Comparing Physical Therapy Interventions on Craniovertebral Angle (CVA) in Cervical Myofascial Pain Syndrome (MPS)

Summary

Myofascial pain syndrome (MPS) and radiculopathy are prevalent musculoskeletal conditions that afflict a substantial portion of the population, causing significant discomfort and impairments in daily functioning. MPS is characterized by localized muscle pain, trigger points, and referred pain, often accompanied by stiffness and restricted range of motion. A common feature shared by individuals with MPS and radiculopathy is the presence of postural abnormalities and balance impairments . The craniovertebral angle, which reflects the relationship between the head and neck, is often compromised in these individuals due to muscle imbalances, pain-related guarding, and structural changes in the spine. Various physiotherapy modalities, including dry needling, manual mobilization and soft tissue release, trigger point therapy, stretching, cupping therapy, and electrotherapy, have been utilized in clinical practice, but their relative efficacy in improving the craniovertebral angle and alleviating symptoms in individuals with MPS and radiculopathy has not been comprehensively compared. Understanding the underlying mechanisms and comparative effectiveness of various physiotherapy interventions is essential for guiding evidence-based clinical decision-making and optimizing treatment outcomes for individuals with MPS and radiculopathy. By elucidating the effects of different treatment modalities on the craniovertebral angle and associated outcomes, this research endeavor aims to contribute to the development of more tailored and effective physiotherapy approaches for improving the well-being of individuals affected by these debilitating musculoskeletal conditions.

Conditions

• Myofascial Pain Syndrome - Neck

Interventions

OTHER

Dry Needling

will use dry needles of different recommended sizes to intercept the trigger points will add on myofascial release technique manually.

OTHER

Trigger point therapy

will release trigger points by manual pressure using trigger point therapy technique protocols will ad on stretching techniques

OTHER

Maitlands' Mobilizations

Maitlands' Mobilizations Grade-1\& Grade-2 will be applied to upper thoracic and cervical regions dry cupping therapy will be applied as ad on therapy

OTHER

Tens and ultrasound

TENS and ultrasound will be applied according to recommended dosages followed by stretching and Range of motion activities

Sponsors & Collaborators

• National Orthopedic and General Hospital

  lead OTHER

Principal Investigators

• Mazhar A Professor, PhD · Nazeer Hussain University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Model

PARALLEL

Eligibility

Min Age

20 Years

Max Age

40 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-03-15

Primary Completion

2025-08-05

Completion

2025-09-15

Countries

• Pakistan

Study Locations