Effects of Pressure Release of Myofascial Trigger Points on Mechanical Neck Pain.

Summary

The study aims to compare the effectiveness of myofascial trigger point treatment using pressure release versus a control group in patients with mechanical neck pain, randomly assigned. In both groups a protocol of therapeutic exercise and postural correction will be carried out

Conditions

• Myofascial Pain Syndrome of Neck
• Trigger Point Pain, Myofascial
• Myofacial Pain

Interventions

OTHER

Myofascial trigger points pressure release

Patient lying down in the supine position, Therapist do a first and second finger pincer grasp is performed on the myofascial trigger points located on the upper trapezius muscle and sternocleidomastoid muscle, this pressure will be increased as the therapist perceives a reduction in soft tissue resistance under the finger over a period of 90 seconds. Previous studies indicate no difference between 60 and 90 seconds of pressure. It will be performed on as many trigger points as we find in each muscle associated with the study.

OTHER

Therapeutic exercise and postural hygiene

Therapeutic exercise and postural hygiene: A progression of exercises with contraction of the deep neck flexor muscles will be included in the first session. Subjects will be taught to perform a slow and controlled craniocervical flexion. Subjects will then be trained to be able to progressively maintain craniocervical flexion through feedback from an air device (Stabilizer™, Chattanooga Group Inc., Chattanooga, TN) placed behind the neck. This sensor monitors the slight flattening of the cervical curve that occurs with contraction of the craniocervical deep flexor musculature. It should be performed at least once a day during the treatment regimen. Also Postural correction exercises carried out regularly throughout the day, especially when seated. Indications are given to avoid pelvic retroversion and maintain a natural lumbar lordosis while performing retraction and adduction of the scapulae and gently lengthening the spine.

Sponsors & Collaborators

• Universidad Complutense de Madrid

  lead OTHER

Principal Investigators

• Angela C Álvarez Melcón, Doctor · Universidad Complutense de Madrid

• Isidro Fernández López, Doctor · Universidad Complutense de Madrid

• María A Atín Arratibel, Doctor · Universidad Complutense de Madrid

• Iván Batuecas Sánchez, PhD · Universidad Complutense / Fisioterapia Los Molinos

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

55 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2023-09-25

Primary Completion

2024-07-31

Completion

2024-09-20

Countries

• Spain

Study Locations