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- Essai clinique NCT07575139
Myofascial Release and Dynamic Cupping in Children
Comparative Effects of Myofascial Release Therapy and Dynamic Cupping on Neck Pain and Posture in School Going Children.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
Neck pain is a highly prevalent musculoskeletal disorder that significantly impairs quality of life and restricts social, academic, and physical activities. Globally, neck pain is ranked as the fourth leading cause of disability, with an annual prevalence estimated between 30% and 50%. Chronic neck pain is defined as pain or discomfort experienced along the posterior cervical spine, extending from the superior nuchal line to the first thoracic spinous process, persisting for more than three months. In school-aged children, prolonged poor posture, excessive screen use, and heavy schoolbags contribute to the increasing incidence of neck pain and postural deviations, making early intervention essential.
This study is designed as a randomized clinical trial to evaluate and compare the effectiveness of myofascial release therapy and dynamic cupping therapy in reducing neck pain and correcting postural deviations in school-based children. The study will be conducted in selected schools, where data collection and treatment sessions will take place. Children aged 7 to 12 years, both boys and girls, who present with neck pain and observable postural deviations will be included in the study. Exclusion criteria will consist of children with skin infections, open wounds, or dermatological conditions in the neck or upper back region, neurological symptoms, recent use of analgesic medications, or reliance on assistive devices, to ensure participant safety and reduce confounding variables.
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Contacts et emplacements
Coordonnées de l'étude
- Nom: IMRAN AMJAD, PhD
- Numéro de téléphone: 9233224390125
- E-mail: IMRAN.AMJAD@RIPHAH.EDU.PK
Sauvegarde des contacts de l'étude
- Nom: MUHAMMAD ASIF JAVEED, MS-PT
- Numéro de téléphone: 9233224209422
- E-mail: a.javeed@riphah.edu.pk
Lieux d'étude
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Lahore, Pakistan, 54000
- Recrutement
- Imran Amjad
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Contact:
- MUHAMMAD ASIF JAVEED, MS-PT
- Numéro de téléphone: 923224209422
- E-mail: A.JAVEED@RIPHAH.EDU.PK
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Enfant
Accepte les volontaires sains
La description
Inclusion Criteria:
- Children with age 13 to 16.
- Both boys and girls
- neck pain (NPRS score from 7 to 10)
- Presence of postural deviations (will be access by using Plumb line test)
Exclusion Criteria:
- Skin infections, open wounds, or dermatological conditions in the neck/upper back region
- Neurological symptoms (cerebral palsy, muscular dystrophy, multiple sclerosis)
- Recent use of analgesics
- use of assistive devices (collars)
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Autre
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Comparateur actif: Myofascial release therapy
The participants in this group will receive myofascial release therapy.
Stretching of neck muscles: hold of 15-30 seconds, repeat for 2 sets Isometric setting of neck muscle: (for 12 seconds, repeated for 2 sets, with 1- minute rest between sets) (neck flexion, neck extension, side flexion without changing their length or the angle of the joint, essentially holding a static position) Postural exercise for neck: (chin tucks) (shoulder elevation and drop) (shoulder retraction and protraction) (Cobra/Sphinx Pose) (hold for 5-10 sec, 2x set)
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The participants in this group will receive myofascial release therapy.
Stretching of neck muscles: hold of 15-30 seconds, repeat for 2 sets Isometric setting of neck muscle: (for 12 seconds, repeated for 2 sets, with 1- minute rest between sets) (neck flexion, neck extension, side flexion without changing their length or the angle of the joint, essentially holding a static position) Postural exercise for neck: (chin tucks) (shoulder elevation and drop) (shoulder retraction and protraction) (Cobra/Sphinx Pose) (hold for 5-10 sec, 2x set)
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Expérimental: Dynamic cupping
The participants in this group will receive dynamic cupping. Stretching of neck muscles: hold of 15-30 seconds, repeat for 2 sets Isometric setting of neck muscle: (for 12 seconds, repeated for 2 sets, with 1- minute rest between sets) (neck flexion, neck extension, side flexion without changing their .length or the angle of the joint, essentially holding a static position) 3. Dynamic cupping: Dynamic cupping involves applying a silicone or plastic cup to lubricated skin and creating gentle suction by squeezing the cup 2-3 time. Once suction is established, the therapist glides the cup smoothly over the muscle fibers in slow, controlled stroke linear, circular, or fan-shape to mobilize soft tissue and fascia. The cup should move without causing excessive pulling or discomfort, typically for 2 minutes per area. The suction level is moderate to keep the cup attached while allowing movement |
Dynamic cupping involves applying a silicone or plastic cup to lubricated skin and creating gentle suction by squeezing the cup 2-3 time.
Once suction is established, the therapist glides the cup smoothly over the muscle fibers in slow, controlled stroke linear, circular, or fan-shape to mobilize soft tissue and fascia.
The cup should move without causing excessive pulling or discomfort, typically for 2 minutes per area.
The suction level is moderate to keep the cup attached while allowing movement, and the therapist continuously adjusts pressure based on feedback.
After treatment, the cup is gently lifted to release suction, and the skin is checked for any irritation
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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posture correction
Délai: 4th day
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Posture correction refers to the improvement in head, neck, and shoulder alignment, particularly reduction in forward head posture and rounded shoulders.
It is measured using objective tools such as craniovertebral angle, postural assessment scales, or photographic analysis.
Improvement is indicated by increased alignment angles and a more neutral upright posture.
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4th day
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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rang of motion
Délai: 4th day
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Range of motion refers to the degree of movement available at the cervical spine in all directions, including flexion, extension, lateral flexion, and rotation.
It is measured using tools such as a goniometer or inclinometer to assess functional mobility.
Improvement is indicated by increased pain-free movement and greater cervical mobility in all planes.
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4th day
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Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: EAYZA RIAZ, MS-PT, RIPHAH INTERNATINAAL UNIVERSITY
Publications et liens utiles
Publications générales
- Guo Y, Lv X, Zhou Y, Li Z, She H, Bai L, Bao J. Myofascial release for the treatment of pain and dysfunction in patients with chronic mechanical neck pain: Systematic review and meta-analysis of randomised controlled trials. Clin Rehabil. 2023 Apr;37(4):478-493. doi: 10.1177/02692155221136108. Epub 2022 Oct 27.
- Mihcioglu EK, Guchan Topcu Z, Tunali AN, Mihcioglu S, Tomac H. Instrument-assisted soft tissue mobilization as a promising approach for children with chronic neck pain: A single-blind, randomized study. J Back Musculoskelet Rehabil. 2026 May;39(3):1044-1052. doi: 10.1177/10538127251401084. Epub 2025 Dec 7.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- La douleur
- Manifestations neurologiques
- Conditions pathologiques, signes et symptômes
- Signes et symptômes
- La douleur du cou
- Thérapeutique
- Thérapies complémentaires
- Modalités de physiothérapie
- Réhabilitation
- Thérapie, tissus mous
- Manipulations musculo-squelettiques
- Massage
- Thérapie de libération myofasciale
Autres numéros d'identification d'étude
- REC/RCR&AHS/EAYZARIAZ
Plan pour les données individuelles des participants (IPD)
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Informations sur les médicaments et les dispositifs, documents d'étude
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