Back to resultsEffect of Dry Cupping and Ischemic Compression on the Trigger Point on the Upper Trapezius Muscle
Primary Purpose
Trigger Point Pain, Myofascial
Status
Completed
Phase
Not Applicable
Locations
Poland
Study Type
Interventional
Intervention
1) cupping therapy
2) control test (no intervention)
3) ischemic compression
Sponsored by
About this trial
This is an interventional supportive care trial for Trigger Point Pain, Myofascial focused on measuring ischemic compression, cupping, algometer, trapezius muscle
Eligibility Criteria
Inclusion Criteria:
- age 18-30
- student of The Józef Piłsudski University of Physical Education in Warsaw
- written consent to participate in the study
Exclusion Criteria:
- past or current injury to the trapezius.
- past or current injury of the cervical spine limiting mobility of this segment.
- broken skin at the examination site.
- cardiological disease and use of blood pressure medication, histamine medication and analgesics
- elevated body temperature, illness symptoms and a period of convalescence.
- a missed anti-Covid procedure before each examination.
- inability to find trigger points.
Sites / Locations
- Józef Piłsudski University of Physical Education in Warsaw
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Experimental
Arm Description
Each person participated in three tests with an interval of approximately one week between them.
Outcomes
Primary Outcome Measures
Pain pressure threshold test (PPT)
The trigger points of the upper section of the trapezius on the right and left sides were determined by palpation and were also indicated using a marker. A Wagner FDX 50 Force Gage algometer was applied to the trigger point. The pressure force was increased by 1kg/cm2/s until the patient felt pain, which was the pain pressure threshold (PPT) measured in kg/cm2. The test was performed on both sides. The test was performed twice on each side - before and 2 minutes after the session.
Cervical spine mobility test
Each examination began in a sitting position with a cervical spine mobility test. The following bone points were marked on the participants' skin using a marker: spinous process of the 7th cervical vertebra, external occipital protuberance, the top of the chin, the jugular notch of the sternum, the mastoid of the temporal bone, and the acromion process of the scapula. Next, a linear measurement of the range of motion was performed using a tape measure to ascertain the distance between the marked points in the initial position and after the active movement for flexion (forward bending), extension (backward bending), lateral bending and rotation to both sides, respectively. The mobility was determined by the difference of the two measurements. The test for each movement (i.e. flexion (forward flexion), extension (backward flexion), lateral flexion and both sides rotation) was performed twice - before and 2 minutes after the session.
Secondary Outcome Measures
Height
Height measured in meters
Weight
Weight measured in kilograms
Full Information
NCT ID
NCT05123105
First Posted
October 23, 2021
Last Updated
November 5, 2021
Sponsor
Józef Piłsudski University of Physical Education
1. Study Identification
Unique Protocol Identification Number
NCT05123105
Brief Title
Effect of Dry Cupping and Ischemic Compression on the Trigger Point on the Upper Trapezius Muscle
Official Title
Effect of Dry Cupping and Ischemic Compression on the Trigger Point on the Upper Trapezius Muscle
Study Type
Interventional
2. Study Status
Record Verification Date
November 2021
Overall Recruitment Status
Completed
Study Start Date
January 23, 2021 (Actual)
Primary Completion Date
March 30, 2021 (Actual)
Study Completion Date
March 30, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Józef Piłsudski University of Physical Education
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
Ischemic compression is considered the fastest and most common method for providing relief in trigger point therapy, whereas cupping therapy is not a method often used for this purpose. The muscle that has a great impact on tension-type headaches and neck pain is the trapezius, whose upper fibres are where the most common trigger point in the back is located.
The aim of this study was to evaluate and compare the effectiveness of single ischemic compression and single dry cupping therapy on the most common trigger point, on the descending part of the trapezius muscle.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Trigger Point Pain, Myofascial
Keywords
ischemic compression, cupping, algometer, trapezius muscle
7. Study Design
Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Each person participated in three tests with an interval of approximately one week between them. The following study protocol was followed; (short version)
cupping therapy;
- a minimum interval of 7 days;
control test;
- a minimum interval 7 days;
ischemic compression.
