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IRCT20241119063780N1 IRCT 2024-11-29 University of Lahore A Comprehensive corrective exercise program with and without soft tissue massage therapy on pain, functional mobility and quality of life among office syndrome patients A Comprehensive corrective exercise program with and without soft tissue massage therapy on pain, functional mobility and quality of life among office syndrome patients 2024-01-30 anticipated 34 Complete https://irct.ir/trial/80298 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: This is simple , individual randomization study. Non probability sampling technique will be used to select participants in which sealed envelops will be used in randomization and allocation concealment will be carried out, Blinding description: This is single blinded study in which assessor will be kept blind who will unaware of the treatment being studied to which group's participants. 2-3 Myalgia in office syndrome refers to muscle pain caused by prolonged sitting, poor posture, and repetitive movements. It commonly affects the neck, shoulders, and back, leading to discomfort and stiffness.. Intervention 1: Intervention group: The study involves participants randomly assigned to Group A, who will be received the Comprehensive corrective exercise program. This massage regimen will be complemented by routine physical therapy, consisting of a 15-minute application of heat therapy. The Corrective comprehensive exercises will be designed in three phases, including initial, improvement, and maintenance. Exercises were progressed in frequency and intensity during these phases, as long as the movements will be performed in a good quality. The exercises in the initial phase will be characterized with a cognitive focus on scapular muscles (i.e., the internal focus of attention). Subjects will be instructed to contract underactive muscles isometric ally and relax overactive muscles for normalization of scapular position and motion, after restoring the muscle balance in the static conditions, participants added upper extremity movements in various training positions . Once the participants could contract appropriate muscles in correct alignment during the movement pattern, the protocol will be focused on improving sustained postures. This goal will be addressed in the improvement phase when necessary tissue adaptations occurred by increasing the load of exercise. In the maintenance phase, the participant continued to do the exercises and maintain the training adaptations for two weeks". The exercises will be the same as the improvement phase without any progression in intensity and frequency three phases (concentric, isometric, and eccentric) lasting for 3s each. They had already been trained to achieved the reliable reproduction of the movement at the required velocity. They performed the movement five times, and the rest time lasted 3s in-betweens. Intervention 2: Intervention group: The participants randomly allocated in Group B will be received passive Soft tissue therapy. Before Passive Soft Tissue Therapy routine physical therapy consist of electrical stimulation with heat therapy for 15 minutes will be applied. Participants will be encouraged to relax as much as possible before the pressure will be applied. After identifying and marking the most sensitive latent Trigger point(TP) in the area, the patient will be asked to lie in a supine or sitting position and the therapist stood over her at the end of the bed, putting her thumb on the area and applying pressure to the extent that the participant felt the pain; the contact with the TP will be maintained all through the treatment. Then the therapist will be passively moved in a position of comfort (5-8 degrees) so that participants will be report 75% reduction in pain. This condition will be maintained for 90 seconds and performed 3 times per session, with a 15-second rest interval. Yes - There is a plan to make this available What will be shared: Demographic data and data related to final outcome will be shared by maintaining the confidentially When: Data will be available after the publication of findings till six months To whom: For people working in academic institutions as well as people working in clinic can alsoapply to receive it Conditions: For research purpose Where to obtain: To the corresponding aithor of the study , Hafsa Chandio and can contact on +92 302 3159237, Hafsaphysiotherapist0@gmail.com How to obtain: Open access and there is the traditional public data release where anyone can get access to the data Comments:
public Hafsa Chandio
University of Lahore Teaching Hospital Lahore , Punjab , Pakistan
Lahore Pakistan 55150 +92 302 3159237 Hafsaphysiotherapist0@gmail.com University of Lahore scientific Hafsa Chandio
University of Lahore Teaching Hospital Lahore , Punjab , Pakistan
