Treatment of Pectoralis Trigger Points in Patients With Pseudo Angina
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age25-50
SponsorUniversity of Faisalabad
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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.
Disqualifiers
Spinal Deformity • Gastric Problems • Any cardiac disease • Heart Burns • Panic Attacks • Pleurisy • Pulmonary Embolism • Pericarditis.
Trial design
Design model
Parallel
Treatments tested in this trial
Graston Technique
Other interventionA 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.
Local Ischemic Compression
Other interventionSustained 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
Treatment groups
36 Participants
are divided into 2 treatment groupsGroup A: Graston TechniqueExperimental treatment 1 intervention
Group B: Local Ischemic CompressionExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Shoulder Pain Disability Index
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
Time frame
Baseline and 4 week post intervention2
Numeric Pain Rating Scale
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.
Time frame
Baseline and 4 week post interventionLocations
1Map coordinates are unavailable for these locations. Locations are shown below instead.
The University of Faisalabad Status unavailable 38000, Faisalābad, Punjab Province
Pakistan
PakistanSponsors and contacts
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Source ClinicalTrials.gov
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