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Completed

NCT Number: NCT04702100

Instrument-assisted Soft Tissue Mobilization Versus Integrated on Mechanical Neck Pain

the aim of this study is to investigate the efficacy of instrumented assisted soft tissue mobilization versus integrated neuromuscular inhibition technique on mechanical non-specific neck pain

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Key information

Conditions

Non-specific Chronic Mechanical Neck Pain

Age range

18 year–35 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Al Shaymaa Shaaban Abd El Azeim

Giza, 12511, Egypt

About this study

Mechanical neck pain is a prevalent condition in various populations. Neck pain occurrence is affected by several factors, involving environmental, psychological, and social aspects. Neck pain represents the fourth major disorder responsible for a person's year lived with disability and ranked eleventh as disability-adjusted life years of a person. The neck pain incidence ranges from 10.4 to 23.3% in 1-year time, while the range of prevalence was 0.4 to 86.8%. It has a high prevalence among computer users, office workers, and females, especially females aged 35 to 49 years old. Myofascial trigger point (MTrP) might play an important role in the formation of mechanical neck pain and is known as a hyperirritable spot in skeletal muscle that is accompanied with a hypersensitive palpable nodule in a taut band. IASTM and integrated play an important role in the treatment of mechanical neck pain.this trial has three groups; one will receive IASTM+ conventional, the second will receive integrated + conventional and the third will receive conventional treatment for four week

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • diagnosed as non-specific neck pain with upper trapezius active myofascial trigger points less than 3 months of duration and have these criteria: taut band on palpation, hyper sensible tender spot in the taut band, local twitch response referred pain pattern
  • body mass index from 18 to 25 kg/m2
  • their ages from 18-35

Exclusion criteria

  • if they had trigger point injections within the past 6 months
  • history of neck or upper back surgery, trauma or fracture
  • history of a whiplash injury, skin diseases and lesions, any sensory disturbances, any vascular syndromes, neck and back deformities
  • cervical radiculopathy, and diagnosis of fibromyalgia syndrome, skin diseases

Treatment and study plan

Instrument assisted soft tissue mobilization

Other

the patients will receive instrument-assisted soft tissue mobilization:The subject was seated in a relaxed sitting position. M2T blade was used to find specific areas of restriction on RT upper trapezius. Then treatment plane 1 - 2 and 3 were used.The lubricant (Vaseline) was applied to the skin around the neck area prior to treatment and the tool was cleaned with an alcohol preparation pad. Then by using M2T blade with angle 45, we were giving long slow strokes without causing any discomfort or pain over muscle starting from its insertion up to its origin approximately for 2 to 3 min repeated two times.

Integrated Neuromuscular Inhibition technique

Other

will receive integrated neuromuscular inhibition technique: from supine lying position.we the patients will perform ischemic compression at trigger points then positional release technique and finally muscle energy technique.

Conventional Therapy

Other

the patients will receive hot back for 10 minutes, active range of motion exercise, chin tuck, stretches

Primary outcomes

  1. pain intensity

    Time frame: up to four weeks

    The scale that will be used the VAS ;each subject will instructed to put point on line from no pain to tolerable pain

Secondary outcomes

  1. neck disability

    Time frame: up to four weeks

    will be measured by Arabic neck disability index

  2. muscle amplitude in the form of normalized root mean square (RMS)

    Time frame: up to four weeks

    muscle amplitude will be measured by surface electromyography for upper trapezius

  3. muscle fatigue in the form of median frequency

    Time frame: up to four weeks

    muscle fatigue will be measured by surface electromyography for upper trapezius

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Instrument-assisted Soft Tissue Mobilization Versus Integrated Neuromuscular Inhibition Technique on Mechanical Non-specific Neck Pain

Acronym: IASTM

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Jan 8, 2021
Registry last updated
Jun 23, 2022

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.