KT vs IASTM on Upper Trapezius Myofascial Trigger Points To Compare Effect of KT VS IASTM on Pain Intensity, Pain Pressure Threshold, Cervical Range of Motion and Functional Disability Level.

KINESIOTAPING VERSUS INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION ON UPPER TRAPEZIUS MYOFASCIAL TRIGGER POINTS: A RANDOMIZED CONTROLLED TRIAL Kinesiotaping (KT) is a Non-invasive Method to Treat Musculoskeletal Disorders. it is Non-invasive, Painless, and Less Time-consuming Than Other Options With Fewer Side Effects. IASTM is a Traditional Chinese Therapy Known as "Guasha". IASTM is a Simple and Practical Technique

This study would answer the following question: Is there a difference in the effects between IASTM and KT on pain intensity level, pain pressure threshold, cervical range of motion (ROM), functional disability level and satisfaction level in subjects with upper trapezius myofascial trigger points?

The aims of this study are:

1. To investigate the effect of KT and IASTM on pain intensity level in subjects with upper trapezius myofascial trigger points.
2. To investigate the effects of KT and IASTM on pain pressure threshold in subjects with upper trapezius myofascial trigger points.
3. To investigate the effects of KT and IASTM on cervical range of motion (ROM) in subjects with myofascial trigger points.
4. To investigate the effect of KT and IASTM on functional disability level in subjects with upper trapezius myofascial trigger points.
5. To investigate the effects of KT and IASTM on satisfaction level in subjects with myofascial trigger points.

Study Overview

• Status: Recruiting
• Conditions: Myofacial Pain Syndromes
• Intervention / Treatment: Other: tradional physical therapy treatment; Other: KT; Device: IASTM

• Study Type: Interventional
• Enrollment (Estimated): 50
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Reham Sayed Mesaed; Phone Number: 01091892299; Email: reham.sayed995@gmail.com

Study Locations

• Egypt
  • Beni-Suef, Egypt
    • Recruiting
    • Clinic
    • Contact: Beni-Suef; Phone Number: 01091892299; Email: reham.sayed@gmail.com

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

- 1) Fifty subjects with age ranged from 18 to 23 years old (Formen et al., 2014).

2) From both genders with normal BMI ranges between 18.5:24.9 kg/m2. Had MTrPs of unilateral UT muscle (Shamseldeen et al., 2023).

Exclusion Criteria:

• 1. History of whiplash injury (Emshi et al., 2021). 2. History of head, neck, cervical spine or shoulder surgery (Emshi., et al 2021) 3. History of cervical radiculopathy (Emshi et al., 2021) 4. Patients with malignancy (Shamseldeen et al., 2023). 5. Cervical spine fractures (Shamseldeen et al., 2023). 6. Myelopathy (Shamseldeen et al., 2023). 7. Having undergone physical therapy within the past three months before the study.

  8. Non - rheumatologic diseases as multiple sclerosis, thyroid dysfunction and chronic infection.

  9. Rheumatologic condition as poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.

  10. Presence of skin diseases (Luz Júnior et al., 2015). 11. Pregnancy (Luz Júnior et al., 2015).

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
Active Comparator: tradional physical therapy; This group received traditional therapy( Instructions, hot backs, Deep transverse friction massage, passive &self stretch, Neck isometric and Scapular retraction exercises) (three sessions per week for 4 weeks).	Other: tradional physical therapy treatment; Instructions, hot backs, Deep transverse friction massage, passive &self stretch, Neck isometric and Scapular retraction exercises
Experimental: Kinesiotaping; This group received KT in addition to Traditional physical therapy program (two sessions per week for 4 weeks).	Other: tradional physical therapy treatment; Instructions, hot backs, Deep transverse friction massage, passive &self stretch, Neck isometric and Scapular retraction exercises; Other: KT; Kinesiotaping
Experimental: IASTM; This group received IASTM in addition to Traditional physical therapy program (three sessions per week for 4 weeks).	Other: tradional physical therapy treatment; Instructions, hot backs, Deep transverse friction massage, passive &self stretch, Neck isometric and Scapular retraction exercises; Device: IASTM; Instrument Assisted Soft Tissue Mobolization

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
KT vs IASTM on upper trapezius myofascial trigger points		one month
pain intensity level	pain intensity level of neck pain	change at pain intensity level through 4 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
pain pressure threshold	pain pressure threshold of neck pain	change at pain pressure threshold through 4 weeks
cervical range of motion	range of motion of cervical spine	change at cervical range of motion through 4 weeks

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
functional disability level	functional disability level by Arabic Neck Disability Index	change at functional disability level through 4 weeks

Collaborators and Investigators

• Sponsor: Reham Sayed Mesaed

Study record dates

Study Major Dates

• Study Start (Actual): August 1, 2024
• Primary Completion (Actual): September 1, 2024
• Study Completion (Estimated): April 1, 2025

Study Registration Dates

• First Submitted: March 21, 2025
• First Submitted That Met QC Criteria: March 26, 2025
• First Posted (Actual): March 28, 2025

Study Record Updates

• Last Update Posted (Actual): March 28, 2025
• Last Update Submitted That Met QC Criteria: March 26, 2025
• Last Verified: June 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Mouth Diseases; Stomatognathic Diseases; Nervous System Diseases; Cranial Nerve Diseases; Facial Nerve Diseases; Facial Pain; Facial Neuralgia
• Other Study ID Numbers: P.T.REC/012/004971

Drug and device information, study documents

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