Effectiveness of Physical Therapy Treatments of Myofascial Trigger Points in Subjects With Neck Pain
Neck Pain, Myofascial Pain Syndrome
About this trial
This is an interventional treatment trial for Neck Pain focused on measuring Physical Therapy Modalities, Myofascial Pain Syndromes, Skeletal Muscle
Eligibility Criteria
Inclusion Criteria:
- neck pain for more than 90 days
- aged 18 to 59 years
- presence of trigger points in the upper trapezius muscle
Exclusion Criteria:
- history of trauma to the neck
- surgery in the head, face or neck
- herniated cervical
- degenerative diseases of the spine
- systemic diseases
- underwent physical therapy in the last three months
- analgesics, anti-inflammatories or muscle relaxants last week
- medical diagnosis of fibromyalgia
- body mass index (BMI) greater than 28 kg/m2
- signs and symptoms of depression
Sites / Locations
- University of Sao Paulo
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
No Intervention
Kinesiotherapy group
kinesiotherapy + static ultrasound group
kinesiotherapy + diadynamic currents group
Control group
The volunteer will be subjected to the following protocol: cervical traction, 3 sets of 1 minute, 30-second rest between sets; mobilization grade III postero-anterior on the spines processes of vertebrae C2 to C7, 10 oscillations for each vertebrae; myofascial release of the upper trapezius muscle, 3 sets of 1 minute for each side; static stretching of the upper trapezius muscle, 3 sets of 30 seconds, with an interval of 10 seconds between sets.
Same protocol group kinesiotherapy + ultrasound on the trigger points of the upper trapezius muscle in a static way, with 1 MHz, continuous dose of 1.5 W/cm2, for 1.5 minutes.
Same protocol group kinesiotherapy + diadynamic currents, with negative electrode (7.0 x 7.0 cm) placed on the myofascial trigger point, while the positive electrode (7.0 x 7.0 cm) is placed between the shoulder blades. Will apply 4 minutes from the biphasic mode (DF) and 6-minute short period (CP), the first of which intesidade the sensory threshold and the second threshold motor, both bearable for the patient.
The volunteers of this group will not be subjected to any form of treatment, was evaluated in three stages, as the other groups. It is noteworthy that, after the volunteer's participation, will be offered at the same physical therapy for myofascial pain.