Lahore Pakistan 55150 +92 302 3159237 Hafsaphysiotherapist0@gmail.com University of Lahore Pakistan Aged between 18-55 years Both male and female Participants diagnosed with having atleast one myofacial trigger point on trapezius muscle Participants who reported using a laptop for more than three hours daily Participants who have worked in an office setting or on a laptop for more than 1 year 18 years 55 years Both Pregnancy Patients with history of motor vehicle accident Patients with Cervical & lumbar radiculopathies with or without neurological deficits Patients with degeneration of spine Patients with history of myofascial pain therapy within the mouth Patients with recent fracture/dislocation M79.1 Myalgia Treatment - Other Treatment - Other Intervention group: The study involves participants randomly assigned to Group A, who will be received the Comprehensive corrective exercise program. This massage regimen will be complemented by routine physical therapy, consisting of a 15-minute application of heat therapy. The Corrective comprehensive exercises will be designed in three phases, including initial, improvement, and maintenance. Exercises were progressed in frequency and intensity during these phases, as long as the movements will be performed in a good quality. The exercises in the initial phase will be characterized with a cognitive focus on scapular muscles (i.e., the internal focus of attention). Subjects will be instructed to contract underactive muscles isometric ally and relax overactive muscles for normalization of scapular position and motion, after restoring the muscle balance in the static conditions, participants added upper extremity movements in various training positions . Once the participants could contract appropriate muscles in correct alignment during the movement pattern, the protocol will be focused on improving sustained postures. This goal will be addressed in the improvement phase when necessary tissue adaptations occurred by increasing the load of exercise. In the maintenance phase, the participant continued to do the exercises and maintain the training adaptations for two weeks". The exercises will be the same as the improvement phase without any progression in intensity and frequency three phases (concentric, isometric, and eccentric) lasting for 3s each. They had already been trained to achieved the reliable reproduction of the movement at the required velocity. They performed the movement five times, and the rest time lasted 3s in-betweens. Intervention group: The participants randomly allocated in Group B will be received passive Soft tissue therapy. Before Passive Soft Tissue Therapy routine physical therapy consist of electrical stimulation with heat therapy for 15 minutes will be applied. Participants will be encouraged to relax as much as possible before the pressure will be applied. After identifying and marking the most sensitive latent Trigger point(TP) in the area, the patient will be asked to lie in a supine or sitting position and the therapist stood over her at the end of the bed, putting her thumb on the area and applying pressure to the extent that the participant felt the pain; the contact with the TP will be maintained all through the treatment. Then the therapist will be passively moved in a position of comfort (5-8 degrees) so that participants will be report 75% reduction in pain. This condition will be maintained for 90 seconds and performed 3 times per session, with a 15-second rest interval The Numerical Pain Rating Scale (NPRS) is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0–10 integers) that best reflects the intensity of his/her pain. The common format is a horizontal bar or line. Timepoint: 8th week. Method of measurement: The NPRS takes <1 minute to complete Scores range from 0-10 points, with higher scores indicating greater pain intensity. The NPRS can be administered verbally (therefore also by telephone) or graphically for self-completion. The BPI-sf is a modification of the Brief Pain Inventory - Long Form, which includes additional questions on demographics (date of birth, marital status, education, employment), pain history, aggravating and easing factors, treatment and medication, pain quality, and response to treatment. Timepoint: 8th week. Method of measurement: The Brief Pain Inventory - Short Form (BPI-sf) is a 9 item self-administered questionnaire used to evaluate the severity of a patient's pain and the impact of this pain on the patient's daily functioning. The patient is asked to rate their worst, least, average, and current pain intensity, list current treatments and their perceived effectiveness, and rate the degree that pain interferes with general activity, mood, walking ability, normal work, relations with other persons, sleep, and enjoyment of life on a 10-point scale. The WHOQOL-BREF is a shorter version of the WHOQOL. Both were developed by the World Health Organization (WHO) and published in 1995. It has been tested for reliability and validity. The WHOQOL-BREF is a self-administered questionnaire comprising 26 questions on the individual's perceptions of their health and well-being over the previous two weeks. Timepoint: 8th week. Method of measurement: Responses to questions are on a 1-5 Likert scale where 1 represents "disagree" or "not at all" and 5 represents "completely agree" or "extremely". The WHOQOL-BREF covers four domains each with specific facets. These domains are Physical health, psychological, social relationships and environment. University of Lahore Approved 2024-05-22 Research Ethics Committee of University of Lahore University of Lahore Teaching Hospital Lahore , Punjab , Pakistan Lahore Punjab Pakistan