Comparative effects of Integrated Neuromuscular Inhibition Technique and Active Release Technique on Pain, Range of Motion, and Neck Disability in Patients with Upper Trapezius Myofascial Trigger Points; A Randomized Clinical Trial
To analyze the comparative effects of integrated neuromuscular inhibition technique and active release technique in patients with upper trapezius myofascial trigger points.
Design
Two arm parallel group Randomized trial with participant blinded. Randomization was centralised and computerised with concealed randomization sequence carried out through a randomization software.
Settings and conduct
The trial is conducted in Riphah International university Faisalabad Campus. Subjects are chosen according to inclusion criteria. Subjects are blinded as the don't know their treatment protocol and group.
Participants/Inclusion and exclusion criteria
Inclusion criteria:
Participants aged between 20 to 35 years; Work/sedentary activity of 5 hours per day; Minimum of 4 months of neck pain due to trigger points; Decreased cervical lateral flexion and rotation
Exclusion criteria:
History of whiplash injury, fracture or other congenital disorders; Cervical radiculopathy, radiculitis or myelopathy or vascular syndromes; Degenerative conditions of cervical spine e.g., spondylosis; Any deformity of cervical and thoracic spine or scapular deformity; Participant received any treatment of neck in past 3 months; VAS score >7
Intervention groups
Group A: Integrated neuromuscular inhibition technique. Intermittent Ischemic compression for 15 seconds, Strain-Counterstrain for 20-30 seconds, Muscle Energy Technique in which isometric contraction held for 7-10 seconds and stretch held for 30 seconds (3-5 repetitions)
Group B: Active Release Technique - 3 sets with 10 repetitions
Main outcome variables
Neck pain; Cervical lateral flexion and rotation; Neck disability
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20230524058279N1
Registration date:2023-06-08, 1402/03/18
Registration timing:registered_while_recruiting
Last update:2023-06-08, 1402/03/18
Update count:0
Registration date
2023-06-08, 1402/03/18
Registrant information
Name
Rida E Fatima
Name of organization / entity
Riphah International University, Faisalabad Campus.
Country
Pakistan
Phone
+92 321 6002890
Email address
noormasajid35@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-05-29, 1402/03/08
Expected recruitment end date
2023-09-29, 1402/07/07
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparative effects of Integrated Neuromuscular Inhibition Technique and Active Release Technique on Pain, Range of Motion, and Neck Disability in Patients with Upper Trapezius Myofascial Trigger Points; A Randomized Clinical Trial
Public title
Comparative effects of Integrated Neuromuscular Inhibition Technique and Active Release Technique on Pain, Range of Motion, and Neck Disability in Patients with Upper Trapezius Myofascial Trigger Points; A Randomized Clinical Trial
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Participants aged between 20 to 35 years.
Work/Sedentary activity of 5 hours per day.
Minimum of 4 months of neck pain due to trigger points.
Decreased cervical lateral flexion and rotation.
Exclusion criteria:
History of whiplash injury, fracture or other congenital disorders.
Cervical radiculopathy, radiculitis or myelopathy or vascular syndromes.
Degenerative conditions of cervical spine e.g. spondylosis
Any deformity of cervical and thoracic spine or scapular deformity.
Participant received any treatment of neck in past 3 months.
VAS score >7
Age
From 20 years old to 35 years old
Gender
Both
Phase
N/A
Groups that have been masked
Participant
Sample size
Target sample size:
44
Randomization (investigator's opinion)
Randomized
Randomization description
A computer-generated method was employed to randomly assign subjects to groups, namely Group A and Group B, for the purpose of conducting the intervention. Random allocation software was used for the purpose. The number of participants and Interventions assign to groups were added in the software, after which participants were assigned to their respective groups randomly.
