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The purpose of the study is to investigate the Synergistic Effects of the Integrated Neuromuscular Inhibition Technique and Dry Cupping Therapy on Pain Modulation and functional recovery on Myofascial Trigger Points of the upper trapezius
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| stretching and strengthening group | Placebo Comparator | Patients in this group will receive stretching and strengthening exercises, two sessions per week for four weeks |
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| Integrated Neuromuscular Inhibition Group | Experimental | Patients in this group will receive the Integrated Neuromuscular Inhibition technique three sessions per week for four weeks |
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| Dry cupping group | Experimental | Patients in this group will receive Dry cupping therapy, two sessions per week for four weeks |
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| Combined treatment group | Experimental | Patients in this group will receive Dry cupping therapy, two sessions per week for four weeks, the Integrated Neuromuscular Inhibition technique, three sessions per week for four weeks plus stretching and strengthening exercises, two sessions per week for four weeks |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dry Cupping Therapy | Device | The patients receive dry cupping therapy for 10 min on the marked trigger point using a plastic set with a hand vacuum pump |
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| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity | pain intensity will be measured by visual analogue scale | 0-4 weeks |
| pain pressure threshold | The pressure algometer will measure the pain pressure threshold | 0-4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Neck Disability Index | The Neck Disability Index is a questionnaire to measure function | 0-4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dina Al-Amir Mohamed, Lecturer | Contact | 002+01229370053 | dinaalamir@pt.bsu.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Physical Therapy | Recruiting | Giza | Egypt |
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| Integrated Neuromuscular Inhibition Technique | Other | The patients receive the Integrated Neuromuscular Inhibition Technique, which consists of ischemic compression, strain-counterstrain, and muscle energy techniques. |
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| stretching and strengthening exercises | Other | The patients receive stretching and strengthening exercises |
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| combined integrated neuromuscular inhibition, dry cupping and stretching and strengthening exercises | Other | the patients recive all the three interventions |
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