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Muscle Energy Technique on Hamstring Muscle for Trigger Points of Muscle of Mastication

Primary Purpose

Trigger Point Pain, Myofascial, Temporomandibular Disorder

Status
Recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Muscle Energy Technique
Conventional PT
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Trigger Point Pain, Myofascial focused on measuring trigger points, muscles of mastication, hamstring

Eligibility Criteria

25 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Age group 25 to 50 years.. Diagnosis of trps using the diagnostic criteria: Presence of palpable taut band in a skeletal muscle. Presence of hypersensitive tendor spot in a taut band Spontaneous response of the typical referred pain pattern. A local twitch response provided by snapping palpation of taut band. Reproduction of the typical referred pain pattern of Trp in response to compression. Reduced mouth opening < 40nm Exclusion Criteria: Diagnosis of fibromyalgia. History of whiplash injury History of any surgery in the cranio cervical region Having under gone any myofacial pain therapy No lower extremity or low back pathology.

Sites / Locations

  • Railway General HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Other

Arm Label

Muscle Energy Technique

Conventional PT

Arm Description

Muscle Energy Technique

Hot pack Ischemic compression

Outcomes

Primary Outcome Measures

Visual Analog Scale VAS
The visual analog scale for pain is a straight line with one end meaning no pain and the other end meaning the worst pain imaginable. A patient marks a point on the line that matches the amount of pain he or she feels.

Secondary Outcome Measures

Inch Tape
A measuring tape is a flexible tool used for measuring. It is marked in centimeters and inches.
Jaw Functional Limitation Scale
The JFLS-20 is an organ-specific instrument comprising 3 constructs for assessing functional status of the masticatory system; the 3 scales exhibit properties that are ideal for both research and patient evaluation in patient groups with a range of functional limitations of the jaw.

Full Information

First Posted
July 25, 2023
Last Updated
August 31, 2023
Sponsor
Riphah International University
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1. Study Identification

Unique Protocol Identification Number
NCT05971953
Brief Title
Muscle Energy Technique on Hamstring Muscle for Trigger Points of Muscle of Mastication
Official Title
Effect of Muscle Energy Technique on Hamstring Muscle for the Trigger Points of Muscle of Mastication
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 30, 2023 (Actual)
Primary Completion Date
March 10, 2024 (Anticipated)
Study Completion Date
April 28, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International University

4. Oversight

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

5. Study Description

Brief Summary
The aim of this randomized controlled trial is to find the effect of muscle energy technique for trigger points of muscle of mastication for reducing pain , improving mouth opening and jaw functional limitations.
Detailed Description
The primary muscles of mastication (chewing food) are the temporalis, medial pterygoid, lateral pterygoid, and masseter muscles. The masticatory muscles are divided into elevator and depressor groups. The collective term 'hamstrings' refers to four muscles- semimembranosus (SM), semitendinosus (ST), biceps femoris long head (BFlh) and biceps femoris short head (BFsh). The hamstring muscles are the major flexors of the knee and also aid hip extension. Trigger point is classically defined as a hyperirritable spot in the skeletal muscle that is associated with a hypersensitive palpable nodule in a taut band which is painful on compression and can give rise to characteristic referred pain, motor dysfunction, and autonomic phenomena. Latent trigger points located in the muscles can interfere with muscular movement patterns, cause cramps, and reduce muscle strength. Active MTrPs can be associated with a reduced range of motion through muscle dysfunction and muscle weakness, causing orefacial pain, MTrPs in the masticatory muscles may restrict active maximum mouth opening (MMO). It is possible that stretching the hamstring muscles may activate the dorsal periaqueductal grey area of the midbrain [PAG], and activate descending inhibitory control pathways. It is known that descending projections from the PAG to the medulla have collateral branches that terminate in various areas including the upper cervical spinal cord. Convergence of the nociceptive afferents from the receptive fields of cervical roots C1-C3 and those of the trigeminal nerve, which include the masseter muscle, occurs in the nucleus caudalis. If hamstring muscle stretching is capable of activating the PAG, then decreased sensitivity should affect a greater number of muscles, including the remaining masticatory muscles. Muscle energy technique (MET) is a manual technique developed by osteopaths that is now used in many different manual therapy professions. It is claimed to be effective for a variety of purposes, including lengthening a shortened or contractured muscle, strengthening muscles, as a lymphatic or venous pump to aid the drainage of fluid or blood, and increasing the range of motion (ROM) of a restricted joint. MET may influence pain mechanisms and promote hypoalgesia.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Trigger Point Pain, Myofascial, Temporomandibular Disorder
Keywords
trigger points, muscles of mastication, hamstring

