About this trial
This randomized clinical trial investigates the synergistic effects of stripping massage and Post-Isometric Relaxation (PIR) on pain alleviation, ROM and functional movement improvement in individuals with Trapezius myalgia. A purposive sampling approach will select participants aged 18 and 50 years. A total of 44 patients will be taken, who will be randomly divided into two equal groups, each containing 22 patients. Group A will receive standard baseline management, supplemented with heating pad, active stretching, isometrics and ischemic compression, while Group B will receive the combined management (stripping massage + PIR) .
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Presenting with neck pain and stiffness
Experiencing tightness in the upper trapezius muscle
Having pain at rest, local twitch response or jump sign in upper trapezius
Patients having functional limitations while performing certain activities of everyday living.
Disqualifiers
Patients with an NPRS score of 3 or less.
Presence of structural abnormalities like torticollis or scoliosis.
Presence of skin disease on the back.
Having undergone upper limb surgery within the past year .
Trial design
Parallel
Treatments tested in this trial
Stripping Massage Technique:
Other intervention* The back of the neck and shoulder were uncovered. * Controlled and steady pressure was administered using the thumb along the entirety of the tense trapezius muscle, moving from origin to insertion and perpendicular to the muscle fibers, for approximately 3 minutes, twice weekly over a period of 4 weeks. * The pressure was progressively raised with each subsequent stroke, based on tolerance level.
Post-Isometric Relaxation (PIR)
Other intervention* During the PIR intervention, the patients rested in a supine position with their necks tilted to the side, away from the affected side, placing the upper trapezius muscle fibers in a stretched position. * A moderate isometric contraction, around 75% of the patient's maximum effort, was performed by the upper trapezius and maintained for 5 seconds, followed by a 3-second relaxation phase. * The therapist then gently mobilized the cervical spine to a new range of motion barrier. * This sequence was repeated four times per session.
Treatment groups
Trial outcomes
Primary outcomes
NPRS
The Numerical Pain Rating Scale (NPRS) is a numeric adaptation of the Visual Analogue Scale (VAS). In this version, the patient selects a number from 0 to 10 that best represents the intensity of their pain. This 11-point scale ranges from "no pain" to "worst pain imaginable," where 0 indicates no pain and 10 signifies extreme pain.
Universal Goniometer
Range of motion (ROM) is a crucial parameter for assessing movement limitations. While clinicians commonly use goniometers to measure ROM, the accuracy of this method largely relies on the clinician's skill and experience.
NDI
The NDI (Neck Disability Index) is a condition-specific, patient-completed questionnaire consisting of 10 items designed to evaluate pain and functional status, primarily used for reporting neck pain. Each item on the scale is scored from 0 to 5, with the total score interpreted as a percentage. A score of 0 points (0%) indicates no activity limitation, while a score of 50 points (100%) indicates complete activity limitation. The NDI is a reliable and valid questionnaire for neck pain patients, with interclass correlation coefficients ranging from 0.50 to 0.98
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