INSTRUMENT ASSISSTED SOFT TISSUE MOBILIZATION VERSUS DRY CUPPING ON UPPER TRAPEZIUS TRIGGER POINTS: A RANDOMIZED CONTROLLED TRIAL

Обзор

The goal of this randomized controlled trial is to compare the effects of Instrument Assisted Soft Tissue Mobilization (IASTM) and dry cupping in patients (both genders), aged 20-50 years, diagnosed with chronic non-specific neck pain who have active upper trapezius trigger points. The main questions it aims to answer are : 1. Is there a significant difference in the effect on pain level (measured by VAS) between the groups? 2. Is there a significant difference in the effect on cervical range of motion (CROM), pressure pain threshold (PPT), and functional disability (NDI) between the groups? Researchers will compare three groups: 1. Group A (Control):\] Will receive a conventional physical therapy program (hot packs, TENS, and exercises). 2. Group B (Experimental):\] Will receive conventional therapy plus IASTM. 3. Group C (Experimental):\] Will receive conventional therapy plus Dry Cupping. Participants will be asked to do the following: 1. Undergo baseline assessments (measuring pain, ROM, PPT, and disability) before treatment and final assessments after 4 weeks. 2. Attend \[3 treatment sessions per week for four weeks\]. 3. At each session, all participants will receive the conventional physical therapy program , while Groups B and C will receive their additional intervention (IASTM or dry cupping).

Вмешательства

• Устройство Instrument Assisted Soft Tissue Mobilization
  While the participant is seated, a lubricant (Vaseline) is applied to the skin. The M2T blade is used at a 45° angle to apply slow sweeping strokes along the muscle from origin to insertion (sweeping technique) over the upper trapezius for approximately three minutes.
• Устройство Dry Cupping
  While the participant is in a prone position , a single 5cm inner diameter plastic cup is applied to the skin directly over the pre-determined treatment location. The cup is secured by pumping a manual hand-pump three times. The cup is left in place for 5 minutes.
• Другое Hot Packs
  Commercially accessible hot packs (made of bentonite) are placed over the neck and the upper part of the shoulder musculature while the patient is in a prone position. The application lasts for 15-20 minutes.
• Устройство Transcutaneous Electrical Nerve Stimulation
  Applied while the patient is sitting. Electrodes are placed directly over or surrounding the trigger point and along the muscle belly. Parameters: Pulse rate 60-100Hz , Pulse width 40-250 μs. Intensity is set to a tolerable tingling sensation. Treatment duration is 20-30 minutes.
• Поведенческое Exercise Program
  A supervised home exercise program consisting of: Range of Motion Exercises: Cervical flexion, extension, lateral flexion, rotation, and shoulder shrugs. Strengthening Exercises: Isometric cervical flexion, extension, lateral flexion, and rotation; scapular retractions; and chin tucks. Dosage: Performed daily for 10-15 repetitions and 2-3 sets

Первичные конечные точки

• Pain Intensity Level [Срок оценки: Baseline (before intervention) and after 4 weeks of treatment.]

Вторичные конечные точки (3)

• Cervical Range of Motion (CROM) [Срок оценки: Baseline (before intervention) and after 4 weeks of treatment.]
• Pressure Pain Threshold (PPT) [Срок оценки: Baseline (before intervention) and after 4 weeks of treatment.]
• Functional Disability [Срок оценки: Baseline (before intervention) and after the 4-week intervention period.]

Критерии участия

Критерии включения

• Participants aged 20 to 50.
• Diagnosis of chronic non-specific neck pain (> 4 weeks duration).
• Had an active upper trapezius TrP (defined as a tender nodule in a taut band that referred pain in a pattern specific for upper trapezius TrP1 or TrP2).
• Pain of at least 40 mm on a visual analogue scale (VAS).
• Body mass index from 18 - 30 kg/m2

Критерии исключения

• Participants who will exhibit signs of fibromyalgia syndrome.
• Participants with a specific neck pain such as cervical radiculopathy with neurological deficits (e.g., motor weakness, significant sensory loss), cervical instability, fracture, tumor, infection, or inflammatory arthropathies.
• Sensory problems in the upper or midback regions, heart/circulation problems.
• Participants who will have vascular syndromes such as vertebrobasilar insufficiency.
• Participants with skin lesions, fragile skin, or a history of bleeding disorders.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07260019 · P.T.REC/012/006052

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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