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IRCT20190707044128N1 IRCT 2019-08-30 khyber medical university Hold Relax Technique and Ischemic Compression followed by a sustained stretch in treating Myofacial Trigger Points of Upper Trapezius Comparative Analysis on the effectiveness of Hold Relax Technique and Ischemic Compression followed by a sustained stretch in treating Myofacial Trigger Points of Upper Trapezius: A Randomized Controlled Trial 2014-06-15 anticipated 60 Complete https://irct.ir/trial/40865 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The patients will be recruited in three groups i.e. Group A (Hold-Relax technique), Group B (Ischemic Compression followed by sustained stretch) and Group C (Both techniques) by randomization through Chit-box method. Chit-Box Method: For random allocation of 60 cases into three groups equally, prepare 60 chits writing “A” (for Group-A) on 20 chits, “B” (for Group-B) on 20 chits and “C” (for Group-C) on 20 chits. After folding the chits and putting in a box and well mixing, draw a chit, note the letter written on it, and then draw the second chit without replacing the first, note it and proceed similarly until the last i.e. 60th chit is drawn. The generated random allocation sequence may be one as appears in Table below. According to this sequence the first case registered will go to the Group-A, second case again to the Group-A, third to the Group-C and so on to the last case to Group-B. Table: Chit-Box Method for Randomization Draw 1st 2nd 3rd -- 15th Result (Letters on chit) A A C B C B B A A A B C - C A B B Registered Case No. 1 2 3 4 5 6 7 8 9 10 11 12 -- 57 58 59 60 (No. Allocation), Blinding description: The outcome assessor will be kept blind about the treatment protocols and randomization process during the whole trial. 3 The Myofascial Pain Syndrome (MPS). Intervention 1: Intervention group: Group-A of 20 patients (Experimental group) will be treated with a Hold-Relax technique that will be applied on the upper Trapezius muscle of the affected side for 1 set of 5 repetitions with 10 seconds hold. It involves a stretch of the muscle up to a point of a resistance barrier. The patient then contracts the muscle to about 25% of their own muscle force against the practitioner’s resistance. The body part remains in a static position resulting in an isometric contraction. The patient holds this contraction for 10 seconds. After this the patient is asked to relax for the next 10 seconds. This is then followed by a further 10 seconds stretch in order to find a new barrier position. Intervention 2: Control group: Group-B of 20 patients (Control group) will be treated with Ischemic compression followed by a sustained stretch technique. Firstly, the trapezius muscle is stretched to the point of discomfort then a digital pressure is applied for 20 seconds with the examiners thumb or finger which temporarily occludes the blood supply to the area. It is then followed by a sustained stretch of 15 seconds on the same muscle. This procedure will be repeated for five times in one session. Intervention 3: Control group: Group-C of 20 patients will be treated with a combined therapy containing Hold relax technique plus Ischemic compression followed by a sustained stretch technique for 1 set of 5 repetitions. No - There is not a plan to make this available Justification or reason for not sharing IPD is there is no further information
public Ishaq Ahmed
Soan Garden, Islamabad
Islamabad Pakistan 75500 +92 42 111 865 865 ishaqpt786@gmail.com The University of Lahore scientific Ishaq Ahmed
Soan Garden, Islamabad
Islamabad Pakistan 75500 +92 42 111 865 865 ishaqpt786@gmail.com The University of Lahore Pakistan Pakistan Age group between 20- 45 years,, , Both Male and Female patients Chronic cases of Upper trapezius myofacial pain Patients with at least 15-24 points (30-48%) score in Neck Disability Index 20 years 45 years Both Patients receiving treatment by other methods like vapocoolants, dry needling, acupuncture injections etc. Neck or shoulder surgery within the past year Neurological or rheumatic disorders Clinical evidence of radiculopathy, myelopathy or joint disorders Whiplash in the previous 6 months Recent fracture of the cervical spine Cervical instability Cervical spondylosis Ankylosing spondylitis Disc prolapsed Osteoporosis Mental disorders M79.1 Myalgia Treatment - Other Treatment - Other Treatment - Other Intervention group: Group-A of 20 patients (Experimental group) will be treated with a Hold-Relax technique that will be applied on the upper Trapezius muscle of the affected side for 1 set of 5 repetitions with 10 seconds hold. It involves a stretch of the muscle up to a point of a resistance barrier. The patient then contracts the muscle to about 25% of their own muscle force against the practitioner’s resistance. The body part remains in a static position resulting in an isometric contraction. The patient holds this contraction for 10 seconds. After this the patient is asked to relax for the next 10 seconds. This is then followed by a further 10 seconds stretch in order to find a new barrier position. Control group: Group-B of 20 patients (Control group) will be treated with Ischemic compression followed by a sustained stretch technique. Firstly, the trapezius muscle is stretched to the point of discomfort then a digital pressure is applied for 20 seconds with the examiners thumb or finger which temporarily occludes the blood supply to the area. It is then followed by a sustained stretch of 15 seconds on the same muscle. This procedure will be repeated for five times in one session. Control group: Group-C of 20 patients will be treated with a combined therapy containing Hold relax technique plus Ischemic compression followed by a sustained stretch technique for 1 set of 5 repetitions. Pain. Timepoint: At the start of intervention and then after one month (12sessions) of treatment administration. Method of measurement: VAS (Visual Analogue Scale) for measuring the Pain. Disability. Timepoint: At the start of intervention and then after one month (12sessions) of treatment administration. Method of measurement: NDI (Neck Disability Index) for measuring the Disability. khyber medical university Approved 2014-09-29 Advanced Studies & Research Board of Khyber Medical University Block-IV PDA building, Phase-V Hayatabad Islamabad Punjab Pakistan