<?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>IRCT20230524058279N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-06-08</date_registration>
      <primary_sponsor>Riphah International University Faisalabad Campus</primary_sponsor>
      <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</public_title>
      <acronym></acronym>
      <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</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-05-29</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>44</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/70317</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, 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 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.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Latent myofascial trigger points causing neck pain for 3 months or more.</hc_freetext>
      <i_freetext>Intervention 1: 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. Intervention 2: 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.</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>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is It will be decided later as per the advice of supervisor and the recruitments of the journal in which the article will be sent for publication.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Rida E Fatima</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>House No. 692-B People's Colony no. 1 Faisalabad</address>
        <city>Faisalabad</city>
        <country1>Pakistan</country1>
        <zip>38000</zip>
        <telephone>+92 321 6002890</telephone>
        <email>ridaefatima234@gmail.com</email>
        <affiliation>Riphah International University Faisalabad Campus</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Rida E Fatima</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>House no. 692-B People's Colony no. 1 Faisalabad</address>
        <city>Faisalabad</city>
        <country1>Pakistan</country1>
        <zip>38000</zip>
        <telephone>+92 321 6002890</telephone>
        <email>ridaefatima234@gmail.com</email>
        <affiliation>Riphah International University Faisalabad Campus</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <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.</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>35 years</agemax>
      <gender>Both</gender>
      <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 &gt;7</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M70.8</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>soft tissue disorders, use, overuse, pressure</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>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.</i_keyword>
      <i_keyword>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.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>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).</prim_outcome>
      <prim_outcome>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.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>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).</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 International University Faisalabad Campus</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-05-16</approval_date>
        <contact_name>Research and Ethical Committee</contact_name>
        <contact_address>Main Satyana Road, Adjacent Fish Farm Faisalabad. Faisalabad Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
