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IRCT20230205057325N1 IRCT 2023-03-15 Tehran University of Medical Sciences Effects of Dry Cupping with Ultrasound in treatment of Chronic Neck Pain MPS (Myofascial Pain Syndrome) Effects of High-Power Static Ultrasound Combined with Dry Cupping Therapy on Pain Level and Functions in Patients with Myofascial Trigger Points in Trapezius: A Comparative Study 2023-02-25 anticipated 45 Complete https://irct.ir/trial/68416 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Each participant has the opportunity to choose the intervention group randomly by pick up a small paper on which the name of the intervention will be written, Blinding description: the data analyser will be blinded from the specific results of each group. N/A Chronic Neck Pain for more than 3 months.. Intervention 1: Intervention group 1: high power static ultrasound + dry cupping + standard medical care. High power static ultrasound technique will be applied according to the following settings: 1 MHz frequency, 1.5 W/cm2 intensity, for 2 minutes on each point (Less than 10 points). Standard medical care including 7 minutes of superficial heat (hot pack) at a temperature of 65.5 °C, 20 minutes of pulsed mode TENS with a duration of 100–110 μs, and a frequency of 70–80 Hz, symmetrical with 4 electrodes and Upper trapezius stretching exercises. Intervention 2: Intervention group 2: Dry cupping, plastic cups with medium power of suction will be applied on injured area by 4-10 glasses with sizes of cup 25 to 50 mm, 10 to 15 min on the trigger points for each cup. Intervention 3: Control group: Standard medical care including 7 minutes of superficial heat (hot pack) at a temperature of 65.5 °C, 20 minutes of pulsed mode TENS with a duration of 100–110 μs, and a frequency of 70–80 Hz, symmetrical with 4 electrodes and Upper trapezius stretching exercises. 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 is undecided
public Nassab Ibrahim Toufayli
Ras al nabeh, shokeir Blvd
Beirut Nabatieh Lebanon no one +961 71 545 368 nassabtoufayli@gmail.com Tehran University of Medical Sciences scientific dr Siamak Bashardoust Tajali
Tehran
Tehran Iran (Islamic Republic of) no one +98 912 107 9244 s_bashardoust@yahoo.com Tehran University of Medical Sciences Lebanon Patients diagnosed with chronic nonspecific neck pain following palpable trigger points for more than 3 months. Age 25-50 years from both genders. Patients with neck pain that is scored 30 mm out of 100 mm or greater on the VAS during activity. Presenting unilateral (or bilateral) trapezius myofascial trigger points (3 to 6) for more than 3 months with an intensity disturbing normal daily activity. 25 years 50 years Both Systemic disorder or migraine Patients on medication for trigger points or physiotherapy treatment in the previous 3 weeks prior to the study Pregnant women Have had any trauma to the neck in the last 6 months Skin Inflammation Skin Lesion Open Wounds Patients who refused to continue the study. neck pain neck pain, myofascial pain syndrome, dry cupping, high power static ultrasound, trigger points Rehabilitation Rehabilitation Rehabilitation Intervention group 1: high power static ultrasound + dry cupping + standard medical care. High power static ultrasound technique will be applied according to the following settings: 1 MHz frequency, 1.5 W/cm2 intensity, for 2 minutes on each point (Less than 10 points). Standard medical care including 7 minutes of superficial heat (hot pack) at a temperature of 65.5 °C, 20 minutes of pulsed mode TENS with a duration of 100–110 μs, and a frequency of 70–80 Hz, symmetrical with 4 electrodes and Upper trapezius stretching exercises. Intervention group 2: Dry cupping, plastic cups with medium power of suction will be applied on injured area by 4-10 glasses with sizes of cup 25 to 50 mm, 10 to 15 min on the trigger points for each cup. Control group: Standard medical care including 7 minutes of superficial heat (hot pack) at a temperature of 65.5 °C, 20 minutes of pulsed mode TENS with a duration of 100–110 μs, and a frequency of 70–80 Hz, symmetrical with 4 electrodes and Upper trapezius stretching exercises. Pain at rest. Timepoint: before intervention, after 2 weeks and after intervention (after 4 weeks). Method of measurement: Visual Analogue Scale. Pain at movement. Timepoint: before intervention, after 2 weeks and after intervention (after 4 weeks). Method of measurement: Visual Analogue Scale. Range of motion. Timepoint: before intervention, after 2 weeks and after intervention (after 4 weeks). Method of measurement: universal goniometer. Functional capacity. Timepoint: before intervention, after 2 weeks and after intervention (after 4 weeks). Method of measurement: Functional Capacity Evaluation. Neck disability. Timepoint: before intervention, after 2 weeks and after intervention (after 4 weeks). Method of measurement: Neck Disability Index. Nassab Physio Center Approved 2023-02-19 Ethics committee of the Faculty of Nursing and Midwifery and the Faculty of Rehabilitation - Tehran Quds town (west), between South Flamek and Zarafshan, Simai Iran St., Central Headquarters of the Ministry of Health, Treatment and Medical Education, Block A, 13th floor Tehran Tehran Iran (Islamic Republic of)