Efficacy of strain counter strain approach on active & latent trigger points of upper fibers of trapezius for myofascial pain syndrome patients (Randomized Control Trial)
effect of strain counter strain technique on patients suffering from trigger points and they will be assessed before and after the approach using pressure pain threshold by algometry , visual analogue scale for pain and neck disability index for function.
AHMED ABDELFATTAH
30 participants
Aug 20, 2020
Interventional
Conditions
Summary
This study will be investigating the efficacy of strain counter strain technique on myofascial pain syndrome on the Egyptian people, with taking the Null hypothesis into consideration also this study will include a null hypothesis which states that the technique won't has a significance effect on myofascial pain syndrome patients.
Eligibility
Inclusion Criteria6
- the subjects will be chosen according to the following criteria:
- - Myofascial pain syndrome subjects with trigger points in upper trapezius muscle.
- - Male and female subjects
- - All patients will be diagnosed with active and latent MTrPs in the upper fibres of the trapezius muscle.
- - Age of the patients ranging from 20 to 50 years.
- - A MTrP will be with a taut band with spot tenderness and subject recognition of referred pain to ipsilateral neck and/or head.
Exclusion Criteria10
- the following subjects will be excluded from the study:
- - Subjects with history of a whiplash injury.
- - Subjects with history of cervical spine surgery.
- - Those who had diagnosis of cervical radiculopathy or myelopathy determined by their primary care physician.
- - Subject's undergone Myofascial Pain therapy within the past 3 months before the study.
- - Those who had Non-rheumatologic diseases as multiple sclerosis, thyroid dysfunction and chronic infections.
- - Patients with rheumatologic conditions as, mild systemic lupus erythematosus.
- - Patients with Polyarticular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative disease.
- - Patients with Vertebral basilar insufficiency.
- - Patients with Shoulder pain.
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Interventions
All participants will be assessed pre and post by the following steps by a trained physiotherapist with 10 years of experience: A- Safety measures: history, use palpation and tuning fork to exclude any red flags. B- Detecting the trigger points: According to this criteria of '' Janet Travell and David Simons'' Simons, David G. "Diagnostic criteria of myofascial pain caused by trigger points." Journal of Musculoskeletal Pain 7.1-2 (1999): 111-120. Description of the technique: The participant will lay in a supine position. The practitioner will grasp the participant's head and extended it moderately and laterally flexed and rotated it away from the trigger point side. Extension will increasing progressively as one treats progressively caudal lesions of ends of muscle length and lateral of upper fibers of trapezius, the technique will be applied five times each time is 90 seconds in one session, in a private clinic in Alexandria, Egypt.
Locations(1)
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ACTRN12621000662864