Treatment of Pectoralis Trigger Points in Patients With Pseudo Angina (GT-LIC)
22 de julho de 2026 atualizado por: 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.
Visão geral do estudo
Status
Ainda não está recrutando
Condições
Intervenção / Tratamento
Descrição detalhada
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 de estudo
Intervencional
Inscrição (Estimado)
36
Estágio
- Não aplicável
Contactos e Locais
Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.
Contato de estudo
- Nome: Dr. Muhammad Muneeb Jafar, PhD Physical therapy
- Número de telefone: +923127000616
- E-mail: muneebjafar.DPT@tuf.edu.pk
Estude backup de contato
- Nome: Dr Maryam Farooq, Phd Physical therapy
- Número de telefone: +923326760155
- E-mail: Maryamfarooq2527@gmail.com
Locais de estudo
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Punjab Province
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Faisalābad, Punjab Province, Paquistão, 38000
- The University of Faisalabad
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Critérios de participação
Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
Aceita Voluntários Saudáveis
Não
Descrição
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.
Plano de estudo
Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Dobro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
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Experimental: 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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Experimental: 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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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Shoulder Pain Disability Index
Prazo: 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
Prazo: 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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Colaboradores e Investigadores
É aqui que você encontrará pessoas e organizações envolvidas com este estudo.
Patrocinador
Publicações e links úteis
A pessoa responsável por inserir informações sobre o estudo fornece voluntariamente essas publicações. Estes podem ser sobre qualquer coisa relacionada ao estudo.
Publicações Gerais
- 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.
Datas de registro do estudo
Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.
Datas Principais do Estudo
Início do estudo (Estimado)
25 de julho de 2026
Conclusão Primária (Estimado)
1 de outubro de 2026
Conclusão do estudo (Estimado)
1 de novembro de 2026
Datas de inscrição no estudo
Enviado pela primeira vez
22 de julho de 2026
Enviado pela primeira vez que atendeu aos critérios de CQ
22 de julho de 2026
Primeira postagem (Real)
27 de julho de 2026
Atualizações de registro de estudo
Última Atualização Postada (Real)
27 de julho de 2026
Última atualização enviada que atendeu aos critérios de controle de qualidade
22 de julho de 2026
Última verificação
1 de julho de 2026
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- TUF/EIRB/136/2025
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
NÃO
Informações sobre medicamentos e dispositivos, documentos de estudo
Estuda um medicamento regulamentado pela FDA dos EUA
Não
Estuda um produto de dispositivo regulamentado pela FDA dos EUA
Não
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