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IRCT20210409050912N1 IRCT 2021-08-29 The University of Lahore Low Level Laser Therapy for treatment of cervical pain in patients with trigger points of upper trapezius Cervical pain Trigger points Upper trapezius Neck Pain Neck Range of Motion Neck Disability Index Low Level Laser Therapy Effectiveness of Low Level Laser Therapy for treatment of cervical pain in patients with trigger points of upper trapezius 2021-07-28 anticipated 54 Complete https://irct.ir/trial/55712 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Participants will be randomly allocated by use of computer-generated randomization sheet into two groups One for Group A and other for B. 2 Sets of 27 Unique Numbers per Set Range: From 1 to 54, Blinding description: The outcome assessor will be blind and will assess the subjects for inclusion criteria and will make assessment at the baseline ,then after 2 weeks and than after 4 weeks . Then outcome assessor will give all the recorded data to the principal investigator. 3 Upper Trapezius Trigger Points. Intervention 1: Experimental Group (Intervention group: One group will receive low-level laser therapy. Patient position: Patient comfortably will be seated on chair with arm rest and avoided unnecessary stretching of neck and shoulder muscles. Both physiotherapist and patient will wear protective googles. After identification of trigger point, trigger point will be marked with erasable marker than the treatment will be provided by the following parameters: Wavelength 820nm, Power 200mW, Pulse Rate 2.5Hz Energy Transferring 24 Jcm-2 for 15 sec and with pen probe. Intervention 2: Control group: Control group: Standard Chartered Society of Physiotherapy recommendations for neck pain will be followed. Moving head downwards to tuck in your chin on your chest and maintain this position for 5 seconds. Moving head backward and upward by pushing your chin forward so that throat is stretched and maintain this position for five seconds. All this protocol will be followed. Yes - There is a plan to make this available What will be shared: The data document will be available on demand if any of the researcher want to use like data evaluation Performa and outcome assessment sheets. When: The data will be available after compilation and statistical analysis of the study. To whom: Researchers Conditions: For sake of help and research promotion . Where to obtain: from principal Investigator How to obtain: The email is provided for this purpose . Comments: This trial is purely based for study purpose .It has not involved any third party and any funding except educational support from the relative institute .
public Iqra Waseem
Faisalabad
Faisalabad Pakistan 38000 +92 41 8818334 iqra.waseem91@gmail.com Faisal Institute of Health Sciences scientific Iqra Waseem
335 Sitara Sapna City Daewoo Road
Faislabad Pakistan 38100 +92 41 8818334 iqra.waseem91@gmail.com Faisal Institute of Health Sciences Pakistan Diagnosed patients with active upper trapezius trigger point Age range from 18-55 years Male and Females 18 years 55 years Both Participants having contraindications for LASER e.g. Pregnancy, Tumors, Implants, Pacemaker, Irritable skin around the area of treatment Past History of fracture of shoulder joint or cervical spine Whiplash injury Comorbid medical diagnosis e.g. osteoarthritis Psychiatric illness (e.g., schizophrenia or substance abuse). Psychiatric illness (e.g., schizophrenia or substance abuse). Y93 Trigger Points , Neck pain, neck ROM , Neck Functioning Rehabilitation Rehabilitation Experimental Group (Intervention group: One group will receive low-level laser therapy. Patient position: Patient comfortably will be seated on chair with arm rest and avoided unnecessary stretching of neck and shoulder muscles. Both physiotherapist and patient will wear protective googles. After identification of trigger point, trigger point will be marked with erasable marker than the treatment will be provided by the following parameters: Wavelength 820nm, Power 200mW, Pulse Rate 2.5Hz Energy Transferring 24 Jcm-2 for 15 sec and with pen probe. Control group: Control group: Standard Chartered Society of Physiotherapy recommendations for neck pain will be followed. Moving head downwards to tuck in your chin on your chest and maintain this position for 5 seconds. Moving head backward and upward by pushing your chin forward so that throat is stretched and maintain this position for five seconds. All this protocol will be followed. Neck pain. Timepoint: It will be assessed three times ,First at Baseline , Second after 02 weeks of treatment and third and last at the end of 04 weeks of treatment . Method of measurement: Numeric Pain Rating Score- The numerical pain rating scale is considered as one of the best method available for the estimation of the intensity of pain. The NPRS is a categorical scale which provides a continuous scale for magnitude estimation of pain. NPRS consists of 11 points, which range from 0-10.0=no pain, 1-4=mild pain, 4-7=moderate pain 7-10=severe pain. Neck Range of Motion. Timepoint: First it will be assessed three times at Baseline , then after 02 weeks and at the end of 04 weeks of treatment . Method of measurement: Universal Goniometer will used for measurement of Range of Motions of neck in all sides . Neck disability Index. Timepoint: First it will be assessed three times at Baseline , then after 02 weeks and at the end of 04 weeks of treatment. Method of measurement: Neck Disability Index- The Neck Disability Index (NDI) is a 10-item questionnaire that measures a patient's self-reported neck pain related disability. It is a questionnaire which measures the functional ability of the patient. It is of subjective nature i.e. patient fills the questionnaire himself by ranking his ability to do some specific task. It includes assessment of 10 tasks including personal care, pain, reading, headaches, lifting, concentration, driving, work, sleeping and recreation. Patient ranks questions according to the limitations he faces in ADLs and IADLs. NDI is most commonly used questionnaire for neck pain. The University of Lahore Approved 2020-03-07 The University of Lahore Lahore Lahore punjab Pakistan