Effects of Upper Trapezius Stretching With and Without Mid Lower Trapezius Strengthening in Trapezius Myalgia

Riphah International University

Status: Completed

Conditions: Trapezius Myalgia

Treatments: Other: upper trapezius stretching plus neck isometrics; Other: upper trapezius stretching with mid-lower trapezius strengthening exercises plus neck isometrics

Study type: Interventional

Funder types: Other

Identifiers

NCT05856006

REC/RCR & AHS/23/0527

Details and patient eligibility

About

A Randomized controlled trial will be conducted. Non-probability convnience sampling will be used to collect the data. Sample size of 42 subjects with age group between 18 to 40 years will be taken. Data will be collected by using tools Numeric Pain Rate Scale (NPRS) for pain, Neck Disability Index (NDI) for disability and SF-36 for Quality of life. An informed consent will be taken. A total of 20 subjects will be selected by following inclusion and exclusion criteria and will equally divided in to two groups by random number generator table. Both groups will come thrice per week for a total of 4 weeks.

Full description

Trapezius myalgiais the complaint of pain, stiffness, and tightness of the upper trapezius muscle. It is characterised by acute or persistent neck-shoulder pain. In today's society, due to the increased use of computers, where the neck and shoulders are maintained in static abnormal postures to look at the computer screens and become vulnerable to cause neck pain. The aim of the study is to determine effects of upper trapezius stretching with and without mid lower trapezius strengthening exercises on pain, disability and quality of life in females with work related trapezius myalgia.

A Randomized controlled trial will be conducted in physiotherapy outpatient department of Bahria International Hospital Lahore. Non-probability convnience sampling will be used to collect the data. Sample size of 42 subjects with age group between 18 to 40 years will be taken. Data will be collected by using tools Numeric Pain Rate Scale (NPRS) for pain, Neck Disability Index (NDI) for disability and SF-36 for Quality of life. An informed consent will be taken. A total of 20 subjects will be selected by following inclusion and exclusion criteria and will equally divided in to two groups by random number generator table. Both groups will come thrice per week for a total of 4 weeks. The data will be analysed using SPSS software version 25. After assessing normality of data by Shapiro-Wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Enrollment: 40 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • Females between the age range of 18-40 years

  • Examination-Symptoms provoked by neck movement and palpation of Trapezius musculature.
  • Positive Trapezius Strength Test

Exclusion criteria

• Participants who present with dizziness and vertigo
• Infection or febrile state at the time of performing the test;
• Anxiety or extreme emotional tension;
• pharmacological treatment (analgesics, muscle relaxants, anxiolytics, antidepressants)
• Disc lesions

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Stretching Group

Active Comparator group

Description:

upper trapezius stretching plus neck isometrics

Treatment:

Other: upper trapezius stretching plus neck isometrics

Stretching plus strengthening Group

Experimental group

Description:

upper trapezius stretching with mid-lower trapezius strengthening exercises plus neck isometrics

Treatment:

Other: upper trapezius stretching with mid-lower trapezius strengthening exercises plus neck isometrics