Health TrialsbyHealthPanel

Comparison of Ischemic Release and Sustained Pressure Direct Myofascial Release in Upper Trapezius Trigger Point

ConditionTrigger Point Pain, Myofascial
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-35
SponsorFoundation University Islamabad

About this trial

This randomized controlled trial aims to compare the clinical effectiveness of ischemic release and sustained pressure direct myofascial release for upper trapezius trigger points.

The study will compare their effects on pain pressure threshold, cervical range of motion, and scapular upward rotation following a two-week intervention.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

AGE; 18-35 years

Male & Female

Unilateral Trapezius muscle involvement

Presence of at least one active trigger point in upper trapezius muscle.

Disqualifiers

Serious pathology (e.g. neoplasm, fracture)

Radiculopathy

History of whiplash injury within past 6 months

Neurological deficit

Trial design

Design model

Parallel

Treatments tested in this trial

  • Ischemic release

    Procedure/Surgery

    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 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.

  • Sustained pressure Direct Myofascial release

    Procedure/Surgery

    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.

Treatment groups

42 Participants
are divided into 2 treatment groups
Group A: Ischemic ReleaseExperimental treatment 1 intervention
Group B: Sustained pressure direct myofascial releaseExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

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. The pressure at which the participant first perceived pain was recorded as the pain pressure threshold (PPT) in kg/cm².

Time frame
Baseline and after 2 weeks.
2

Cervical range of motion

Cervical ROM will be assessed using a goniometer.

Time frame
Baseline and after 2 weeks
3

Scapular upward rotation

Scapular upward rotation will be assessed using a bubble inclinometer.

Time frame
Baseline and after 2 weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Foundation University Islamabad

Lead sponsor

Source ClinicalTrials.gov
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