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IRCT20180311039049N1 IRCT 2018-11-03 Shahid Beheshti University of Medical Sciences Comparison of instrument assisted soft tissue mobilization technique (IASTM) with dry needling (DN) on the active trigger points of the upper trapezius muscle Comparison of the effectiveness of instrument assisted soft tissue mobilization technique (IASTM) with dry needling (DN) in improving pain pressure threshold (PPT) , active cervical contra lateral flexion (ACCLF) , pain intensity (PI) and neck disability index (NDI) in patients with active trigger points of the upper trapezius muscle 2018-11-22 anticipated 75 Complete https://irct.ir/trial/33734 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, a sample of 75 people, 25 cards for each intervention group and 25 cards for control group were considered and placed inside a sealed envelope that is non-transparent to draw then each patient takes one of the cards randomly and their group is identified and the generated sequence is recorded. N/A Myofascial Trigger Points of the Upper Trapezius Muscle. Intervention 1: Intervention group: In this technique is first step to increase blood flow and muscle tissue temperature for 5 minutes, superficial heat will be used and then using the myo-release tool, muscle tissue will be massaged for 5 minutes. The soft tissue mobilization technique is carried out using the myo-release tool No. 1, made in Iran. The tool is made of stainless steel. Immediately after massage, the therapist applies 3 passive stretches for 30 seconds on the muscle and this phase is completed by the 2nd 12th active muscle stretches by the patient herself and in the final stage, the patient performs the shoulder elevation as 2 sets of 15. This technique is performed in 4 sessions and twice a week. Intervention 2: Intervention group: Dry needle technique is done using sterile needles and disposable Dong Bang with a length of 40 mm and a thickness of 0.25 mm.After the tight bundles are found in the upper trapezius muscle, the therapist inserts the needle at a 30-degree angle and inserts the needle out frequently and then again into another part of the trigger point, this procedure is repeated as long as no other local twitch response is felt. This technique is performed in 4 sessions and twice a week. Intervention 3: Control group:There is no intervention. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information.
public Zeinab Ahmadpour Emshi
SBMU School of Rehabilitation Sciences., Damavand Ave., Imam Hossein Square (AS).,Tehran., Iran
Tehran Iran (Islamic Republic of) 1616913111 +98 21 7756 1407 zeinab.ahmadpour1372@Gmail.com Shahid Beheshti University of Medical Sciences scientific DR. Farshad Okhovatian
SBMU School of Rehabilitation Sciences., Damavand Ave., Imam Hossein Square (AS).,Tehran., Iran
Tehran Iran (Islamic Republic of) 1616913111 +98 21 7756 1407 Farshadokhovatian1965@Gmail.com Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Subjects between 18 and 40 years Presence of active trigger points in upper trapezius muscle Pain at least 30 mm in visual analog scale 18 years 40 years Female History of whiplash injury History of head , neck , cervical spine or shoulder surgery History of cervical radiculopathy Diagnosed fibromyalgia and myopathy History of cancer Pregnancy Myofascial therapy within the past month Contraindication of dry needling technique Treatment - Other Treatment - Other N/A Intervention group: In this technique is first step to increase blood flow and muscle tissue temperature for 5 minutes, superficial heat will be used and then using the myo-release tool, muscle tissue will be massaged for 5 minutes. The soft tissue mobilization technique is carried out using the myo-release tool No. 1, made in Iran. The tool is made of stainless steel. Immediately after massage, the therapist applies 3 passive stretches for 30 seconds on the muscle and this phase is completed by the 2nd 12th active muscle stretches by the patient herself and in the final stage, the patient performs the shoulder elevation as 2 sets of 15. This technique is performed in 4 sessions and twice a week. Intervention group: Dry needle technique is done using sterile needles and disposable Dong Bang with a length of 40 mm and a thickness of 0.25 mm.After the tight bundles are found in the upper trapezius muscle, the therapist inserts the needle at a 30-degree angle and inserts the needle out frequently and then again into another part of the trigger point, this procedure is repeated as long as no other local twitch response is felt. This technique is performed in 4 sessions and twice a week. Control group:There is no intervention. Pain intensity in the visual scale of pain. Timepoint: Measure the severity of pain in the first session before and after the intervention and the fourth session and fourth week after the end of treatment. Method of measurement: Visual analogue scale. Pain pressure threshold. Timepoint: Measurement at first session before and after intervention and the fourth session and fourth week after the end of treatment. Method of measurement: Digital algometer (Lutron FG-5020). Active cervical contra lateral flexion. Timepoint: Measurement at first session before and after intervention and the fourth session and fourth week after the end of treatment. Method of measurement: Goniometry. Neck disability index. Timepoint: Measurement at first session before intervention and the fourth session and fourth week after the end of treatment. Method of measurement: Neck disability index- iranian version questionnaire. Shahid Beheshti University of Medical Sciences Approved 2017-08-13 Ethics committee of Shahid Beheshti University of Medical Sciences SBUMS, Arabi Ave, Daneshjoo Blvd, Velenjak, Tehran, Iran. Tehran Tehran Iran (Islamic Republic of)