Blinding (investigator's opinion)
Single blinded
Blinding description
There were two interventional groups in this study. Groups were allocated to the subjects by the computer generated randomization method but subjects were not told which group they belonged to. The measurements taken from participants on questionnaire were also not shown to participants.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Research and Ethical Committee
Street address
Main Satyana Road, Adjacent Fish Farm Faisalabad.
City
Faisalabad
Postal code
38000
Approval date
2023-05-16, 1402/02/26
Ethics committee reference number
REC-FSD-00319
Health conditions studied
1
Description of health condition studied
Latent myofascial trigger points causing neck pain for 3 months or more
ICD-10 code
M70.8
ICD-10 code description
soft tissue disorders, use, overuse, pressure
Primary outcomes
1
Description
Cervical Pain
Timepoint
Baseline reading before intervention, post reading was taken after 2 weeks and Follow up reading was measured 4 weeks after intervention
Method of measurement
Cervical pain of each individual was measured by using Visual analogue scale (VAS)
2
Description
Cervical range of motion - Side bending and Lateral rotation
Timepoint
Baseline reading before intervention, post reading was taken after 2 weeks and Follow up reading was measured 4 weeks after intervention
Method of measurement
Cervical range of motion of side bending and rotation was measured using a Goniometer
Secondary outcomes
1
Description
Neck disability
Timepoint
Baseline reading before intervention, post reading was taken after 2 weeks and Follow up reading was measured 4 weeks after intervention
Method of measurement
Neck disability of each individual was calculated using Neck Disability Index (NDI)
Intervention groups
1
Description
Intervention Group A; this group will receive 'Integrated Neuromuscular Inhibition Technique' which will target upper trapezius trigger points to improve neck pain, range of motion and neck disability. The intervention will be applied 2 days for 2 weeks. This whole technique will take upto 20 minutes per session. Hotpack will be used as a baseline treatment before intervention and cervical stretching exercises (three repetitions) will be performed after applying intervention.
Category
Treatment - Other
2
Description
Intervention Group B; This group will receive ten repetitions of 'Active Release Technique' which will target upper trapezius latent trigger points to improve neck pain, range of motion and neck disability. The intervention will be applied 2 days for 2 weeks. This whole technique will take upto 20 minutes per session. Hotpack will be used as a baseline treatment before intervention and cervical stretching exercises (three repetitions) will be performed after applying intervention.
Category
Treatment - Other
Recruitment centers
1
Recruitment center
Name of recruitment center
Riphah International University Faisalabad Campus
Full name of responsible person
Dr. Sehreen Anwar
Street address
Riphah International University, Adjacent Fish Farm, Satyana Road, Faisalabad.
City
Faisalabad
Postal code
38000
Phone
+92 41 8777210
Email
riphahdpt@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Riphah International University Faisalabad Campus
Full name of responsible person
Dr. Sehreen Anwar
Street address
Riphah International University, Adjacent Fish Farm, Satyana Road Faisalabad
City
Faisalabad
Postal code
38000
Phone
+92 41 8777210
Email
riphahdpt@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Riphah International University Faisalabad Campus
Proportion provided by this source
100
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Riphah International University Faisalabad Campus
Full name of responsible person
Rida E Fatima
Position
Lecturer
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
House No. 692-B People's Colony no. 1 Faisalabad
City
Faisalabad
Province
Punjab
Postal code
38000
Phone
+92 321 6002890
Email
ridaefatima234@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Riphah International University Faisalabad Campus
Full name of responsible person
Rida E Fatima
Position
Lecturer
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
House no. 692-B People's Colony no. 1 Faisalabad
City
Faisalabad
Province
Punjab
Postal code
38000
Phone
+92 321 6002890
Email
ridaefatima234@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Riphah International university Faisalabad campus
Full name of responsible person
Rida e Fatima
Position
Lecturer
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
House no 692-B people's Colony no 1 Faisalabad
City
Faisalabad
Province
Punjab
Postal code
38000
Phone
+92 302 9209866
Email
ridaefatima234@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available