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IRCT20210524051386N1 IRCT 2021-12-27 Tabriz University of Medical Sciences The effect of scapular muscles release technique on the thickness of scapular and neck muscles in patients with nonspecific neck pain: A Randomized Clinical Controlled Trial The effect of axioscapular muscles release technique on the thickness of axioscapular and neck stabilizer muscles in patients with nonspecific neck pain: A Randomized Clinical Controlled Trial 2022-01-10 anticipated 30 Complete https://irct.ir/trial/59981 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients with non-specific neck pain who participated in this study will be divided into two groups A, B randomly, by statistical random allocation software. Then, for the ordering of people, randomly by software will be taken by the same person who is not a member of the project group, Blinding description: This is a single blind study. In this study, the patients were not blind. The physiotherapist whose duty is patients physiotherapy treatment is also not blind. However, the physiotherapist whose duty is to evaluate at the beginning and end of the physiotherapy sessions is blind, and the radiologist whose duty is to ultrasound the muscles at the beginning and the end of the physiotherapy sessions is blind. N/A Chronic nonspecific neck pain. Intervention 1: intervention group: will be treated by routine physiotherapy and axioscapular muscle release technique, the routine physiotherapy including exercise therapy will be used as stretching exercises of shortened cervical muscles and strengthening weakened neck muscles, we will be used TENS which is conventional mode for 20 minutes, frequency of 100 Hz, period of 60 milliseconds and tolerable intensity for the patient. The electrodes will be placed on both sides of the cervical vertebrae and the patient will be in a prone position, the ultrasound: that the patient is in a prone position and for 2 minutes, with 50% pulse, with frequency of 1 MHz and intensity of 1.5 on the sub occipital muscles will be performed, hot pack: will be performed on the cervical area for 20 minutes. And also patients counseling and training in terms of how to use the phone properly and ... In a training file, and they will be treated by special myofacial release technique in the axioscapular muscles (upper and middle trapezius) for them. Intervention 2: Control group: will be treated by routine physiotherapy, the routine physiotherapy including exercise therapy will be used as stretching exercises of shortened cervical muscles and strengthening weakened neck muscles, we will be used TENS which is conventional for 20 minutes, frequency of 100 Hz, period of 60 milliseconds and tolerable intensity for the patient. The electrodes will be placed on both sides of the cervical vertebrae and the patient will be in a prone position, the ultrasound that the patient is in a prone position and for 2 minutes, with 50% pulse, with frequency of 1 MHz and intensity of 1.5 on the sub occipital muscles will be performed, hot pack: will be performed on the cervical area for 20 minutes. And also patients counseling and training in terms of how to use the phone properly and... In a training file. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Bahram Amirshakri
Rehabilition Faculity of Tabriz University of Medical Sciences, Next to Vahdat Hall, Tabriz University, 29 Bahman Blvd, Tabriz City
Tabriz Iran (Islamic Republic of) 5166414766 +98 41 3337 5359 amirshakerib@tbzmed.ac.ir Tabriz University of Medical Sciences scientific Bahram Amirshakeri
Rehabilition Faculity of Tabriz University of Medical Sciences, Next to Vahdat Hall, Tabriz University, 29 Bahman Blvd, Tabriz City
Tabriz Iran (Islamic Republic of) 5166414766 +98 41 3384 5381 amirshakerib@tbzmed.ac.ir Tabriz University of Medical Sciences Iran (Islamic Republic of) All patients whose nonspecific neck pain has been diagnosed by a neurosurgeon According to the physiotherapist, at least one active trigger point in the axioscapular muscles (upper trapezius and middle trapezius) Visual Analogue Scale of neck pain at least 3, maximum 7 Neck Disability Index at least 10, maximum 40 At least three months have passed since the onset of neck pain Normal Body Mass Index between 20 and 25 18 years 65 years Both The patients with neurological symptoms and radiculopathy in their upper extremities Patients who have a pacemaker in the heart Patients with a history of surgery in the neck and scapula Patients who have a systemic rheumatic diseases Patients with congenital malformations in the neck and scapula Women who are pregnant Patients with a history of trauma in the neck and scapula Patients who have malignancy People who received scapular muscle release treatment 1 month before the study started G89.29 Other chronic pain Rehabilitation Rehabilitation intervention group: will be treated by routine physiotherapy and axioscapular muscle release technique, the routine physiotherapy including exercise therapy will be used as stretching exercises of shortened cervical muscles and strengthening weakened neck muscles, we will be used TENS which is conventional mode for 20 minutes, frequency of 100 Hz, period of 60 milliseconds and tolerable intensity for the patient. The electrodes will be placed on both sides of the cervical vertebrae and the patient will be in a prone position, the ultrasound: that the patient is in a prone position and for 2 minutes, with 50% pulse, with frequency of 1 MHz and intensity of 1.5 on the sub occipital muscles will be performed, hot pack: will be performed on the cervical area for 20 minutes. And also patients counseling and training in terms of how to use the phone properly and ... In a training file, and they will be treated by special myofacial release technique in the axioscapular muscles (upper and middle trapezius) for them. Control group: will be treated by routine physiotherapy, the routine physiotherapy including exercise therapy will be used as stretching exercises of shortened cervical muscles and strengthening weakened neck muscles, we will be used TENS which is conventional for 20 minutes, frequency of 100 Hz, period of 60 milliseconds and tolerable intensity for the patient. The electrodes will be placed on both sides of the cervical vertebrae and the patient will be in a prone position, the ultrasound that the patient is in a prone position and for 2 minutes, with 50% pulse, with frequency of 1 MHz and intensity of 1.5 on the sub occipital muscles will be performed, hot pack: will be performed on the cervical area for 20 minutes. And also patients counseling and training in terms of how to use the phone properly and... In a training file. Thickness of upper trapezius, middle trapezius. Timepoint: Beginning of the study (before the intervention) and after the end of treatment sessions (10 sessions later). Method of measurement: sonography siemens healthineers - acuson juniper. Cross sectional of longus colli, cervical multifidus. Timepoint: Beginning of the study (before the intervention) and after the end of treatment sessions (10 sessions later). Method of measurement: sonography siemens healthineers - acuson juniper. Pain intensity. Timepoint: Beginning of the study (before the intervention) and after the end of treatment sessions (10 sessions later). Method of measurement: Visual Analogue Scale. Pressure Pain Threshold. Timepoint: Beginning of the study (before the intervention) and after the end of treatment sessions (10 sessions later). Method of measurement: Digital Algometer. Neck disability. Timepoint: Beginning of the study (before the intervention) and after the end of treatment sessions (10 sessions later). Method of measurement: Neck Disability Index Questionnaire (Iranian version). Tabriz University of Medical Sciences Approved 2021-10-25 Research Ethics Committees of Tabriz University of Medical Sciences Rehabilitation Faculty of Tabriz University of Medical Sciences, Next to Vahdat Hall, Tabriz University, 29 Bahman Blvd, Tabriz City, Iran Tabriz East Azarbaijan Iran (Islamic Republic of)