<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20190924044861N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-09-27</date_registration>
      <primary_sponsor>RIPHAH COLLEGE OF REHABILITATION SCIENCES,ISLAMABAD,PAKISTAN</primary_sponsor>
      <public_title>Neuromuscular Reeducation on Myofascial Trigger Point</public_title>
      <acronym>NMR</acronym>
      <scientific_title>Effect of Neuromuscular Reeducation on Myofascial Trigger Point in Cervical Pain patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2017-01-05</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>70</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/42397</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Other, Purpose: Health service research, Randomization description: The subjects were randomly divided into 2 groups ( control group  A and experimental group B) by coin toss method using convenient sampling technique and informed consent was taken from each patient participated in the study.Among them 25 patients were randomly allocated to each group, Blinding description: In the present study both physical therapist and patients(participants) were blind.Patients were randomly allocated to both groups.</study_design>
      <phase>N/A</phase>
      <hc_freetext>cervical pain due to myofascial trigger points(MTRPs).</hc_freetext>
      <i_freetext>Intervention 1: Control group:Moist HOT PACK:   (5-8mins) at the start of treatment 2.	Ultrasound: Frequency:1- 3 MHz, Intensity:1- 1.4 W/cm2, Time: 8-10 minutes,3.	Ischemic compression: Appropriate amount of sustained pressures was applied for 90 sec and 3-5 times  within one session.4.	Stretching &amp; Home Plan :  3 sets of 10 repetition with  10 seconds hold. Intervention 2: Intervention group:1.	Moist HOT PACK:   (5-8mins) at the start of treatment 2.	Ultrasound: Frequency:1- 3 MHz, Intensity: 1-1.4 W/cm2, Time: 8-10 minutes, 3.	Ischemic compression: Appropriate amount of sustained pressures was applied for 90 sec and 3-5 times  within one session.4.	NMR technique 3-5 times in each session.5.	Stretching &amp; Home Plan: 3 sets of 10 repetition with 10 seconds hold (targeted muscles).</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
IPD collected for the primary outcome measure only

When:
starting 6 months after publication

To whom:
in academic institutions

Conditions:
who want to compare/conduct research on Neuromuscular Reeducation and myofascial trigger points data will be provided.

Where to obtain:
KINZA ANWAR
LECTURER AT UNIVERSITY OF LAHORE,ISLAMABAD CAMPUS,PAKISTAN
kinza.anwar29@gmail.com
+923239735427

How to obtain:
through email

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Kinza Anwar</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>6.7 KM Japan Road, Sihala Zone V, Islamabad, Pakistan</address>
        <city>Rawalpindi</city>
        <country1>Pakistan</country1>
        <zip>44000</zip>
        <telephone>+92 51 5537867</telephone>
        <email>kinza.anwar29@gmail.com</email>
        <affiliation>The University of Lahore,Islamabad Campus,Pakistan</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Kinza Anwar</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>University Of Lahore Islamabad Campus - 6.7 Km Japan Road, Sihala Zone V,, Islamabad, Pakistan</address>
        <city>Rawalpindi</city>
        <country1>Pakistan</country1>
        <zip>44000</zip>
        <telephone>+92 51 5537867</telephone>
        <email>kinza.anwar29@gmail.com</email>
        <affiliation>The University of Lahore,Islamabad Campus,Pakistan</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Pain more than 5 on NPRS
Reduced cervical lateral flexion to the opposite side and Painful upper trapezius trigger point
Hypersensitive taut band  in Upper fiber of trapezius
Jump sign identification through  patient vocalization or withdrawal  symptom</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>55 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Recent  traumatic history of  cervical spine or shoulder region
Diagnosed Fibromyalgia syndrome
Whiplash injury
Malignancy
Skin infections or open wound  in the site of upper  trapezius</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M70.8</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other soft tissue disorders related to use, overuse and pressure</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Control group:Moist HOT PACK:   (5-8mins) at the start of treatment 2.	Ultrasound: Frequency:1- 3 MHz, Intensity:1- 1.4 W/cm2, Time: 8-10 minutes,3.	Ischemic compression: Appropriate amount of sustained pressures was applied for 90 sec and 3-5 times  within one session.4.	Stretching &amp; Home Plan :  3 sets of 10 repetition with  10 seconds hold</i_keyword>
      <i_keyword>Intervention group:1.	Moist HOT PACK:   (5-8mins) at the start of treatment 2.	Ultrasound: Frequency:1- 3 MHz, Intensity: 1-1.4 W/cm2, Time: 8-10 minutes, 3.	Ischemic compression: Appropriate amount of sustained pressures was applied for 90 sec and 3-5 times  within one session.4.	NMR technique 3-5 times in each session.5.	Stretching &amp; Home Plan: 3 sets of 10 repetition with 10 seconds hold (targeted muscles)</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Goniometer for upper trapezius Range of motion(muscle length). Timepoint: before intervention and after 2 weeks of intervention. Method of measurement: Goniometer for upper trapezius Range of motion(muscle length)placed goniometer in upper fibers of trapezius and ask to perform the movement, measure the ROM and then compare it with intact side.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Numeric Pain rating Scale(NPRS) for pain assessment scores. Timepoint: NPRS scores before treatment than after 2 weeks of treatment. Method of measurement: NPRS score beyond 5 were assessed before intervention and compare it after 2 weeks.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>RIPHAH COLLEGE OF REHABILITATION SCIENCES,ISLAMABAD,PAKISTAN</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2016-12-29</approval_date>
        <contact_name>Research Ethical Committee,Riphah College of Rehabilitation Sciences,Islamabad,Pakistan.</contact_name>
        <contact_address>Riphah International University Islamabd City Campus 7th Avenue, Sector G-7/4, Islamabad ISLAMABAD PUNJAB Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
