Effect of Instrument-assisted Soft Tissue Mobilization Versus Myofascial Release in Treatment of Mechanical Neck Pain

Cairo University (CU)

Status: Completed

Conditions: Soft Tissue Injuries; Neck Pain

Treatments: Other: Instrument-assisted soft tissue mobilization; Other: Myofascial release therapy; Other: Postural correction exercises (PCE)

Study type: Interventional

Funder types: Other

Identifiers

NCT05213871

Fatma_phd_2022

Details and patient eligibility

About

Mechanical neck pain has become a major health problem recently, affecting around one-year prevalence ranging from 42 to 67% in young adults aged 20-24 years causing pain and functional deficits. No study has been conducted before to investigate the effect of Instrument assisted soft tissue mobilization (IASTM) with mechanical neck pain on university students involved in distance learning.

Full description

Mechanical neck pain is a major social and economic burden. It showed a one-year prevalence ranging from 42 to 67% in young adults aged 20-24 years. Treatment of neck pain is costly in terms of utilization of health care services, disability, compensation payments and lost work productivity. With the increasing prevalence of pain and disability associated with musculoskeletal impairments, it is essential to identify the most efficacious interventions to maximize patient outcomes and decrease the societal burden.

Enrollment: 35 patients

Sex: All

Ages: 18 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Patient's age will be between 18-25 years old.
2. Subjects with mechanical neck pain localized to cervical and periscapular region.
3. Subjects with at least one trigger point in the upper trapezius and/or levator scapulae muscles
4. Subjects should report mechanical neck pain of at least 30 mm on a visual analogue scale (VAS). The scale is ranged from 0 mm (no pain) to 100 mm (worst imaginable pain).
5. Subjects who use computers daily for at least two hours and are involved in distance learning for at least three months.

Exclusion criteria

1. Any specific neck pathology as radiculopathy, rheumatoid arthritis, and systemic diseases.
2. Sensory problems at mid or upper back
3. A tendency to hemorrhage or anticoagulation treatment. And nonsteroidal pain medication
4. History of head and upper trunk trauma or surgery.
5. Signs of severe pathology such as malignancy, fractures of the cervical spine, cervical radiculopathy or myelopathy, or vascular syndromes such as vertebrobasilar insufficiency.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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35 participants in 2 patient groups

IASTM group

Experimental group

Description:

Group (A) will receive IASTM on the right upper trapezius and levator scapulae twice a week for four weeks in addition to a postural correction program.

Treatment:

Other: Postural correction exercises (PCE)

Other: Instrument-assisted soft tissue mobilization

myofascial release group

Experimental group

Description:

Group (B) will receive a myofascial release on the right upper trapezius and levator scapulae twice a week for four weeks in addition to the postural correction program.

Treatment:

Other: Postural correction exercises (PCE)

Other: Myofascial release therapy