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IRCT20240403061406N1 IRCT 2024-09-23 The University of Faisalabad Graston technique vs direct myofascial release in upper trapezius trigger points Graston technique vs Direct Myofascial Release: A comparative study for alleviating symptoms of upper trapezius trigger points among visual display terminal users 2024-02-20 anticipated 45 Complete https://irct.ir/trial/78691 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization was done using the lottery method using simple randomization technique to make sure that participants were assigned to the study groups in an unbiased and random manner. patients were allocated by chit & draw method wherein individuals were given sealed envelops. all with alphabet A were allocated to Graston technique group & all with Alphabet B to direct myofascial release group and with alphabet C to control group. allocation concealment was done and patients were given different time of the day on different alternate days to avoid any discussion between them. 2-3 Primary disorders of muscles. Intervention 1: Intervention group 1: direct myofascial release technique.The direct myofascial release technique is a hands-on physiotherapy manual technique that aims to release tension and improve mobility in the affected muscles by applying sustained pressure.The technique will be applied to the affected side of the trapezius muscle each session of myofascial release will be applied for 3 to 4 minutes.The intervention will be administered thrice a week for 4 weeks. no additional devices or tools will be used other than the practitioner's hands. Intervention 2: Intervention group 2: graston technique, an instrument-assisted soft tissue mobilization tool.The graston technique involves using a specially designed stainless-steel instrument to detect and treat areas of muscle tightness, scar tissue, and adhesions. the tool is used to apply controlled pressure and strokes to the affected tissue. The technique will be applied to the affected side of the trapezius muscle. each session of graston treatment will be applied for 3 to 4 minutes.The intervention will be administered thrice a week for 4 weeks.graston tool stainles steel instrument. Intervention 3: Control group 3: participants in this group received only the baseline treatment, which consisted of therapeutic ultrasound using the enraf-nonius souls 190 device. the ultrasound was applied in continuous mode for seven minutes at a frequency of 1 MHz and an intensity of 1.5 watt/cm². this treatment was administered three times a week for a total duration of four weeks.Following the completion of the treatment protocol, post-treatment readings were taken using standardized outcome measures to assess the effectiveness of the intervention. 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 not decided yet
public Mariam Mehmood
Canal Road Amin Campus
Faisalabad Pakistan 380000 +92 301 4223896 mariam.mehmood@tuf.edu.pk The University of Faisalabad scientific Mariam Mehmood
Canal Road Amin Campus
Faisalabad Pakistan 380000 +92 301 4223896 mariam.mehmood@tuf.edu.pk The University of Faisalabad Pakistan Neck pain (upper traps) Musculoskeletal strain (upper trapezius) symptoms for more than 3 months Both males and females Asthenopia Dry eyes Visual blurring Exclusive mobile and laptop users. 4 to 5 hours per day and five to six days History of consecutive near-screen exposure from the past 8 weeks Participants complaining of pain of ≥ 3 on NPRS (moderate) A full passive range of cervical flexion/extension, rotation, and lateral flexion Age between 18 and 35 year A 20° to 30° loss of active neck flexion/extension with loss of cervical rotation of 20° to 40° to both sides and a 10° to 15° loss of lateral flexion 18 years 35 years Both Patients who have a history of trauma affecting mainly the neck Any radiating pain or prolapsed intervertebral disc-related neurological symptoms Patients with co-morbidities other chronic Neck pain and Trapezius trigger points and tightness Osteoporosis/ osteoarthritis Cervical spondylosis/spondylolisthesis Asymptomatic trigger points G71 Primary disorders of muscles Treatment - Other Treatment - Other Treatment - Devices Intervention group 1: direct myofascial release technique.The direct myofascial release technique is a hands-on physiotherapy manual technique that aims to release tension and improve mobility in the affected muscles by applying sustained pressure.The technique will be applied to the affected side of the trapezius muscle each session of myofascial release will be applied for 3 to 4 minutes.The intervention will be administered thrice a week for 4 weeks. no additional devices or tools will be used other than the practitioner's hands. Intervention group 2: graston technique, an instrument-assisted soft tissue mobilization tool.The graston technique involves using a specially designed stainless-steel instrument to detect and treat areas of muscle tightness, scar tissue, and adhesions. the tool is used to apply controlled pressure and strokes to the affected tissue. The technique will be applied to the affected side of the trapezius muscle. each session of graston treatment will be applied for 3 to 4 minutes.The intervention will be administered thrice a week for 4 weeks.graston tool stainles steel instrument. Control group 3: participants in this group received only the baseline treatment, which consisted of therapeutic ultrasound using the enraf-nonius souls 190 device. the ultrasound was applied in continuous mode for seven minutes at a frequency of 1 MHz and an intensity of 1.5 watt/cm². this treatment was administered three times a week for a total duration of four weeks.Following the completion of the treatment protocol, post-treatment readings were taken using standardized outcome measures to assess the effectiveness of the intervention. Pain calculated through numeric pain rating scale. Timepoint: pain is measured before intervention at 2nd week of intervention and at 4th week. Method of measurement: pain measurement through numeric pain rating scale. Range of motion. Timepoint: range of motion is measured before intervention at 2nd week of intervention and at 4th week. Method of measurement: range of motion is measured through goniometer. Muscle flexibility. Timepoint: muscle flexibility is measured before intervention at 2nd week and at 4th week. Method of measurement: muscle flexibility is measured through goniometer. Work performance. Timepoint: work performance is measured before intervention at 2nd week and at 4th week. Method of measurement: work performance is measured through ocular surface index questionnaire. The University of Faisalabad Approved 2014-01-05 Ethics Committee of The University of Faisalabad Canal Road Amin Campus Faisalabad Punjab Pakistan