Biofeedback therapy effect on myofacial neck pain

Determination of the therapeutic effect of EMG biofeedback in cervical pain in patients with myopathic pain syndrome

Clinical practice has three intervention groups of 20 people, based on treatment type, single blinded and randomized A random sequence is created using the random numbers table and created by the statistician and will be available to him.

60 patients wer divided into three groups, at Tabriz Medical School: biofeedback(BF), conventional physical therapy(PT), biofeedback-physiotherapy. For PT sessions, we will use physical methods such as hot pack, ultrasound, and electric nervous electrical stimulation, and then we will train the tensile and para-spinal cervical muscles and trapezius muscle stomach muscles. In BF sessions, patients learn how to rest the upper trapezius muscles through visual feedback by using an electromagnetic resting device. Measurement is done by one of the researchers, which leads to the allocation of blind groups

1)History of neck pain in last 3 month 2)Myofascial trigger points in upper trapezius muscle 3)Informed consent 4)absece of neck truma 5)absence of neck degenrative disorders 6)absence of neck radiculopathy 7)absence of Peripheral neuropathy 8)age between 18-65

In Group 1 at PT sessions, we will use physical methods like hot pack, ultrasound, and trans-cutaneous electrical nerve stimulation , and then we will train the tensile and para-spinal cervical muscles and trapezius muscle. In Group 2 at BF sessions, patients learn how to put upper superficial muscles in rest through visual feedback using a superficial electromyographic device. In Group 3, Those patients in biofeedback-physiotherapy group would receive both biofeedback and physiotherapy treatment.

Neck pain, Neck disability

Patients who are eligible for inclusion in the study will be randomly assigned to three treatment groups using a randomized, randomized, randomized trial. In order to execute the randomization process to create random sequences, hide random effects and execute the random allocation process, this will be done: Run the randomization process A random sequence is created using the random numbers table and created by the statistician and will be available to him. The doctor will evaluate it in terms of entry and exit criteria based on the order in which the participants enter the study, and if the referral is eligible for inclusion in the study, he will be evaluated prior to the intervention and will record the relevant information. The patient will then undergo a washout period. Two hours before the next referral to the patient immediately after the wash out period and for intervention, the doctor will contact the patient by telephone or text message and will ask him / her about the random allocation of the participant to the specific group.

Patients in each group are evaluated by an assistant physician who is not aware of the type of intervention, before the intervention, one week after the intervention and two months after the intervention, and the degree of variation between the three groups will be compared at different times. It should be noted that all interventions are carried out by persistent individuals (physicians and physicians).