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IRCT20151007024412N5 IRCT 2022-11-27 Tabriz University of Medical Sciences Thickness changes in myofascial pain syndrome Effects of positional release and passive shortening techniques on pain and muscle thickness in people with latent trigger points 2022-12-01 anticipated 42 Complete https://irct.ir/trial/59985 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization is performed by someone outside the research team using the 1: 1 parallel allocation method. A computer randomization program is used to assign participants to groups, using blocks of four and six. Matte sealed envelopes are then used and concealment is done by assigning groups using the pre-labeled letters A and B, Blinding description: The study will done in a blind way and the evaluator does not know which group each person is in. First, preliminary evaluations including muscle thickness, PPT and VAS are performed by the examiner. After the evaluations are completed, therapeutic techniques are applied based on the group that each person is randomly placed in, by another person (therapist) and without the knowledge of the evaluating person (examiner). Immediately after the completion of the technique, the evaluations will be done again by the examiner. N/A Myofascial pain syndrome. Intervention 1: Intervention group: Manual Passive Muscle Shortening technique: The person sleeps on his back and a pillow is placed under his abdomen. The therapist stands on the involved side and brings the beginning and end of the involved upper trapezius muscle (the periphery of the sixth cervical vertebra and the acromion appendage) closer together using the web of his hands and shortens the muscle. This position is maintained for 90 seconds and finally the muscle is slowly released and returns to its original position. These steps are repeated three times. Intervention 2: Control group: Positional release. The patient sleeps on the vault and the therapist stands on the involved side. Then with his finger, he applies some pressure on the trigger point that has the most pain (A) and asks the person to keep in mind the amount of pain caused by this pressure. The person's head bends towards the trigger point. Then the therapist takes the person's hand and takes the person's shoulder to about 90 degrees of abduction and slowly moves the hand in different planes in search of the ideal position. After finding the ideal position (minimum 70% reduction of pain at the desired point), while the therapist's finger is placed on the painful point without pressure, the person's hand and shoulder are kept in that position for 90 seconds. Finally, the person's body is passively returned to its original state and these steps are repeated three times. No - There is not a plan to make this available Justification or reason for not sharing IPD is Although the data is non-identifying of the participants, only the statistical results obtained from the data are published, and they are not published in order to prevent other people from copying and creating data.
public Sakineh Goljaryan
Tabriz University. Faculty of Rehabilitation Sciences.29 Bahman Street.
Tabriz Iran (Islamic Republic of) 5166616471 +98 41 3337 5359 goljaryan@tbzmed.ac.ir Tabriz University of Medical Sciences scientific Sakineh Goljaryan
Tabriz University of Medical Sciences, Golgasht Street, University Street, Tabriz.
Tabriz Iran (Islamic Republic of) 5166616471 +98 41 3335 5921 goljaryan@tbzmed.ac.ir Tabriz University of Medical Sciences Iran (Islamic Republic of) Minimum age 18 and maximum 35 The presence of a latent trigger point in the right or left upper trapezius muscle (if both sides are involved, the selection will be random) Having a minimum pain of 3 and a maximum of 7 on the visual scale of pain during the application of force 2.5 kg / cm2 by the algometer BMI between 20-25 Being a non-athlete 18 years 35 years Male Having a history of radiculopathy or myelopathy of the neck with the diagnosis of a specialist Fibromyalgia syndrome diagnosed by a specialist doctor History of neck and shoulder surgery during the past year Trigger point treatment in the last month Existence of sensory disturbance in trapezoidal area Having a history of Whiplash injury Acute upper trapezius muscle injury in the last 6 days M62.9 Disorder of muscle, unspecified Treatment - Other Treatment - Other Intervention group: Manual Passive Muscle Shortening technique: The person sleeps on his back and a pillow is placed under his abdomen. The therapist stands on the involved side and brings the beginning and end of the involved upper trapezius muscle (the periphery of the sixth cervical vertebra and the acromion appendage) closer together using the web of his hands and shortens the muscle. This position is maintained for 90 seconds and finally the muscle is slowly released and returns to its original position. These steps are repeated three times. Control group: Positional release. The patient sleeps on the vault and the therapist stands on the involved side. Then with his finger, he applies some pressure on the trigger point that has the most pain (A) and asks the person to keep in mind the amount of pain caused by this pressure. The person's head bends towards the trigger point. Then the therapist takes the person's hand and takes the person's shoulder to about 90 degrees of abduction and slowly moves the hand in different planes in search of the ideal position. After finding the ideal position (minimum 70% reduction of pain at the desired point), while the therapist's finger is placed on the painful point without pressure, the person's hand and shoulder are kept in that position for 90 seconds. Finally, the person's body is passively returned to its original state and these steps are repeated three times. Thickness of the upper trapezius muscle. Timepoint: Before the start of the intervention, immediately after the intervention, 2 days after the first session, 9 days after the first session. Method of measurement: sonography. Pain. Timepoint: Before the start of the intervention, immediately after the intervention, 2 days after the first session, 9 days after the first session. Method of measurement: Visual Analogue Scale. Pain pressure threshold. Timepoint: Before the start of the intervention, immediately after the intervention, 2 days after the first session, 9 days after the first session. Method of measurement: pressure algometry. Tabriz University of Medical Sciences Approved 2022-08-29 Ethics committee of Tabriz University of Medical Sciences 29 Bahman street - Tabriz University - Faculty of Rehabilitation Sciences Tabriz East Azarbaijan Iran (Islamic Republic of)