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IRCT20191027045255N1 IRCT 2019-11-09 Shahid Beheshti University of Medical Sciences Comparison of the combination of myofascial release technique-dry needling and dry needling on the active trigger points of the upper trapezius muscle. Comparison of the effectiveness combination of myofascial release technique-dry needling and dry needling on the active trigger points of the upper trapezius muscle. 2019-11-22 anticipated 60 Complete https://irct.ir/trial/43428 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, a sample of 60 people, 30 cards for each intervention 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: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 3 sessions and three times a week. Intervention 2: Intervention group: In this group ,the tight bundles in the upper trapezius muscle were first released for 5 minutes, and the muscle response consisted of localized heat sensed by the patient indicating the correct technique.Then 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. Then, again,the Myofascial release technique is performed for 5 minutes in the same manner as described.This technique is performed in 3 sessions and three times a week. 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 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.co Shahid Beheshti University of Medical Sciences scientific Maryam Mobarakzadeh
SBMU School of Rehabilitation Sciences.,Damavand Ave., Imam Hossein Square (AS).,Tehran., Iran
Tehran Iran (Islamic Republic of) 1616913111 +98 21 7756 1407 m.mobarakzade@gmail.com Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Subjects between 20 and 40 years Presence of active trigger points in upper trapezius musclePain at least 30 mm in visual analog scale 20 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 - Devices Treatment - Devices 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 3 sessions and three times a week. Intervention group: In this group ,the tight bundles in the upper trapezius muscle were first released for 5 minutes, and the muscle response consisted of localized heat sensed by the patient indicating the correct technique.Then 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. Then, again,the Myofascial release technique is performed for 5 minutes in the same manner as described.This technique is performed in 3 sessions and three times a week. 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 third session and two weeks after the end of treatment. Method of measurement: Visual analogue scale. Pain pressure threshold. Timepoint: Measurement at first session before and after intervention, the third session, and two weeks 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 third session and two weeks after the end of treatment. Method of measurement: Goniometry. Neck disability index. Timepoint: Measurement at first session before intervention, the third session, and two weeks after the end of treatment. Method of measurement: Neck disability index- iranian version questionnaire. Forward head postture. Timepoint: Measurement at first session before intervention, and two weeks after the end of treatment. Method of measurement: Craniovertebral Angle. Shahid Beheshti University of Medical Sciences Approved 2019-05-05 Ethics committee of Shahid Beheshti University of Medical Sciences SBUMS, Arabi Ave, Daneshjoo Blvd, Velenjak, Tehran, Iran. Tehran Tehran Iran (Islamic Republic of)