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This study compares the effectiveness of Massage Gun Therapy and Deep Friction Massage in individuals with upper trapezius myofascial trigger points. The interventions will be evaluated for their effects on pain intensity, pressure pain threshold, cervical range of motion, and neck disability. The aim is to determine which treatment is more effective in reducing pain and improving functional outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Massage Gun Therapy group | Active Comparator | Participants in this group will receive Massage Gun Therapy applied to the upper trapezius myofascial trigger point according to a standardized treatment protocol. The intervention aims to reduce pain, decrease muscle tension, and improve cervical function. |
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| Deep Friction Massage Group | Sham Comparator | Participants in this group will receive Deep Friction Massage applied to the upper trapezius myofascial trigger point according to a standardized treatment protocol. The intervention aims to reduce pain, improve tissue mobility, and enhance cervical function. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Massage Gun Therapy | Other | Massage Gun Therapy will be applied to the upper trapezius myofascial trigger point using a handheld percussive massage device. Participants will receive treatment for 5 minutes per session, three sessions per week for 2 weeks. The intervention aims to reduce pain, decrease muscle tension, improve pressure pain threshold, and enhance cervical range of motion and functional ability. |
| Measure | Description | Time Frame |
|---|---|---|
| Numaric Pain Rating scale(NPRS) | Numeric Pain Rating Scale (NPRS): Pain intensity will be assessed using the Numeric Pain Rating Scale, an 11-point self-reported scale ranging from 0 to 10, where 0 indicates "no pain" and 10 indicates "worst imaginable pain." Participants will rate their current level of pain, with higher scores indicating greater pain intensity. | Baseline and post-intervention( From enrollment of first week and then to the end of 2 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Cervical Range of Motion (CROM) Neck Disability Index (NDI) | Cervical ROM (Inclinometer): Cervical range of motion will be measured using an inclinometer to assess neck movements including flexion, extension, lateral flexion, and rotation. Higher values indicate greater cervical mobility and improved neck function. Neck Disability Index(NDI):The Neck Disability Index (NDI) is a self-reported questionnaire used to assess neck-related functional disability. Scores range from 0 to 50, with higher scores indicating greater disability. |
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Inclusion Criteria: Presence of active trigger points in the upper trapezius (confirmed by palpation, referred pain pattern, and pain reproduction)(travell and simson's method).
Moderate to severe pain (VAS>4/10). No prior treatment for neck/shoulder pain in past 4 weeks. Age 24-45 years (young adults according to WHO classification) Both genders Exclusion Criteria:History of cervical spine surgery or severe musculoskeletal pathology.
Neurological deficits. Systemic disease (e.g., rheumatoid arthritis, fibromyalgia). Recent trauma or fractures in the neck/shoulder region. Current pregnancy.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| MUHAMMAD ASHAR RAFI, DPT, MS-NMPT | Contact | 0092-308-3407837 | ashar.rafi@uipt.iiui.edu.pk | |
| Taila Nazir Malik, DPT | Contact | 0092-336-5838844 | tailamalik124@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| MUHAMMAD ASHAR RAFI, DPT, MS-NMPT | Ibadat International University, Islamabad | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gulf Care Hospital, River gardens | Recruiting | Islamabad | Pakistan |
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| Deep Friction Massage Group | Other | Deep Friction Massage will be applied manually over the upper trapezius myofascial trigger point using transverse friction techniques. Each session will last 5 minutes and will be administered three times per week for 2 weeks. The intervention aims to reduce pain, decrease muscle tightness, improve pressure pain threshold, increase cervical range of motion, and enhance functional ability. |
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| Cervical ROM (Inclinometer): Baseline and after 2 weeks of intervention. Neck Disability Index(NDI):Baseline and after 2 weeks of intervention. |
| Neck Disability Index (NDI) | The Neck Disability Index (NDI) is a self-reported questionnaire used to assess neck-related functional disability. Scores range from 0 to 50, with higher scores indicating greater disability. | Baseline and after 2 weeks of intervention. |