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Noninvasive Treatment of Upper Trapezius Active Trigger Points in College Students With Neck Pain

Primary Purpose

Neck Pain, Trigger Point Pain, Myofascial

Status
Completed
Phase
Not Applicable
Locations
Spain
Study Type
Interventional
Intervention
Jones Group (Strain Counterstrain)
Lewit Group
Chaitow Group
Placebo Group
Sponsored by
Universidad Católica San Antonio de Murcia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neck Pain focused on measuring Physiotherapy, Rehabilitation, Treatment, Active Trigger Point

Eligibility Criteria

19 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • persistent neck pain or headache for more than 3 days
  • presence of active trigger point in upper trapezius

Exclusion Criteria:

  • Participants who present dizziness, vertigo and/or symptoms aggravated by the movement and/or positioning of the neck;
  • who present infection or febrile state at the time of performing the test;
  • with anxiety and/or extreme emotional tension;
  • who are undergoing pharmacological treatment (analgesics, muscle relaxants, anxiolytics, antidepressants)

Sites / Locations

  • Universidad Católica de Murcia

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

Jones Group (Strain Counterstrain)

Lewit Group

Chaitow Group

Placebo Group

Arm Description

Jones Group consist in 90 seconds in a ralease positioning of no pain in muscle acortation

Lewit Group consist in a maximum of four minutes of muscular contraction acompaind by stretching techniques

Chaitow Group consist in a maximum of four minutes of muscular contraction acompaind by stretching techniques and deep diaphragmatic respiration

Placebo Group only have to mantain no pain positioning for 3 minutes

Outcomes

Primary Outcome Measures

Neck Disability Index
Self-completed neck questionnaire wich consists in 10 sections. Each one of them (cervical pain intensity, personal care, lifting weights, reading, headache, ability to concentrate, ability to work, driving, sleep and leisure activities) offers 6 possible answers that represent 6 progressive levels of functional capacity, and is scored from 0 to 5. The total score is expressed in percentage terms with respect to the maximum possible
Pain intensity
Measured with Numeric Rating Scale wich consist in measure pain intensity with a score of 0-10
Pression algometer
Measures pressure pain thresholds

Secondary Outcome Measures

Cervical Test
Measured with Baiobit Software. The range of movement will be measured in grades as per: flexion/extension; right/left rotation; and right/left inclination
Proprioceptive Test
Measured with Baiobit Software o'clock test in a high/medium/low levels wich consist in a velocity and accuracy evaluation of combined cervical movements in the o'clock game test.

Full Information

First Posted
January 20, 2022
Last Updated
May 19, 2022
Sponsor
Universidad Católica San Antonio de Murcia
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1. Study Identification

Unique Protocol Identification Number
NCT05265468
Brief Title
Noninvasive Treatment of Upper Trapezius Active Trigger Points in College Students With Neck Pain
Official Title
Noninvasive Treatment of Upper Trapezius Active Trigger Points in College Students With Neck Pain. A Randomized Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
March 14, 2022 (Actual)
Primary Completion Date
March 14, 2022 (Actual)
Study Completion Date
May 19, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Universidad Católica San Antonio de Murcia

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Hyperexcitable myofascial trigger points located within a taut band of skeletal muscle or fascia cause referred pain, local tenderness, and autonomic changes. The scientific data refer to an immediate improvement in the symptoms of these active points treated with manual therapy. Based on these factors, the objective of the study is to determine the effect of the combined therapy of the Jones, Chaitow, Lewit technique and pain-free positioning in participants with the presence of an active upper trapezius trigger point.
Detailed Description
The treatment will last a total of 15 minutes accompanied by a baseline assessment and after 10 minutes of the intervention in 3 experimental groups and a placebo group, of no-pain positioning. In addition to basic indices and scales of cervical pain and functionality, it is intended to measure flexibility, range of motion, proprioception and cognition through software with sensors of the latest technology when it comes to representing reliable results in differences between techniques.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neck Pain, Trigger Point Pain, Myofascial
Keywords
Physiotherapy, Rehabilitation, Treatment, Active Trigger Point

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Care ProviderOutcomes Assessor
Allocation
Randomized
Enrollment
80 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Jones Group (Strain Counterstrain)
Arm Type
Experimental
Arm Description
Jones Group consist in 90 seconds in a ralease positioning of no pain in muscle acortation
Arm Title
Lewit Group
Arm Type
Active Comparator
Arm Description
Lewit Group consist in a maximum of four minutes of muscular contraction acompaind by stretching techniques
Arm Title
Chaitow Group
Arm Type
Active Comparator
Arm Description
Chaitow Group consist in a maximum of four minutes of muscular contraction acompaind by stretching techniques and deep diaphragmatic respiration
Arm Title
Placebo Group
Arm Type
Placebo Comparator
Arm Description
Placebo Group only have to mantain no pain positioning for 3 minutes
Intervention Type
Other
Intervention Name(s)
Jones Group (Strain Counterstrain)
Intervention Description
No pain positioning technique with diaphragmatic breathing
Intervention Type
Other
Intervention Name(s)
Lewit Group
Intervention Description
Isometric muscular exercise acompained with stretching technique
Intervention Type
Other
Intervention Name(s)
Chaitow Group
Intervention Description
Isometric muscular exercise acompained with stretching technique and diaphragmatic breathing
Intervention Type
Other
Intervention Name(s)
Placebo Group
Intervention Description
No pain positioning of participants
Primary Outcome Measure Information:
Title
Neck Disability Index
Description
Self-completed neck questionnaire wich consists in 10 sections. Each one of them (cervical pain intensity, personal care, lifting weights, reading, headache, ability to concentrate, ability to work, driving, sleep and leisure activities) offers 6 possible answers that represent 6 progressive levels of functional capacity, and is scored from 0 to 5. The total score is expressed in percentage terms with respect to the maximum possible
Time Frame
10 minutes
Title
Pain intensity
Description
Measured with Numeric Rating Scale wich consist in measure pain intensity with a score of 0-10
Time Frame
10 minutes
Title
Pression algometer
Description
Measures pressure pain thresholds
Time Frame
10 minutes
Secondary Outcome Measure Information:
Title
Cervical Test
Description
Measured with Baiobit Software. The range of movement will be measured in grades as per: flexion/extension; right/left rotation; and right/left inclination
Time Frame
10 minutes
Title
Proprioceptive Test
Description
Measured with Baiobit Software o'clock test in a high/medium/low levels wich consist in a velocity and accuracy evaluation of combined cervical movements in the o'clock game test.
Time Frame
10 minutes

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: persistent neck pain or headache for more than 3 days presence of active trigger point in upper trapezius Exclusion Criteria: Participants who present dizziness, vertigo and/or symptoms aggravated by the movement and/or positioning of the neck; who present infection or febrile state at the time of performing the test; with anxiety and/or extreme emotional tension; who are undergoing pharmacological treatment (analgesics, muscle relaxants, anxiolytics, antidepressants)
Facility Information:
Facility Name
Universidad Católica de Murcia
City
Murcia
ZIP/Postal Code
30107
Country
Spain

12. IPD Sharing Statement

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Noninvasive Treatment of Upper Trapezius Active Trigger Points in College Students With Neck Pain

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