Effectiveness of Different Methods in Acute Myofascial Pain Syndrome

This study is a randomized controlled study. A total of 75 patients between the ages of 20-50 who have a diagnosis of acute myofacial pain syndrome in the trapezius muscle and have pain for a maximum of 5 days were included in the study. Patients were randomly divided into 3 groups. Group 1 patients received kinesio tape method (25 patients), group 2 patients received trigger point injection method (25 patients), and group 3 patients received neural therapy injection method (25 patients). A 10-15 cm sized I band was applied to the trapezius muscles of the first group patients with the patient's neck in lateral flexion. Then, while the patient's neck is flexed, a Y-shaped 15-20 cm tape will be affixed between C1-7 with the arms of the Y up, and I tape of 5-10 cm is attached on the arms. In group 2 patients, 1 cc lidocaine diluted with 4 cc saline (SF) was applied to the trigger points palpated manually in the trapezius muscles. After the trigger point was squeezed between the thumb and index finger, a few cc of local anesthetic mixture was applied into the trigger point with the injector and exited. In the 3rd group patients, a few cc local anesthetic mixture will be applied intradermally over the trigger point without entering into the trigger points palpated manually in the trapezius muscles. Patients were checked 72 hours and 1 week after the first applications.

The pain at rest and during movement of the patients in all 3 groups were evaluated with a visual analog scale (VAS 10 cm). The number of trigger points was determined by the physician by hand palpation. Pressure pain threshold was evaluated with the algometer device. Disability assessment of the patients was made using the neck pain disability index. evaluations were made at the beginning of treatment, 72 hours after and 1 week after treatment.

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Key information

Conditions

Myofacial Pain Syndromes Cranial Nerve Diseases Facial Nerve Diseases Facial Neuralgia Mouth Diseases Nervous System Diseases Stomatognathic Diseases

Age range

20 year–50 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Ufuk University

Ankara, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients diagnosed with acute myofascial pain syndrome
Patients between the ages of 20-50
Patients with pain for up to 5 days

Exclusion criteria

Patients diagnosed with fibromyalgia
Patients with systemic disease
Patients with prominent cervical disc herniation
Patients with cervical arthrosis
Patients with cervical radiculopathy and myelopathy
Patients with myofascial trigger point injection in the past 6 months
Patients who received physical therapy in the past 6 months
Patients undergoing shoulder and neck surgery
Patients with drug allergies

Treatment and study plan

Kinesio Taping

Other

A 10-15 cm sized I band was applied to the trapezius muscles of the first group patients with the patient's neck in lateral flexion. Then, while the patient's neck is flexed, a Y-shaped 15-20 cm tape will be affixed between C1-7 with the arms of the Y up, and I tape of 5-10 cm is attached on the arms. In group 2 patients, 1 cc lidocaine diluted with 4 cc saline (SF) was applied to the trigger points palpated manually in the trapezius muscles. After the trigger point was squeezed between the thumb and index finger, a few cc of local anesthetic mixture was applied into the trigger point with the injector and exited. In the 3rd group patients, a few cc local anesthetic mixture will be applied intradermally over the trigger point without entering into the trigger points palpated manually in the trapezius muscles. Patients were checked 72 hours and 1 week after the first applications.

Other names: trigger point injection, neural therapy injection

Primary outcomes

Visual analog scale

Time frame: 1 week

The pain at rest and during movement of the patients in all 3 groups were evaluated with a visual analog scale (VAS 10 cm).
The number of trigger points

Time frame: 1 week

The number of trigger points was determined by the physician by hand palpation.
Pressure pain threshold

Time frame: 1 week

Pressure pain threshold was evaluated with the algometer device.
Neck pain disability index

Time frame: 1 week

Disability assessment of the patients was made using the neck pain disability index.

Sponsors and collaborators

Lead sponsor

Ufuk University

Other

Registry information

Official study title

Effectiveness of 3 Different Methods in Acute Myofascial Pain Syndrome: A Randomized Controlled Study

Important dates

Study start: 2017
Primary completion: 2019
Study completion: 2019
First posted: Apr 1, 2021
Registry last updated: Apr 1, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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