Masking
None (Open Label)
Allocation
N/A
Enrollment
25 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Experimental
Arm Type
Experimental
Arm Description
Each person participated in three tests with an interval of approximately one week between them.
Intervention Type
Other
Intervention Name(s)
1) cupping therapy
Intervention Description
The participant lay on his front on a couch. The examiner applied a plastic cup on a pre-marked trigger point, suctioned it with a mechanical pump and left it for 2 minutes. This was a stationary application with medium suction force. Therapy was performed on both sides. Measurements were taken before and 2 minutes after the therapy.
Intervention Type
Other
Intervention Name(s)
2) control test (no intervention)
Intervention Description
The participant lay on his front on a couch for 4 minutes without any activity and without anyy intervention. Measurements were taken before and after the session.
Intervention Type
Other
Intervention Name(s)
3) ischemic compression
Intervention Description
The participant lay on his front on a couch. The researcher applied pressure to a pre-marked trigger point using the thumb for 2 minutes until tissue resistance was felt. This included 60-second compression and after a break of a few seconds, another 60 seconds of compression. Therapies were performed on each side. Measurements were taken before and 2 minutes after the therapy.
Primary Outcome Measure Information:
Title
Pain pressure threshold test (PPT)
Description
The trigger points of the upper section of the trapezius on the right and left sides were determined by palpation and were also indicated using a marker. A Wagner FDX 50 Force Gage algometer was applied to the trigger point. The pressure force was increased by 1kg/cm2/s until the patient felt pain, which was the pain pressure threshold (PPT) measured in kg/cm2. The test was performed on both sides. The test was performed twice on each side - before and 2 minutes after the session.
Time Frame
changes from baseline in pain pressure threshold at 2 minutes after the session
Title
Cervical spine mobility test
Description
Each examination began in a sitting position with a cervical spine mobility test. The following bone points were marked on the participants' skin using a marker: spinous process of the 7th cervical vertebra, external occipital protuberance, the top of the chin, the jugular notch of the sternum, the mastoid of the temporal bone, and the acromion process of the scapula. Next, a linear measurement of the range of motion was performed using a tape measure to ascertain the distance between the marked points in the initial position and after the active movement for flexion (forward bending), extension (backward bending), lateral bending and rotation to both sides, respectively. The mobility was determined by the difference of the two measurements. The test for each movement (i.e. flexion (forward flexion), extension (backward flexion), lateral flexion and both sides rotation) was performed twice - before and 2 minutes after the session.
Time Frame
changes from baseline in cervical spine mobility at 2 minutes after the session
Secondary Outcome Measure Information:
Title
Height
Description
Height measured in meters
Time Frame
Measurements were taken before the first session
Title
Weight
Description
Weight measured in kilograms
Time Frame
Measurements were taken before the first session
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
30 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
age 18-30
student of The Józef Piłsudski University of Physical Education in Warsaw
written consent to participate in the study
Exclusion Criteria:
past or current injury to the trapezius.
past or current injury of the cervical spine limiting mobility of this segment.
broken skin at the examination site.
cardiological disease and use of blood pressure medication, histamine medication and analgesics
elevated body temperature, illness symptoms and a period of convalescence.
a missed anti-Covid procedure before each examination.
inability to find trigger points.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Agnieszka Zdrodowska, PH.D
Organizational Affiliation
Józef Piłsudski University of Physical Education in Warsaw
Official's Role
Principal Investigator
Facility Information:
Facility Name
Józef Piłsudski University of Physical Education in Warsaw
City
Warsaw
State/Province
Mazowieckie
ZIP/Postal Code
00-968
Country
Poland
12. IPD Sharing Statement
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Effect of Dry Cupping and Ischemic Compression on the Trigger Point on the Upper Trapezius Muscle
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