Integrated Neuromuscular Inhibition Versus Cervical and Scapular Stabilization Exercises on Myofascial Trigger Points of Upper Trapezius

Integrated Neuromuscular Inhibition Versus Cervical and Scapular Stabilization Exercises on Myofascial Trigger Points of Upper Trapezius: Randomized Controlled Trial.

This trial will involve three groups. The Integrated Neuromuscular Inhibition group will receive the integrated neuromuscular inhibition technique. The cervical and Scapular stabilization group will receive cervical and scapular stabilization exercises. The ultrasound group will receive ultrasound therapy

Study Overview

• Status: Completed
• Conditions: Trigger Point Pain, Myofascial
• Intervention / Treatment: Other: Integrated Neuromuscular technique; Other: Cervical and Scapular Stabilization exercises; Device: Ultasound Therapy

• Study Type: Interventional
• Enrollment (Actual): 46
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Banī Suwayf, Egypt
    • Faculty of Physical Therapy

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Patients with active trigger points in the upper trapezius for more than 2 weeks based on the Simons Criteria.
• Age ranged from 18-25 years.
• Pain intensity ≥ 3 on VAS.
• Females and males.

Exclusion Criteria:

• Patients indicated for surgery.
• Patients with symptomatic disc lesions.
• Patients with rheumatological diseases or traumatic neck injury.
• Patients injected with corticosteroids in the last 6 months.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Integrated Neuromuscular Inhibition Group; This group will receive the Integrated Neuromuscular Inhibition Technique which consists of ischemic compression, strain counter strain, and muscle energy technique	Other: Integrated Neuromuscular technique; Integrated Neuromuscular technique is a kind of Manual therapy which include Ischemic Compression, Strain counter-strain and muscle energy technique
Experimental: Cervical and Scapular Stabilization exercises Group; This group will receive a group of exercises for the neck and scapula which will strengthen both of them	Other: Cervical and Scapular Stabilization exercises; Cervical and Scapular Stabilization exercises are a group of therapeutic exercises.
Placebo Comparator: Ultrasound Therapy Group; This group will receive ultrasound Therapy	Device: Ultasound Therapy; a device that transmit ultrasound waves to the participant through direct contact

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual Analogue Scale (VAS)	Visual Analogue Scale is a scale that measures pain intensity. Subjects will instructed to indicate their current pain by marking a point on a 10 mm transverse line with 0 degrees meaning "no pain" and 10 meaning the "worst pain"	1-3 months
Pressure Pain Algometer	The pressure pain Algometer is a device that measures the pain threshold of the subjects.	1-3 months
Neck Pain and Disability Questionnaire (NDI)	Neck Pain and Disability is a questionnaire that measures neck pain and disabilities in subjects. Each question in the questionnaire will explained in detail and the subject will be asked to select one sentence out of six that best describes their function, a higher score indicates a great loss of function.	1-3 months
36-item Short-Form Health Questionnaire	36-item Short-Form Health Questionnaire will measure quality of life	1-3 months

Collaborators and Investigators

• Sponsor: Beni-Suef University

Study record dates

Study Major Dates

• Study Start (Actual): October 1, 2024
• Primary Completion (Actual): July 28, 2025
• Study Completion (Actual): July 28, 2025

Study Registration Dates

• First Submitted: September 12, 2024
• First Submitted That Met QC Criteria: September 17, 2024
• First Posted (Actual): September 19, 2024

Study Record Updates

• Last Update Posted (Estimated): August 26, 2025
• Last Update Submitted That Met QC Criteria: August 24, 2025
• Last Verified: August 1, 2025

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Muscular Diseases; Myofascial Pain Syndromes
• Other Study ID Numbers: Beni-Suef University22

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No