Effects of Myofascial Releasing on Neck Pain in Patients With Trigger Points

Abant Izzet Baysal University

Status: Completed

Conditions: Trigger Point Pain, Myofascial; Neck Pain

Treatments: Other: Myofascial Group; Other: Sham Group

Study type: Interventional

Funder types: Other

Identifiers

NCT03585283

AbantIBU-Phys2

Details and patient eligibility

About

Aim of this study is to investigate effectiveness of myofascial releasing on neck pain related to trigger points located on upper cervical region.

Full description

Neck pain is the second most common musculoskeletal pain after lumbar pain. Prevalence is 27.2% female and 17.4% in male population. Approximately 1/3 of acute onset neck aches become chronic. It causes increasing the cost of treatment and also the loss of labor.

Myofascial pain is usually considered caused by myofascial trigger points. The trigger points in the neck muscles have been associated with a possible source of referred facial and cranial pain. Mechanical neck pain is a non-radicular pain caused by local musculoskeletal structures and is characterized by a spasm of the cervical muscles. Posture, emotional stress, cold and fatigue are etiologic causes, and pain is also reflected to the cervical, occipital and scapular regions depending on the severity of muscle spasm and the presence of trigger point in myofascial pain syndrome.

Myofascial releasing is a specific type of passive soft tissue mobilization. Triggers points often considered as a pathology that occurs after excessive load or trauma on soft tissue which disturbs blood circulation. Fascial restriction can be found with triggers points and taut band.

In this study effects of myofascial release on triggers points will be investigated.

Enrollment: 75 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Non specific cervical pain
• Symptoms should last longer than 4 weeks
• Palpable trigger points on upper thoracic region

Exclusion criteria

• Cervical radiculopathy
• Previous manual therapy treatment history
• Sensory or motor function loss
• Rheumatologic diseases
• Structural damage on cervical spina
• Trauma history

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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75 participants in 2 patient groups

Myofascial Group

Experimental group

Description:

Myofascial release will be applied by physiotherapist two times a week for four weeks which is a manual therapy technique includes stretching and compression of soft tissues according to fascial chains.Each session will be approximately 45 min long. Participant will be reevaluated 8 week later after last session for a follow-up assessment.

Treatment:

Other: Myofascial Group

Sham Group

Sham Comparator group

Description:

Sham application will be applied two times a week for four weeks. Each session will be approximately 45 min long. Participant will be reevaluated 8 week later after last session for a follow-up assessment.

Treatment:

Other: Sham Group