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IRCT20200215046499N1 IRCT 2020-04-07 Tabriz University of Medical Sciences Remote therapeutic effectiveness of dry needling and ischemic pressure on the pain intensity and functional disability of upper limb in patients with myofascial pain syndrome Remote therapeutic effectiveness of dry needling and ischemic pressure on the pain intensity and functional disability of upper limb in patients with myofascial pain syndrome 2020-05-04 anticipated 30 Complete https://irct.ir/trial/46002 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Simple randomization with a sealed envelope: Two envelopes are prepared with the first and second group titles. Each participant randomly selects one envelope and the envelope number is recorded for the participant. The envelopes are then merged and the next participant selects another envelope from the two envelopes as the previous procedure to complete the randomization process in both groups, Blinding description: Participants will be blind to the mechanism of treatments in each group. examiner is also blind. N/A Myofascial pain syndrome. Intervention 1: Intervention group: Dry needling intervention: In this group, needle enters the active trigger point of the upper trapezius muscle and local twitch response is observed. Then, needle pulls out but does not leave the skin and enters the trigger point again. This is repeated until no local twitch response is detected with 10 manipulation. This treatment is done for 3 sessions with one week interval. Intervention 2: Control group: Ischemic pressure intervention: In this group, pressure is gradually applied by an algometer disk to the trigger point of upper trapezius muscle of the patient for 90 seconds based on their pain pressure threshold.This technique is repeated 3 to 5 times until the pain and symptoms are resolved. This treatment should be repeated for 3 sessions with an interval of one week. No - There is not a plan to make this available Justification or reason for not sharing IPD is No more information.
public HakimehAdigozali
Faculty of rehabilitation sciences, Tabriz University of Medical sciences, 29 Bahman Blvd.
Tabriz Iran (Islamic Republic of) 5166616471 +98 41 3337 5359 adigozalih@tbzmed.ac.ir Tabriz University of Medical Sciences scientific Hakimeh Adigozali
faculty of rehabilitation sciences, Tabriz university of Medical Sciences, 29 Bahman Blvd
Tabriz Iran (Islamic Republic of) 5166616471 +98 41 3337 5359 adigozalih@tbzmed.ac.ir Tabriz University of Medical Sciences Iran (Islamic Republic of) Patient in the age range of 20 to 40 years. Having neck pain or shoulder pain or both of them. The presence of active trigger point in the upper trapezius muscle and latent trigger point in the extensor carpi radialis longus muscle. The intensity of pain should be at least 30 mm on visual analog scale in initial evaluation of active trigger point in the upper trapezius muscle. 20 years 40 years Both History of surgery in the neck or shoulder or upper extremity A history of trauma in the recent years. Radiculopathy in the upper extremity Kyphosis or severe forward head posture Involvement with fibromyalgia syndrome Skin damage, infection, or inflammatory edema in the trigger point region Pregnancy sedative drugs consumption before and during treatment Vascular and coagulation disorders cancer Rehabilitation Rehabilitation Intervention group: Dry needling intervention: In this group, needle enters the active trigger point of the upper trapezius muscle and local twitch response is observed. Then, needle pulls out but does not leave the skin and enters the trigger point again. This is repeated until no local twitch response is detected with 10 manipulation. This treatment is done for 3 sessions with one week interval. Control group: Ischemic pressure intervention: In this group, pressure is gradually applied by an algometer disk to the trigger point of upper trapezius muscle of the patient for 90 seconds based on their pain pressure threshold.This technique is repeated 3 to 5 times until the pain and symptoms are resolved. This treatment should be repeated for 3 sessions with an interval of one week. Pain intensity. Timepoint: Pre intervention, immediately post treatment, 7 and 14 days after first session. Method of measurement: Visual analogue scale. Pain pressure threshold. Timepoint: Pre intervention, immediately post treatment, 7 and 14 days after first session. Method of measurement: Algometer. Disability of the upper limb. Timepoint: before treatment, 7 and 14 days after treatment. Method of measurement: Disability of the Arm Shoulder and Hand (DASH) questionnaire. Tabriz University of Medical Sciences Approved 2020-01-20 Ethics committee of Tabriz University of Medical Sciences , Next to the Vahdat Hall, faculty of rehabilitation, IRAN - Tabriz Tabriz East Azarbaijan Iran (Islamic Republic of)