n=15 children each. A (control), B and C (study groups). The three groups received spatial designed physical therapy program. The two study groups received pulsed ultrasound and lidocaine phonophoresis repectively. The duration of treatment was 40 minutes, three times / weeks for three successive months.

Conditions

Neck Pain

Study Design

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

Study Groups

control group A

the control group received the traditional physical therapy for treating myofascial trigger points in the form of a myofascial trigger point release, stretching and strengthening of the trapezius muscle

Group Type: ACTIVE_COMPARATOR

myofascial release

Intervention Type: OTHER

manual massage and range of motion exercises

study group B

received pulsed ultrasound in addition to traditional physical therapy for treating myofascial trigger points in the form of a myofascial trigger point release, range of motion exercises, stretching and strengthening of the trapezius muscle

Group Type: EXPERIMENTAL

pulsed ultrasound

Intervention Type: DEVICE

treatment of myofacial trigger points with therapeutic ultrasound

myofascial release

Intervention Type: OTHER

manual massage and range of motion exercises

study group C

received lidocaine hydrochloride gel 5%phonophoresis in addition to traditional physical therapy for treating myofascial trigger points in the form of a myofascial trigger point release,range of motion exercises stretching and strengthening of the trapezius muscle

Group Type: EXPERIMENTAL

myofascial release

Intervention Type: OTHER

manual massage and range of motion exercises

lidocaine phonophoresis

Intervention Type: DEVICE

transdermal tranmission of lidocaine molecules via ultrasound

Interventions

pulsed ultrasound

treatment of myofacial trigger points with therapeutic ultrasound

Intervention Type: DEVICE

myofascial release

manual massage and range of motion exercises

Intervention Type: OTHER

lidocaine phonophoresis

transdermal tranmission of lidocaine molecules via ultrasound

Intervention Type: DEVICE

Other Intervention Names

myofascial trigger point realease

Eligibility Criteria

Inclusion Criteria

• Age range from 10 to 14 years.
• All children have regional neck pain complaint.
• Tenderness in cervical trigger points in the midpoint of the upper border of trapezius muscle, from grade II to grade IV according to tenderness grading scheme (Hubbard and Berkoff, 1993) (Appendix I )
• The diagnosis of an active MTrP in the upper trapezius according to (Ardiçet al . , 2002 and Bruno, 2005):
• Patients suffered from active MTrPs in the upper trapezius.
• Tender spots in one or more palpable taut bands.
• A typical pattern of referred pain distributed in the ipsilateral, posterolateral cervical paraspinal area, mastoid process or temporal area
• Palpable or visible local twitch response on snapping palpation at the most sensitive spot in the taut band.
• Restricted range of motion in lateral bending of the cervical spine to the opposite side.
• Palpation of a trigger point elicits a stereotypic zone of referred pain specific to that muscle.
• Identification of a palpable taut band, as well as a palpable, and exquisitely tender spot along the length of that taut band.
• All children allowed to practice their regular sport activities.

Exclusion Criteria

• Neurological disorders.
• Dermatological disorders.
• Acute trauma prior to the study.
• Fibromyalgia, systemic disease and drug allergy history were excluded from the study.
• Having myofascial trigger points injection.
• Chronic pain in both sides of the body.
• History of findings of cervical injury whether orthopedic or soft tissue injury

• Minimum Eligible Age: 10 Years
• Maximum Eligible Age: 14 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

New Ismailia National University

OTHER

Sponsor Role: lead

Responsible Party

Mohamed Abdel Moeim Abo EL Ros

Lecturer of Physical Therapy for Pediatrics and its Surgeries

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Mohamed AM El Meligy, MD

Role: STUDY_CHAIR

Suez Canal University

Locations

College of Medicine

Ismailia, , Egypt

Countries

Egypt

Provided Documents

Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form: statistical plan with brief description

View Document

Document Type: Informed Consent Form: consent form with brief description

View Document

Other Identifiers

P.T.REC/012/001708

Identifier Type: -

Identifier Source: org_study_id