The Effectiveness of Radial ESWT on Upper Trapezius Mtrps

The Effectiveness of Radial Extracorporeal Shockwave on Upper Trapezius Myofascial Trigger Points

This study looked after the effectiveness of radial ESWT on upper trapezius mtrps. There were three intervention groups which recieved either ESWT or standard care. VAS, PPT, Neck ROM and Cervical functionality were the main outcomes.

Study Overview

• Status: Completed
• Conditions: Myofascial Pain Syndrome; Myofascial Trigger Point Pain; Upper Trapezius Trigger Points
• Intervention / Treatment: Device: Extracorporeal Shockwave Therapy; Device: Extracorporeal Shockwave Therapy; Device: Ultrasound therapy, Massage, Heat pack

Detailed Description

This study was a randomized controlled trial consisted of three intervention groups. Two of them recieved ESWT with different parameters in each group, while the third one was standard care recieving Ultrasound therapy, Therapeutic massage and Heat packs Participants were divided randomly into the three groups. Participants were blind to the group allocated and also the therapist and outcome investigator were blind.

The participants recieved three weekly sessions. The evaluation took place before therapy, after each session and one month after last session.

The outcome measures was the pain intensity with VAS, the pain tolerance to pressure by an algometer device, the range of motion of neck measured by electronic goniometer and and functionality of neck measured by the Northwick Park Neck Pain

• Study Type: Interventional
• Enrollment (Actual): 56
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Cyprus
  • Nicosia, Cyprus, 2404
    • European University Cyprus

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Pain between shoulder and neck on upper trapezius muscle
• Three out of five of Travel and Simons criteria for myofascial trigger points

Exclusion Criteria:

• Fibromyalgia diagnosis
• Systemic diseases diagnosis,
• Pacemaker, under 18,
• Any kind of cervical disorder or surgery,
• Mental disorders

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Sequential Assignment
• Masking: Triple

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: ESWT 1; Extracorporeal Shockwave Therapy 1000 pulses, 60 mJ, 10 Hz	Device: Extracorporeal Shockwave Therapy; 1000 pulses at 60 mj, 10 Hz; Other Names: ESWT; rSWT; Device: Extracorporeal Shockwave Therapy; 2000 pulses at 60 mj, 10 Hz
Experimental: ESWT 2; Extracorporeal Shockwave Therapy 2000 pulses, 60 mJ, 10 Hz	Device: Extracorporeal Shockwave Therapy; 1000 pulses at 60 mj, 10 Hz; Other Names: ESWT; rSWT; Device: Extracorporeal Shockwave Therapy; 2000 pulses at 60 mj, 10 Hz
Active Comparator: Ultrasound therapy, Massage, Heat Pack; 10 Min massage 5 min US therapy 10 min Heat pack	Device: Ultrasound therapy, Massage, Heat pack; Ultrasound therapy 5 min, 1,2W/cm2, 10 min Massage, 10 min heat pack

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain intensity on myofascial trigger points	Visual Analogue Scale 1-10 (1 is the least pain, 10 is the worst pain)	baseline
Pain intensity on myofascial trigger points	Visual Analogue Scale 1-10 (1 is the least pain, 10 is the worst pain)	one week
Pain intensity on myofascial trigger points	Visual Analogue Scale 1-10 (1 is the least pain, 10 is the worst pain)	two weeks
Pain intensity on myofascial trigger points	Visual Analogue Scale 1-10 (1 is the least pain, 10 is the worst pain)	three weeks
Pain intensity on myofascial trigger points	Visual Analogue Scale 1-10 (1 is the least pain, 10 is the worst pain)	1 month after
Pressure Pain Threshold	Pain tolerance to compression. Measured in kilos	baseline
Pressure Pain Threshold	Pain tolerance to compression. Measured in kilos	one week
Pressure Pain Threshold	Pain tolerance to compression. Measured in kilos	two weeks
Pressure Pain Threshold	Pain tolerance to compression. Measured in kilos	three weeks
Pressure Pain Threshold	Pain tolerance to compression. Measured in kilos	one month after
cervical range of motion	Goniometer (measured in degrees)	baseline
cervical range of motion	Goniometer (measured in degrees)	one week
cervical range of motion	Goniometer (measured in degrees)	two weeks
cervical range of motion	Goniometer (measured in degrees)	three weeks
cervical range of motion	Goniometer (measured in degrees)	one month after
Northwick Park Neck Pain questionnaire	functionality of Neck related to pain for daily activities. measured in % (36 questions). Higher the %, greater the disability	baseline
Northwick Park Neck Pain questionnaire	functionality of Neck related to pain for daily activities. measured in % (36 questions). Higher the %, greater the disability	one week
Northwick Park Neck Pain questionnaire	functionality of Neck related to pain for daily activities. measured in % (36 questions). Higher the %, greater the disability	two weeks
Northwick Park Neck Pain questionnaire	functionality of Neck related to pain for daily activities. measured in % (36 questions). Higher the %, greater the disability	three weeks
Northwick Park Neck Pain questionnaire	functionality of Neck related to pain for daily activities. measured in % (36 questions). Higher the %, greater the disability	one month after

Collaborators and Investigators

• Sponsor: European University Cyprus

Study record dates

Study Major Dates

• Study Start (Actual): August 1, 2019
• Primary Completion (Actual): October 30, 2019
• Study Completion (Actual): February 28, 2020

Study Registration Dates

• First Submitted: September 19, 2021
• First Submitted That Met QC Criteria: January 9, 2022
• First Posted (Actual): January 11, 2022

Study Record Updates

• Last Update Posted (Actual): January 11, 2022
• Last Update Submitted That Met QC Criteria: January 9, 2022
• Last Verified: September 1, 2021

More Information

Terms related to this study

• Keywords: Myofascial pain syndrome; upper trapezius; Myofascial Trigger points; Mtrps
• Additional Relevant MeSH Terms: Nervous System Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Muscular Diseases; Neuromuscular Diseases; Fibromyalgia; Myofascial Pain Syndromes
• Other Study ID Numbers: EuropeanUC

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No