The Synergistic Effects of Integrated Neuromuscular Inhibition Technique and Dry Cupping Therapy on Pain Modulation and Functional Recovery on Myofascial Trigger Points of Upper Trapezius

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-40
SponsorBeni-Suef University

About this trial

The purpose of the study is to investigate the Synergistic Effects of the Integrated Neuromuscular Inhibition Technique and Dry Cupping Therapy on Pain Modulation and functional recovery on Myofascial Trigger Points of the upper trapezius

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Medically competent men and women will be included They had chronic MTrPs in the upper trapezius for more than 6 months Diagnostic criteria of being a tight band with a palpable nodule and distant pain when subjected to pressure

Disqualifiers

subjects with previous neck or shoulder pathology (e.g., fracture, sur¬gery, inflammatory and infectious diseases), cervical disc pathology, systemic disorder, fibromyalgia, those who underwent physical therapy for at least the previous 3 months

Trial design

Design model

Parallel

Treatments tested in this trial

  • Dry Cupping Therapy

    Device

    The patients receive dry cupping therapy for 10 min on the marked trigger point using a plastic set with a hand vacuum pump

  • Integrated Neuromuscular Inhibition Technique

    Other intervention

    The patients receive the Integrated Neuromuscular Inhibition Technique, which consists of ischemic compression, strain-counterstrain, and muscle energy techniques.

  • stretching and strengthening exercises

    Other intervention

    The patients receive stretching and strengthening exercises

  • combined integrated neuromuscular inhibition, dry cupping and stretching and strengthening exercises

    Other intervention

    the patients recive all the three interventions

Treatment groups

130 Participants
are divided into 4 treatment groups
Group A: stretching and strengthening groupPlacebo comparator 1 intervention
Group B: Integrated Neuromuscular Inhibition GroupExperimental treatment 1 intervention
Group C: Dry cupping groupExperimental treatment 1 intervention
Group D: Combined treatment groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Pain intensity

pain intensity will be measured by visual analogue scale

Time frame
0-4 weeks
2

pain pressure threshold

The pressure algometer will measure the pain pressure threshold

Time frame
0-4 weeks

Secondary outcomes

1

Neck Disability Index

The Neck Disability Index is a questionnaire to measure function

Time frame
0-4 weeks

Other outcomes

Sponsors and contacts

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