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Instrument-assisted Soft Tissue Mobilization Versus Post - Isometric Relaxation Technique in Trapezius Myalgia. (IASTM)

17. juli 2026 opdateret af: Riphah International University

Effects of Instrument -Assisted Soft Tissue Mobilization Versus Post - Isometric Relaxation Technique on Pain,Range of Motion, and Function in Patients With Trapezius Myalgia.

effects of Instrument Assisted Soft Tissue Mobilization (IASTM) and Post-Isometric Relaxation (PIR) in reducing pain, improving range of motion, and enhancing function among individuals with trapezius myalgia.

it was a randomized clinical trial with outcome measuring tools as NPRS for pain Goniometer for ROM NDI for function

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

A randomized clinical trial was carried out over ten months at Arif Memorial Teaching Hospital in Lahore. The study included 48 participants aged between 25 and 35 years, selected through non-probability convenience sampling; 44 completed the full treatment. Participants were randomly divided into two groups of 22 each using a lottery method. Group A underwent IASTM combined with passive and self-stretching exercises, while Group B received the PIR technique. Both interventions were administered three times weekly for six weeks. Outcomes were assessed using the Numeric Pain Rating Scale (NPRS) for pain, a universal goniometer to measure cervical lateral flexion and rotation range of motion, and the Neck Disability Index (NDI) to evaluate functional limitations. Evaluations were performed before treatment and again at the end of the six-week intervention. Data analysis was conducted using SPSS-25, involving the Shapiro-Wilk test to assess normality, independent t-tests and Mann-Whitney U tests for intergroup comparisons, and paired t-tests along with Wilcoxon Signed Rank tests for intragroup analysis.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

48

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54000
        • Arif memorial teaching hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Individuals aged 25 to 35 experiencing trapezius myalgia,
  • both men and women who report neck pain and stiffness,
  • Limited range of motion in lateral neck bending and rotational movement.
  • Presence of identifiable tender areas or trigger points within the trapezius muscle, Evidence of muscle tightness observed during mobility assessments, such as when performing lateral head tilt.
  • A firm band of muscle tissue containing a hypersensitive point, often with a palpable nodule and potential for radiating discomfort.

Exclusion Criteria:

  • Traumatic injury to the neck causing torticollis,
  • Tumor affecting the upperportion of the trapezius muscle,
  • Cervical nerverootirritation or damage, Break in one or more cervical vertebrae,
  • Impairment of nervous system function,
  • Swelling and hypersensitivity reactions in the skin,
  • Abnormal spinal curvature and birth-related structural defects.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: GROUP 1 (Intrument assisted soft tissue mobilization)
IASTM (Members of this group received instrument-assisted soft tissue mobilization in addition to a standard intervention aimed at reducing pain and enhancing range of motion and functional ability.)
Andet: IASTM
IASTM intervention was administered three times weekly for six weeks.
Aktiv komparator: GROUP 2(Post isometric relaxation)
Post isometric relaxation(The members of this group underwent post-isometric relaxation combined with the same standard protocol, with the same goals of alleviating pain and improving mobility and function.)
Andet: Post isometric relaxation
PIR intervention was administered three times weekly for six weeks.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Numeric Pain Rating Scale
Tidsramme: Baseline and after 6 weeks
The pain intensity was assessed using Numeric Pain Rating Scale (NPRS) an 11-point (0-10) tool used to measure a patient's pain intensity, where 0 means "no pain" and 10 means "the worst pain imaginable
Baseline and after 6 weeks

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Range of Motion
Tidsramme: Baseline and after 6 weeks
ROM was measured using goniometer
Baseline and after 6 weeks
Neck Disability Index
Tidsramme: baseline and after 6 weeks
The functions of neck was assessed using Neck Disability Index (NDI); The NDI is a 10-item patient-reported questionnaire designed to assess how neck pain affects daily activities such as personal care, lifting, reading, concentration, work, driving, sleeping, and recreation. Each item is scored from 0 (no difficulty) to 5 (maximum difficulty), giving a total raw score ranging from 0 to 50. The raw score is often converted to a percentage to standardize interpretation: NDI Percentage = (Total Score ÷ 50) × 100
baseline and after 6 weeks

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Riphah International University

Efterforskere

  • Ledende efterforsker: Saba Rafiq, PhD*, Riphah International University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. april 2025

Primær færdiggørelse (Faktiske)

30. maj 2026

Studieafslutning (Faktiske)

30. juni 2026

Datoer for studieregistrering

Først indsendt

17. juli 2026

Først indsendt, der opfyldte QC-kriterier

17. juli 2026

Først opslået (Faktiske)

22. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

22. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

17. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • REC/RCR&AHS/25/0144

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

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Kliniske forsøg med Trapezius myalgi

Kliniske forsøg med IASTM

Søg i lignende forsøg

Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

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Betingelser

Sjældne sygdomme

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Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

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