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IRCT20210809052129N1 IRCT 2021-10-08 The University of Faisalabad Comparison between the effectiveness of laser therapy and graston technique on trigger points of upper trapezius Comparison between the effectiveness of laser therapy and graston technique on trigger points of upper trapezius 2021-07-05 anticipated 30 Complete https://irct.ir/trial/58216 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Lottery method was used for subject randomization in groups. Groups names were written on papers and were folded. After that subjects were asked to pick one paper. The groups were allotted to the subjects and then treatment was started, Blinding description: There were three treatment groups in this study. No control group. Groups were allocated to the subjects by the investigator after lottery method but the subjects weren't told which group they belong to. The measurements taken from the participants on questionnaires were also not shown to the participants. 3 Myofascial pain syndrome. Intervention 1: Intervention group 1: Graston therapy. Graston tool is used for 1 minute sweeping of upper trapezius, 2 minute swiveling and fanning of Trps then 1 minute swiveling of upper trapezius. After that stretching of muscle with 30 seconds hold in 3 repetitions. Intervention 2: Intervention group 2: Laser therapy. GaAIAs semiconductor laser is used with 808nm wavelength. Myofascial trigger points are marked by drawing an X on them over the skin. With gentle pressure, the laser device is positioned perpendicular to the area of skin to be irradiated and moved in a circular pattern. Each trigger point is irradiated for 60 seconds. After that stretching of muscle with 30 seconds hold in 3 repetitions. Intervention 3: Intervention group 3: Graston and laser therapy. GaAIAs semiconductor laser is used with 808nm wavelength. Myofascial trigger points are marked by drawing an X on them over the skin. With gentle pressure, the laser device is positioned perpendicular to the area of skin to be irradiated and moved in a circular pattern. Each trigger point is irradiated for 60 seconds. After that graston tool is used for 1 minute sweeping of upper trapezius, 2 minute swiveling and fanning of Trps then 1 minute swiveling of upper trapezius. After that stretching of muscle with 30 seconds hold in 3 repetitions. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is It will be be decided later as per the advice of supervisor and the requirements of the journal in which the article will be sent for publication.
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Faisalabad Pakistan 37401 +92 41 2646649 sabaiqbal71263@gmail.com The University of Faisalabad Pakistan Pakistan Females aged 18 to 50 years old with bilateral myofascial pain syndrome of the upper trapezius muscle. As stated by Simon’s diagnostic criteria, following sings should be present: Five majors: 1. Pain in a region 2. Pain referring to another area 3. A tight muscle band 4. A tender/painful location in the tight muscle band 5. Limited ROM. One minor: 1. Pain that can be regenerated by applying pressure on the location of the tender area 2. A local twitch response in the affected area 3. With prolonged neck and/or shoulder region pain, pain relief that can be achieved with injection or stretching. Complaint of pain from at least 8 weeks. Pain score between 30mm to 80mm on VAS. Neck extension range up to 30 degrees. Neck right and left side flexion range up to 20 degrees. NDI score between 10 and 24 18 years 50 years Female Neck or shoulder pain that has lasted less than 8 weeks Within the previous three months, local injectable physiotherapy Infection Febrile state Cervical radiculopathy symptoms Hypertension that has not been treated Coagulatory disease or anticoagulant therapy Injury to the cervical spine or surgery Implants and metal devices MG30.01 Chronic widespread pain Treatment - Devices Treatment - Devices Treatment - Devices Intervention group 1: Graston therapy. Graston tool is used for 1 minute sweeping of upper trapezius, 2 minute swiveling and fanning of Trps then 1 minute swiveling of upper trapezius. After that stretching of muscle with 30 seconds hold in 3 repetitions. Intervention group 2: Laser therapy. GaAIAs semiconductor laser is used with 808nm wavelength. Myofascial trigger points are marked by drawing an X on them over the skin. With gentle pressure, the laser device is positioned perpendicular to the area of skin to be irradiated and moved in a circular pattern. Each trigger point is irradiated for 60 seconds. After that stretching of muscle with 30 seconds hold in 3 repetitions. Intervention group 3: Graston and laser therapy. GaAIAs semiconductor laser is used with 808nm wavelength. Myofascial trigger points are marked by drawing an X on them over the skin. With gentle pressure, the laser device is positioned perpendicular to the area of skin to be irradiated and moved in a circular pattern. Each trigger point is irradiated for 60 seconds. After that graston tool is used for 1 minute sweeping of upper trapezius, 2 minute swiveling and fanning of Trps then 1 minute swiveling of upper trapezius. After that stretching of muscle with 30 seconds hold in 3 repetitions. Pain. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Pain measurement by visual analogue scale. Neck disability Index. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Neck functioning measurement by neck disability index. (1) Cervical extension ROM. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Ranges of motion are measured by goniometry. Cervical right lateral flexion ROM. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Ranges of motion are measured by goniometry. Cervical left lateral flexion ROM. Timepoint: before intervention and after 2nd, 5th intervention session and then after 5 days of 5th session. Method of measurement: Ranges of motion are measured by goniometry. Self financed Approved 2021-06-14 Ethics committee of The University of Faisalabad Sargodha Rd, University Town, Faisalabad, Punjab Faisalabad Punjab Pakistan