Treatment of Pectoralis Trigger Points in Patients With Pseudo Angina (GT-LIC)
22 luglio 2026 aggiornato da: Muhammad Muneeb Jafar, University of Faisalabad
Comparative Effects of Graston Technique Versus Local Ischemic Compression on Trigger Points of Pectoralis Major and Minor Among Pseudo-angina Patients
Pseudo-angina is a musculoskeletal condition characterized by chest pain that resembles angina but occurs due to non-cardiac causes, particularly myofascial trigger points in the chest wall muscles.
Trigger points in the pectoralis major and minor muscles may contribute to pain, discomfort, and functional limitations by affecting muscle activity and movement.
Manual therapy techniques such as the Graston Technique and Local Ischemic Compression (LIC) are commonly used to manage soft tissue dysfunction and myofascial trigger points.
This study aims to compare the effects of the Graston Technique and Local Ischemic Compression on pain reduction and functional improvement in patients with pseudo-angina.
Panoramica dello studio
Stato
Non ancora reclutamento
Condizioni
Intervento / Trattamento
Descrizione dettagliata
This is Multiple-center, randomized controlled trail.
Participants age 25-50 years with diagnosed pseudo angina will be referred from cardiology department of Aziz Fatima and Faisal hospital to Madina Teaching hospital (MTH) Physiotherapy ward and Jafar Physiotherapy Clinic.
After informed consent Participants will be randomly assign to one of two parallel groups using a random number generator.
Group A (Experimental): Receive Graston technique 3 sessions per week for total duration 4 weeks.
Group B (Active Comparator) receive the LIC 3 sessions per week for total duration 4 weeks.
Outcome measures (pain via NPRS, Shoulder Pain and Disability Index (SPADI)) are taken at baseline and end of treatment.
Data will be analyzed using Spss version 20.
Tipo di studio
Interventistico
Iscrizione (Stimato)
36
Fase
- Non applicabile
Contatti e Sedi
Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.
Contatto studio
- Nome: Dr. Muhammad Muneeb Jafar, PhD Physical therapy
- Numero di telefono: +923127000616
- Email: muneebjafar.DPT@tuf.edu.pk
Backup dei contatti dello studio
- Nome: Dr Maryam Farooq, Phd Physical therapy
- Numero di telefono: +923326760155
- Email: Maryamfarooq2527@gmail.com
Luoghi di studio
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Punjab Province
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Faisalābad, Punjab Province, Pakistan, 38000
- The University of Faisalabad
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Criteri di partecipazione
I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.
Criteri di ammissibilità
Età idonea allo studio
- Adulto
Accetta volontari sani
No
Descrizione
Inclusion Criteria:
- Participants which fulfill the Simon's Trigger Point Diagnostic Criteria
- Referred by Cardiologist • Patients with Trigger Points in chest Muscles and left Pectoralis Major and Minor muscles.
Exclusion Criteria:
- Spinal Deformity • Gastric Problems • Any cardiac disease • Heart Burns • Panic Attacks • Pleurisy • Pulmonary Embolism • Pericarditis.
Piano di studio
Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Doppio
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Sperimentale: Graston Technique
articipants assigned to this arm received the Graston Technique, an instrument-assisted soft tissue mobilization intervention, applied to the identified myofascial trigger points of the pectoralis major and pectoralis minor muscles.
The intervention was performed after a gentle Z-stretch of the targeted muscles as baseline treatment.
A stainless-steel Graston instrument was applied using controlled strokes at approximately a 45° angle to the skin surface, following the direction of the muscle fibers and across the fibers to mobilize soft tissue restrictions.
The treatment was applied for approximately 40-120 seconds over each targeted area.
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A stainless-steel Graston instrument was applied using controlled strokes at approximately a 45° angle to the skin surface, following the direction of the muscle fibers and across the fibers to mobilize soft tissue restrictions.
The treatment was applied for approximately 40-120 seconds over each targeted area.
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Sperimentale: Local Ischemic Compression
Participants assigned to this arm received LIC applied to the identified myofascial trigger points of the pectoralis major and pectoralis minor muscles.
Following a gentle Z-stretch of the targeted muscles as baseline treatment, sustained manual pressure was applied gradually over each trigger point until a tolerable level of discomfort was achieved.
The compression was maintained for approximately 90 seconds per trigger point and repeated 1-3 times during each treatment session according to patient tolerance and clinical response.
The technique was performed using the therapist's thumb, finger, or knuckle depending on the location and depth of the trigger point.
Participants received four physiotherapy sessions over a two-week period, with sessions conducted on alternate days.
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Sustained manual pressure was applied gradually over each trigger point until a tolerable level of discomfort was achieved.
The compression was maintained for approximately 90 seconds per trigger point and repeated 1-3 times during each treatment session according to patient tolerance and clinical response.
The technique was performed using the therapist's thumb, finger, or knuckle depending on the location and depth of the trigger point
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Shoulder Pain Disability Index
Lasso di tempo: Baseline and 4 week post intervention
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The Shoulder Pain and Disability Index is a well-known neutral measure for assessing the level of pain and functional impairment experienced by people with shoulder issues.
It is frequently used in clinical and research settings to assess the severity of shoulder problems and track therapy efficacy.
It consists of 13 elements organized into two subscales.
The Pain Subscale consists of five items that determine how intense pain is in various circumstances, such as at rest or during activities.
The disability subscale consists of eight items: it assesses the level of difficulty with specific everyday shoulder-related tasks, such as lifting weights or putting on a shir
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Baseline and 4 week post intervention
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Numeric Pain Rating Scale
Lasso di tempo: Baseline and 4 week post intervention
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NPRS was used as a primary outcome measure to evaluate pain intensity in patients with pseudo-angina.
On the scale, 0 represents no discomfort and 10 represents severe pain.
At rest and while engaging in activities, participants were asked to rate their level of pain.
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Baseline and 4 week post intervention
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Collaboratori e investigatori
Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.
Sponsor
Pubblicazioni e link utili
La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.
Pubblicazioni generali
- This citation will not be hyperlinked on ClinicalTrials.gov. The effectiveness of instrument- assisted soft tissue mobilization technique (ergonš technique), cupping and ischaemic pressure techniques in the treatment of amateur athletes΄ myofascial trigger points. Journal of Novel Physiotherapy S (3): 1-7.
- This citation wilnot be hyperlinked on ClinicalTrails.gov. Fousekis K, Kounavi E and Doriadis S (2016) The Effectiveness of instrument- assisted soft tissue mobilization technique, cupping and ischemic pressure techniques in the treatment of amateur athlete's myofascial trigger points. Journal of Novel Physiotherapies 3(2): 1-7.
Studiare le date dei record
Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.
Studia le date principali
Inizio studio (Stimato)
25 luglio 2026
Completamento primario (Stimato)
1 ottobre 2026
Completamento dello studio (Stimato)
1 novembre 2026
Date di iscrizione allo studio
Primo inviato
22 luglio 2026
Primo inviato che soddisfa i criteri di controllo qualità
22 luglio 2026
Primo Inserito (Effettivo)
27 luglio 2026
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
27 luglio 2026
Ultimo aggiornamento inviato che soddisfa i criteri QC
22 luglio 2026
Ultimo verificato
1 luglio 2026
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- TUF/EIRB/136/2025
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
NO
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
No
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
No
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