Stripping Massage Technique and Post-isometric Relaxation
NCT ID: NCT07063355
Last Updated: 2025-07-14
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
NA
44 participants
INTERVENTIONAL
2025-07-24
2025-10-20
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Stripping Massage Technique
Stripping Massage Technique:
* The back of the neck and shoulder were uncovered.
* Controlled and steady pressure was administered using the thumb along the entirety of the tense trapezius muscle, moving from origin to insertion and perpendicular to the muscle fibers, for approximately 3 minutes, twice weekly over a period of 4 weeks.
* The pressure was progressively raised with each subsequent stroke, based on tolerance level.
Stripping Massage Technique:
* The back of the neck and shoulder were uncovered.
* Controlled and steady pressure was administered using the thumb along the entirety of the tense trapezius muscle, moving from origin to insertion and perpendicular to the muscle fibers, for approximately 3 minutes, twice weekly over a period of 4 weeks.
* The pressure was progressively raised with each subsequent stroke, based on tolerance level.
Post isometric Relaxation
Post-Isometric Relaxation (PIR):
* During the PIR intervention, the patients rested in a supine position with their necks tilted to the side, away from the affected side, placing the upper trapezius muscle fibers in a stretched position.
* A moderate isometric contraction, around 75% of the patient's maximum effort, was performed by the upper trapezius and maintained for 5 seconds, followed by a 3-second relaxation phase.
* The therapist then gently mobilized the cervical spine to a new range of motion barrier.
* This sequence was repeated four times per session
Post-Isometric Relaxation (PIR)
* During the PIR intervention, the patients rested in a supine position with their necks tilted to the side, away from the affected side, placing the upper trapezius muscle fibers in a stretched position.
* A moderate isometric contraction, around 75% of the patient's maximum effort, was performed by the upper trapezius and maintained for 5 seconds, followed by a 3-second relaxation phase.
* The therapist then gently mobilized the cervical spine to a new range of motion barrier.
* This sequence was repeated four times per session.
Interventions
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Stripping Massage Technique:
* The back of the neck and shoulder were uncovered.
* Controlled and steady pressure was administered using the thumb along the entirety of the tense trapezius muscle, moving from origin to insertion and perpendicular to the muscle fibers, for approximately 3 minutes, twice weekly over a period of 4 weeks.
* The pressure was progressively raised with each subsequent stroke, based on tolerance level.
Post-Isometric Relaxation (PIR)
* During the PIR intervention, the patients rested in a supine position with their necks tilted to the side, away from the affected side, placing the upper trapezius muscle fibers in a stretched position.
* A moderate isometric contraction, around 75% of the patient's maximum effort, was performed by the upper trapezius and maintained for 5 seconds, followed by a 3-second relaxation phase.
* The therapist then gently mobilized the cervical spine to a new range of motion barrier.
* This sequence was repeated four times per session.
Eligibility Criteria
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Inclusion Criteria
* Experiencing tightness in the upper trapezius muscle
* Having pain at rest, local twitch response or jump sign in upper trapezius
* Patients having functional limitations while performing certain activities of everyday living.
Exclusion Criteria
* Presence of structural abnormalities like torticollis or scoliosis.
* Presence of skin disease on the back.
* Having undergone upper limb surgery within the past year .
* Participation in another clinical trial.
* Severe psychiatric conditions that would impair participation or compliance
18 Years
50 Years
ALL
Yes
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Muzna Munir, PhD*
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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The Perfect Physiotherapy Clinic
Muzaffargarh, Punjab Province, Pakistan
Countries
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Central Contacts
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References
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Aras D, Al-Ihsan IM, Sutono E. The effectivity of trigger point dry needling in improving pain on people with upper trapezius myalgia. Enfermería Clínica. 2020;30:87-91.
Joshi A, Jawade S, Chitale N. Effectiveness of Myofascial Release (MFR) vs. High-Frequency Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Relief and Functional Improvement in College Students With Trapezius Myalgia. Cureus. 2022 Oct 4;14(10):e29898. doi: 10.7759/cureus.29898. eCollection 2022 Oct.
Supornpun N, Rummaneethorn P, Nararatwanchai T, Saiwichai T, Chaichalotornkul S. Incobotulinum Toxin A with a One-year Long-lasting Effect for Trapezius Contouring and Superior Efficacy for the Treatment of Trapezius Myalgia. J Cutan Aesthet Surg. 2022 Apr-Jun;15(2):168-174. doi: 10.4103/JCAS.JCAS_68_21.
SAMIR SM, AMANY M, ABDELRAHMAN AC, SALWA FA. Effect of Passive Stretching Exercises Versus Post Isometric Relaxation Technique on Pain Intensity in Quadratus Lumborum Trigger Points on Lower Back Myofascial Pain Syndrome. The Medical Journal of Cairo University. 2024;91(12):1519-23.
Elagamawy MI, Elsayed WH, Zahran MR. Effect of Muscle Energy Technique versus Instrument-assisted Soft Tissue Mobilization in Upper Trapezius Myofascial Trigger Points. Egyptian Journal of Physical Therapy. 2023;16(1):7-16.
Albaker AB. Ischemic pressure vs. post-isometric relaxation for treatment of rhomboid latent myofascial trigger point: a systemic review. Eur Rev Med Pharmacol Sci. 2023 Jun;27(11):5031-5038. doi: 10.26355/eurrev_202306_32620.
El-Hafez HM, Hamdy HA, Takla MK, Ahmed SEB, Genedy AF, Abd El-Azeim ASS. Instrument-assisted soft tissue mobilisation versus stripping massage for upper trapezius myofascial trigger points. J Taibah Univ Med Sci. 2020 Mar 6;15(2):87-93. doi: 10.1016/j.jtumed.2020.01.006. eCollection 2020 Apr.
Junaid M, Yaqoob I, Shakil Ur Rehman S, Ghous M. Effects of post-isometric relaxation, myofascial trigger point release and routine physical therapy in management of acute mechanical neck pain: a randomized controlled trial. J Pak Med Assoc. 2020 Oct;70(10):1688-1692. doi: 10.5455/JPMA.15939.
Ghulam HS, Alqhtani RS, Alshahrani A, Ahmed H, Khan AR, Khan A. Efficacy of cervical mobilization with post-isometric relaxation in managing mechanical neck pain, ROM, and functional limitations associated with myofascial trigger points. Medicine (Baltimore). 2023 Dec 29;102(52):e36710. doi: 10.1097/MD.0000000000036710.
Fahmy EM, Ibrahim AR, Elabd AM. Ischemic Pressure vs Postisometric Relaxation for Treatment of Rhomboid Latent Myofascial Trigger Points: A Randomized, Blinded Clinical Trial. J Manipulative Physiol Ther. 2021 Feb;44(2):103-112. doi: 10.1016/j.jmpt.2020.07.005.
Other Identifiers
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REC/RCR & AHS/24/0171
Identifier Type: -
Identifier Source: org_study_id
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