Stripping Massage Technique and Post-isometric Relaxation

Riphah International University

Status: Not yet enrolling

Conditions: Trapezius Myalgia

Treatments: Other: Post-Isometric Relaxation (PIR); Other: Stripping Massage Technique:

Study type: Interventional

Funder types: Other

Identifiers

NCT07063355

REC/RCR & AHS/24/0171

Details and patient eligibility

About

This randomized clinical trial investigates the synergistic effects of stripping massage and Post-Isometric Relaxation (PIR) on pain alleviation, ROM and functional movement improvement in individuals with Trapezius myalgia. A purposive sampling approach will select participants aged 18 and 50 years. A total of 44 patients will be taken, who will be randomly divided into two equal groups, each containing 22 patients. Group A will receive standard baseline management, supplemented with heating pad, active stretching, isometrics and ischemic compression, while Group B will receive the combined management (stripping massage + PIR) .

Full description

The study will assess pain intensity using NPRS, ROM using goniometer and neck disability or functional movement of neck using Neck Disability Index (NDI) at baseline and four weeks follow-up. Ethical approval and informed consent will ensure the study's integrity. The primary outcomes will focus on pain reduction and improved neck function, with secondary outcomes including trigger point severity and range of motion. Data analysis will utilize SPSS version 25. This study aims to provide valuable insights into the combined efficacy of stripping massage and PIR, ultimately informing evidence-based practice and enhancing patient outcomes in patients with trapezius myalgia.

Enrollment: 44 estimated patients

Sex: All

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Presenting with neck pain and stiffness
• Experiencing tightness in the upper trapezius muscle
• Having pain at rest, local twitch response or jump sign in upper trapezius
• Patients having functional limitations while performing certain activities of everyday living.

Exclusion criteria

• Patients with an NPRS score of 3 or less.
• Presence of structural abnormalities like torticollis or scoliosis.
• Presence of skin disease on the back.
• Having undergone upper limb surgery within the past year .
• Participation in another clinical trial.
• Severe psychiatric conditions that would impair participation or compliance

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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44 participants in 2 patient groups

Stripping Massage Technique

Experimental group

Description:

Stripping Massage Technique: * The back of the neck and shoulder were uncovered. * Controlled and steady pressure was administered using the thumb along the entirety of the tense trapezius muscle, moving from origin to insertion and perpendicular to the muscle fibers, for approximately 3 minutes, twice weekly over a period of 4 weeks. * The pressure was progressively raised with each subsequent stroke, based on tolerance level.

Treatment:

Other: Stripping Massage Technique:

Post isometric Relaxation

Experimental group

Description:

Post-Isometric Relaxation (PIR): * During the PIR intervention, the patients rested in a supine position with their necks tilted to the side, away from the affected side, placing the upper trapezius muscle fibers in a stretched position. * A moderate isometric contraction, around 75% of the patient's maximum effort, was performed by the upper trapezius and maintained for 5 seconds, followed by a 3-second relaxation phase. * The therapist then gently mobilized the cervical spine to a new range of motion barrier. * This sequence was repeated four times per session

Treatment:

Other: Post-Isometric Relaxation (PIR)