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| ID | Type | Description | Link |
|---|---|---|---|
| Local ethics | Other Identifier | 2022-03/21 |
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The primer aim of this study is to demonstrate the effecti of instrument assisted soft tissue mobilization on pain, functionality, quality of life and depression in the treatment of female patients with myofascial pain syndrome due to active trigger points in the upper trapezius muscles
Myofascial Pain Syndrome (MAS); It is a non-articular, non-inflammatory regional musculoskeletal pain syndrome characterized by myofascial trigger points located at muscle, fascia or tendon insertion sites and the spread of pain to reference areas by palpation of these points.
h The effectiveness of massage therapy in MAS is known. In this study, investigators will apply instrument assisted deep tissue mobilization (graston massage). Instrument-assisted soft tissue mobilization massage, which is a type of massage, will be applied by a physiotherapist who has a certificate on this subject and takes part as an assistant researcher in our study.
Soft tissue mobilization is a unique soft tissue mobilization combined with active mobility and stretching exercises already prescribed for patients with musculoskeletal injuries.
The various sizes and beveled edges of the stainless steel instruments allow physiotherapists to tailor treatment to different muscle structures facing myofascial constraints.
Localized increases in blood flow and soft tissue realignment lead to muscle function, increased normal joint motion, and decreased pain.
It has been investigated in the literature for many different diseases (trigger finger, nonspecific low back pain, myofascial pain syndrome) and found to be effective.CF
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Group | Experimental | A total of 8 sessions of graston massage protocol will be applied to the patients in the experimental group for 4 weeks, 2 days a week for 5 minutes, at the hospital operating within the body of Kırşehir Ahi Evran University Physical Therapy and Rehabilitation Center. All patients will also receive home exercise therapy including stretching of the trapezius muscle and posture exercises |
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| Sham Comparator Group | Sham Comparator | A total of 8 sessions of sham graston massage protocol will be applied to the patients in the experimental group for 4 weeks, 2 days a week for 5 minutes, at the hospital operating within the body of Kırşehir Ahi Evran University Physical Therapy and Rehabilitation Center. Sham graston massage is not a deep tissue massage, but will be performed with the device superficially, without applying pressure and mobilization. All patients will also receive home exercises. |
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| Control group | Other | The volunteers in the control group will be only given home exercise therapy including stretching of the trapezius muscle and posture exercises |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Instrument Assisted Soft Tissue Mobilization | Other | Instrument Assisted Soft Tissue Mobilization with graston tecnique and Home exercises programe |
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| Measure | Description | Time Frame |
|---|---|---|
| Pain Algometer | The pain threshold level will be measured with an algometer. The algometer manually evaluates the patient's pain threshold and gives a numerical data | Baseline |
| Pain Algometer | The pain threshold level will be measured with an algometer. The algometer manually evaluates the patient's pain threshold and gives a numerical data | Fourth week (Posttreatment) |
| Visual Analogue Scale (VAS) | Visual Analogue Scale (VAS) for pain assessment. In this scale, which evaluates pain with a 10-point Likert scale, 0 is scored as no pain, 5 as moderate pain, and 10 as excruciating pain. | Baseline |
| Visual Analogue Scale (VAS) | Visual Analogue Scale (VAS) for pain assessment. In this scale, which evaluates pain with a 10-point Likert scale, 0 is scored as no pain, 5 as moderate pain, and 10 as excruciating pain. | Fourth week (Posttreatment) |
| Number and location of trigger points | The number and location of trigger points that cause myofascial pain will be determined and recorded by examination. | Baseline |
| Number and location of trigger points | The number and location of trigger points that cause myofascial pain will be determined and recorded by examination. | Fourth week (Posttreatment) |
| Measure | Description | Time Frame |
|---|---|---|
| Beck depression questionnaire | Beck depression questionnaire is a questionnaire consisting of 21 questions that evaluates the mood of the patient and has Turkish validity and reliability(1). | Baseline |
| Beck depression questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
1. major surgery or trauma to the musculoskeletal system, especially the spine and upper extremities 2.History of any operation related to the head and neck region 3. Neuromuscular disease 4. History of rheumatic disease, malgnite in the active period 4. Cervical discopathy, cervical spondylosis, pathologies related to the shoulder joint and surrounding soft tissues, scoliosis, kyphosis, leg length difference, polio sequelae, developmental hip dysplasia 5. Psychiatric disease (Beck Depression Inventory score of 30 and above) 6.Obese (BMI≥30 kg/m2)
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Since the anatomical muscle structure and physiology of men and women are different, we only made it in women in order to eliminate this difference.
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| Name | Affiliation | Role |
|---|---|---|
| Basak Cigdem Karacay, Asst Prof | university | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kırşehir Ahi Evran University Faculty of Medicine | Kırşehir | City Center | 40100 | Turkey (Türkiye) |
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Randomized Controlled Trial
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This study was designed as blinded, randomized and controlled. The person who evaluates the patients before and after the treatment is blind. In other words, the person evaluating the patients and the person giving the treatment are different.
| Sham Instrument Assisted Soft Tissue Mobilization | Other | Instrument Assisted Soft Tissue Mobilization to be applied superficially so it is not like a real graston tecnique and Home exercises programe |
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| Home exercises programe | Other | Only Home exercises programe |
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Beck depression questionnaire is a questionnaire consisting of 21 questions that evaluates the mood of the patient and has Turkish validity and reliability(1).
| Fourth week (Posttreatment) |
| The World Health Organization health-related quality of life-brief form | The World Health Organization health-related quality of life-brief form (WHO-health-related quality of life-brief form) | Baseline |
| The World Health Organization health-related quality of life-brief form | The World Health Organization health-related quality of life-brief form (WHO-health-related quality of life-brief form) | Fourth week (Posttreatment) |
| The neck disability index | The neck disability index is a questionnaire consisting of 10 questions with Turkish validity and reliability, which recognizes the functional evaluation of neck pain (3). Each question is scored between 0 and 5. High scores are associated with increased disability. | Baseline |
| The neck disability index | The neck disability index is a questionnaire consisting of 10 questions with Turkish validity and reliability, which recognizes the functional evaluation of neck pain (3). Each question is scored between 0 and 5. High scores are associated with increased disability. | Fourth week (Posttreatment) |