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
42 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Muscle Energy Technique
Arm Type
Active Comparator
Arm Description
Muscle Energy Technique
Arm Title
Conventional PT
Arm Type
Other
Arm Description
Hot pack Ischemic compression
Intervention Type
Other
Intervention Name(s)
Muscle Energy Technique
Intervention Description
They would be receiving treatment as follow: The patient is instructed to gently attempt to push down on the practitioner's shoulder with the leg against the practitioner's resistance( 75% of his and her available strength). After the relaxation, the muscle is lengthened more aggressively beyond the barrier and held for up to 15 seconds. Frequency: 10 reps for 4 times/week for 2 consecutive weeks. Intensity: moderate intensity (pain free) Time: 20 mins
Intervention Type
Other
Intervention Name(s)
Conventional PT
Intervention Description
They would be receiving conventional treatment as follow: including hot pack for 10 mins ischemic compression for 60 seconds .Frequency: 5 reps with 60 sec hold for 4 times/week for 2 weeks Intensity: moderate-high intensity (depending on pain tolerance) Time: 10 mins
Primary Outcome Measure Information:
Title
Visual Analog Scale VAS
Description
The visual analog scale for pain is a straight line with one end meaning no pain and the other end meaning the worst pain imaginable. A patient marks a point on the line that matches the amount of pain he or she feels.
Time Frame
2 weeks
Secondary Outcome Measure Information:
Title
Inch Tape
Description
A measuring tape is a flexible tool used for measuring. It is marked in centimeters and inches.
Time Frame
2 weeks
Title
Jaw Functional Limitation Scale
Description
The JFLS-20 is an organ-specific instrument comprising 3 constructs for assessing functional status of the masticatory system; the 3 scales exhibit properties that are ideal for both research and patient evaluation in patient groups with a range of functional limitations of the jaw.
Time Frame
2 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age group 25 to 50 years.. Diagnosis of trps using the diagnostic criteria: Presence of palpable taut band in a skeletal muscle. Presence of hypersensitive tendor spot in a taut band Spontaneous response of the typical referred pain pattern. A local twitch response provided by snapping palpation of taut band. Reproduction of the typical referred pain pattern of Trp in response to compression. Reduced mouth opening < 40nm Exclusion Criteria: Diagnosis of fibromyalgia. History of whiplash injury History of any surgery in the cranio cervical region Having under gone any myofacial pain therapy No lower extremity or low back pathology.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
KINZA ANWAR, MS-OMPT
Phone
+92-3239735427
Email
kinza.anwar@riphah.edu.pk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
KINZA ANWAR, MS-OMPT
Organizational Affiliation
RIPHAH INTERNATIONAL UNIVERSITY,ISLAMABAD,PAKISTAN
Official's Role
Principal Investigator
Facility Information:
Facility Name
Railway General Hospital
City
Rawalpindi
State/Province
Punjab
Country
Pakistan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
KINZA ANWAR, MS-OMPT
Phone
+92-3239735427
Email
kinza.anwar@riphah.edu.pk
First Name & Middle Initial & Last Name & Degree
Naureena Binte Sayed, MS-OMPT*
First Name & Middle Initial & Last Name & Degree
Naureena Binte Sayed, MS-OMPT*

12. IPD Sharing Statement

Plan to Share IPD
No

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Muscle Energy Technique on Hamstring Muscle for Trigger Points of Muscle of Mastication

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