[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100657484":3},{"organization":4,"outcomesModule":7,"designInfo":21,"detailedDescription":29,"studyPopulation":20,"armGroups":30,"interventions":40,"overallOfficials":20,"centralContacts":52,"locations":62,"responsibleParty":79,"collaborators":20,"id":81,"slug":82,"hasResults":83,"nctId":84,"briefTitle":85,"officialTitle":85,"acronym":20,"eligibilityCriteria":86,"healthyVolunteers":83,"sex":87,"minAge":88,"maxAge":89,"enrollmentInfo":90,"targetDuration":20,"studyType":93,"phases":94,"briefSummary":96,"conditions":97,"keywords":99,"overallStatus":65,"whyStopped":20,"lastUpdateSubmitDate":102,"lastUpdatePostDateStruct":103,"startDateStruct":106,"completionDateStruct":108,"leadSponsor":110,"locationsCount":111},{"fullName":5,"class":6},"Foundation University Islamabad","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":20,"otherOutcomes":20},[9,13,17],{"measure":10,"description":11,"timeFrame":12},"Pain Pressure Threshold","Pain pressure threshold will be measured using a Wagner digital pressure algometer, apply perpendicular to the identified upper trapezius trigger point with gradually increasing pressure.\n\nThe pressure at which the participant first perceived pain was recorded as the pain pressure threshold (PPT) in kg\u002Fcm².","Baseline and after 2 weeks.",{"measure":14,"description":15,"timeFrame":16},"Cervical range of motion","Cervical ROM will be assessed using a goniometer.","Baseline and after 2 weeks",{"measure":18,"description":19,"timeFrame":16},"Scapular upward rotation","Scapular upward rotation will be assessed using a bubble inclinometer.",null,{"allocation":22,"interventionModel":23,"interventionModelDescription":20,"primaryPurpose":24,"observationalModel":20,"timePerspective":20,"maskingInfo":25},"RANDOMIZED","PARALLEL","TREATMENT",{"masking":26,"maskingDescription":20,"whoMasked":27},"SINGLE",[28],"OUTCOMES_ASSESSOR","Eligible participants will be recruited through purposive sampling. Upper trapezius trigger points will be assessed by manual palpation to identify a taut band and hypersensitive nodule, followed by pressure to determine reproduction of the participant's familiar pain. Baseline assessments will include pain pressure threshold, cervical range of motion, and scapular upward rotation. After baseline assessment, 42 participants will be allocated randomly into respective groups, each having 21 participants.",[31,36],{"label":32,"type":33,"description":20,"interventionNames":34},"Ischemic Release","EXPERIMENTAL",[35],"Procedure: Ischemic release",{"label":37,"type":33,"description":20,"interventionNames":38},"Sustained pressure direct myofascial release",[39],"Procedure: Sustained pressure Direct Myofascial release",[41,48],{"type":42,"name":43,"description":44,"armGroupLabels":45,"otherNames":46},"PROCEDURE","Ischemic release","Participants will receive a two-week physiotherapy program with three sessions per week. Each session will include heat application followed active ROM and passive stretching.\n\nParticipants in Group A will receive ischemic compression in addition to standard physiotherapy. Pressure should be applied via thumb for 20 second - 1 minute until pain decreases or muscle begin to relax.",[32],[47],"Ischemic compression",{"type":42,"name":49,"description":50,"armGroupLabels":51,"otherNames":20},"Sustained pressure Direct Myofascial release","Participants will receive a two-week physiotherapy program with three sessions per week. Each session will include heat application followed active ROM and passive stretching. Participants in Group B will receive sustained pressure direct MFR in addition to standard physiotherapy. Apply pressure to the trigger point for 8-20 seconds, maintaining it until a physical \"discharge\" or release is felt, which may take five minutes or more.",[37],[53,58],{"name":54,"role":55,"phone":56,"phoneExt":20,"email":57},"Sohaima Javed, DPT","CONTACT","+92321 5404044","sohaimajaved55@gmail.com",{"name":59,"role":55,"phone":60,"phoneExt":20,"email":61},"Quratulain Saeed, MS-OMPT","+92331 5562889","quratulain.saeed@fui.edu.pk",[63],{"facility":64,"status":65,"city":66,"state":67,"zip":68,"country":69,"countryCode":70,"cosmosGeoPoint":71,"geoPoint":76,"contacts":77},"Foundation University College of Physical Therapy","RECRUITING","Islamabad","Punjab Province","44000","Pakistan","PK",{"type":72,"coordinates":73},"Point",[74,75],74.4039,31.6047,{"lat":75,"lon":74},[78],{"name":59,"role":55,"phone":60,"phoneExt":20,"email":61},{"type":80,"investigatorFullName":20,"investigatorTitle":20,"investigatorAffiliation":20,"oldNameTitle":20,"oldOrganization":20},"SPONSOR","100657484","comparison-of-ischemic-release-and-sustained-pressure-direct-myofascial-release-in-upper-trapezius-trigger-point-100657484",false,"NCT07838584","Comparison of Ischemic Release and Sustained Pressure Direct Myofascial Release in Upper Trapezius Trigger Point","Inclusion Criteria:\n\n* AGE; 18-35 years\n* Male \\& Female\n* Unilateral Trapezius muscle involvement\n* Presence of at least one active trigger point in upper trapezius muscle.\n* Numeric Pain Rating Scale (NPRS) score of 3-8 points\n* Subacute Neck pain for 4-12 weeks\n* Point tenderness on palpable taut band\n* Reproducible provocation according to referred pain pattern mapping\n* Cervical range of motion change in SB ≥ 2° and ROT ≥ 2° than normal SB=45° AND ROT=70°\n* Willing to participate and provide informed consent\n\nExclusion Criteria:\n\n* Serious pathology (e.g. neoplasm, fracture)\n* Radiculopathy\n* History of whiplash injury within past 6 months\n* Neurological deficit\n* Taking steroids or on concurrent physiotherapy treatment\n* Prior surgery to cervical spine \\& shoulder","ALL","18 Years","35 Years",{"count":91,"type":92},42,"ESTIMATED","INTERVENTIONAL",[95],"NA","This randomized controlled trial aims to compare the clinical effectiveness of ischemic release and sustained pressure direct myofascial release for upper trapezius trigger points.\n\nThe study will compare their effects on pain pressure threshold, cervical range of motion, and scapular upward rotation following a two-week intervention.",[98],"Trigger Point Pain, Myofascial",[47,100,101],"Myofascial release therapy","Trigger points","2026-09-30",{"date":104,"type":105},"2026-10-05","ACTUAL",{"date":107,"type":105},"2026-09-09",{"date":109,"type":92},"2027-01-18",{"name":5,"class":6},1]