Comparison of Integrated Neuromuscular Inhibition Technique (INIT) and Active Release Technique (ART) in Patients With Upper Trapezius Trigger Points
NCT07395154 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 64
Last updated 2026-02-09
Summary
The goal of this clinical trial is to determine whether two manual therapy techniques-Integrated Neuromuscular Inhibition Technique (INIT) and Active Release Technique (ART)-can reduce pain, improve neck range of motion, and decrease functional disability in adults with upper trapezius myofascial trigger points.
The main questions it aims to answer are:
Does INIT reduce pain, improve ROM, and reduce functional disability more effectively than ART?
Does ART provide similar or different treatment benefits compared to INIT?
Researchers will compare INIT with ART to see which technique produces greater improvements in pain, ROM, and functional disability.
Participants will:
Receive treatment sessions of either INIT or ART.
Undergo assessment of pain, cervical range of motion, and functional disability before and after the intervention.
Conditions
- Myofascial Pain Syndrome
Interventions
- OTHER
-
Group A
Participants will receive treatment three times per week for 6 weeks. Each session will begin with a moist hot pack for 10 minutes followed by TENS for 15 minutes to relax the muscles and reduce pain. After this preparation, participants will receive 15 minutes of Integrated Neuromuscular Inhibition Technique, including ischemic compression, strain-counterstrain, and muscle energy technique, applied to the identified myofascial trigger points.
- OTHER
-
Group B
Participants will receive treatment three times per week for 6 weeks. Each session will begin with a moist hot pack for 10 minutes and TENS for 15 minutes to prepare the tissues. This will be followed by 15 minutes of Active Release Technique, including repeated active passes, targeted fiber release, and mild stretching, applied to the upper trapezius myofascial trigger points.
Sponsors & Collaborators
-
Lahore University of Biological and Applied Sciences
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 40 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-02-15
- Primary Completion
- 2026-06-30
- Completion
- 2026-06-30
More Related Trials
-
Comparison of Integrated Neuromuscular Inhibition Technique With Myofascial Release on Rhomboids Trigger Points
NCT05497856 ·Status: COMPLETED ·Phase: NA
-
Myofascial Release vs. Stretching With Ultrasound for Trapezius Trigger Points in Athletes: A Randomized Clinical Trial
NCT07002593 ·Status: COMPLETED ·Phase: NA
-
Instrument-Assisted Soft Tissue Mobilization Versus High Power Pain Threshold Ultrasound For Trapezius Myofascial Trigger Points
NCT05288933 ·Status: COMPLETED ·Phase: NA
-
Dual Frequency Low-Level Laser Therapy in Myofascial Trigger Points of Upper Trapezius
NCT07137728 ·Status: COMPLETED ·Phase: NA
-
Myoelectric Activity of Upper Trapezius Trigger Point
NCT04778462 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Combination Therapies on Neck Pain & Muscle Tenderness in Patients With Upper Trapezius MTrPs
NCT03840473 ·Status: COMPLETED ·Phase: NA
-
Comparison of Dry Needling and Thera Gun Treatment on Trapezius Muscle Active Trigger Points.
NCT05090332 ·Status: COMPLETED ·Phase: NA
-
Dry Needling Versus Graston Technique in Active Myofascial Trigger Points on Upper Trapezius
NCT03946995 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of TU and MRT to Release Trigger Points to Increase RoM and Pain Relief in Upper TT
NCT05854004 ·Status: UNKNOWN ·Phase: NA
-
Efficacy of Focused ESWT and Dry Needling Among Patients With Myofascial Pain Syndrome of the Upper Trapezius Muscle
NCT07397039 ·Status: COMPLETED ·Phase: NA
-
Treatment of Upper Trapezius Muscle Myofascial Pain Syndrome
NCT06546124 ·Status: COMPLETED ·Phase: NA
-
INSTRUMENT ASSISSTED SOFT TISSUE MOBILIZATION VERSUS DRY CUPPING ON UPPER TRAPEZIUS TRIGGER POINTS: A RANDOMIZED CONTROLLED TRIAL
NCT07260019 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effectiveness of Dry Needling Versus Manual Trigger Point Release on Active Rhomboid Trigger Points
NCT07062692 ·Status: COMPLETED ·Phase: NA
-
Interferential Current And Trapezius Myofascial Trigger Points
NCT05275634 ·Status: COMPLETED ·Phase: NA
-
Investigation of the Effectiveness of Muscle Inhibition and Space Correction Techniques of Kinesiotaping Method in Female Patients With Myofascial Pain Syndrome Related to Upper Trapezius Active Trigger Points
NCT03949010 ·Status: COMPLETED ·Phase: NA
-
High Intensity Laser Versus Ischemic Compression on Myofascial Trigger Points in the Upper Trapezius
NCT06552780 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Comparison of Three Different Myofascial Trigger Point Treatments in Chronic Non-Specific Neck Pain
NCT06814808 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Acupressure Versus Ischemic Release in Non-specific Neck Pain
NCT05182346 ·Status: COMPLETED ·Phase: NA
-
Invasive Techniques in Trigger Points
NCT05478928 ·Status: UNKNOWN ·Phase: NA
-
High-Intensity Laser Therapy for Trapezius Myofascial Pain (HILT-TRAP Study)
NCT07352787 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
The Efficacy of Low-level Laser on Cervical Myofascial Pain Syndrome
NCT01516502 ·Status: COMPLETED ·Phase: NA
-
KT vs IASTM on Upper Trapezius Myofascial Trigger Points To Compare Effect of KT VS IASTM on Pain Intensity, Pain Pressure Threshold, Cervical Range of Motion and Functional Disability Level.
NCT06899685 ·Status: RECRUITING ·Phase: NA
-
Effects of Release and Ischemic Pressure of Trigger Points on Neck Pain. A Crossover, Controlled and Randomized Trial.
NCT04546490 ·Status: UNKNOWN ·Phase: NA
-
Comparative Effect of MEP With or Without Current Emission in the Treatment of Cervical Pain in MTrPs of the Trapezius
NCT05524623 ·Status: COMPLETED ·Phase: NA
-
Effect of Dry Needling on Surface Electromyographic Activity in Latent Trigger Points
NCT04684784 ·Status: COMPLETED ·Phase: NA