Efficacy of Extracorporeal Shockwave Therapy on Ultrasonography Changes of Upper Trapezius Myofascial Trigger Points in Patients With Non Specific Neck Pain (MTP)

Cairo University (CU)

Status: Not yet enrolling

Conditions: Neck Pain

Treatments: Other: Traditional physical therapy; Other: Extracorporeal Shockwave therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06267755

P.T.REC/012/004884

Details and patient eligibility

About

this study will be conducted to investigate the effect of Extracorporeal Shockwave Therapy on Ultrasonography Changes of Upper Trapezius Myofascial Trigger Points in Patients With Non Specific Neck Pain

Full description

Neck pain is one of the most commonly reported musculoskeletal disorders. The prevalence for neck pain varies between 16.7% and 75.1% in the general population. Up to 67% of world's population may present chronic non-specific neck pain at least once in their lives. The upper trapezius is probably the muscle most often beset by trigger points, it is indicated that the upper trapezius is the most sensitive of 8 different muscles (upper trapezius, pectoralis major, levator scapulae, teres major, supraspinatus, gluteus medius, infraspinatus, paraspinal) to the pressure of an algometer.Recently, the extracorporeal shock wave has been widely known to be an effective therapeutic modality in myofascial pain syndrome treatment and a systematic review provided promising insight into the effectiveness of ESWT in Myofascial pain syndrome treatment. sixty patients with non specific neck pain will be assigned randomly to two groups; first one will receive shock wave therapy and traditional therapy and the second one will receive traditional therapy only for six weeks.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Sixty patients receiving a diagnosis of non-specific neck pain with upper trapezius myofascial trigger points by an orthopaedist physician.
• Body mass index of participants was normal less than (30 kg/m2)(Al-asadi, 2018).
• Age over 18 years.
• Presence of taught band.
• Presence of hyper irritable spot in a taught band, and reproduction of the typical referred pain pattern of the myofascial trigger point in response to compression

Exclusion criteria

• Having signs and symptoms of neurological disorders that cause nerve root compression.
• Headache as a consequence of specific headache diagnosis.
• Having a history of specific signs of malignancy, or infection.
• Having a history of trauma with or without proven structural disorders in the region of the neck, shoulder, and head (e.g. whiplash).
• Having signs and symptoms of cerebrovascular insufficiency.
• Having a severe chronic disease of the locomotor system (e.g. polyarthritis, muscular disease
• Any participant with contraindications to shock wave therapy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Extracorporeal Shockwave therapy

Experimental group

Description:

Thirty patients will receive Extracorporeal Shockwave therapy and Traditional physical therapy three times per week for six consecutive weeks.

Treatment:

Other: Extracorporeal Shockwave therapy

Other: Traditional physical therapy

Traditional physical therapy

Active Comparator group

Description:

Thirty patients will receive Traditional physical therapy three times per week for six consecutive weeks.

Treatment:

Other: Traditional physical therapy