Ischemic Release vs. Sustained Pressure Direct Myofascial Release for Upper Trapezius Trigger Points

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized controlled trial compares two manual therapy techniques for upper trapezius trigger points: ischemic release and sustained pressure direct myofascial release. Thirty-two participants with subacute neck pain and active trigger points are randomly assigned to one of the two interventions for a two-week period. Outcomes include pain pressure threshold, cervical range of motion, and scapular upward rotation, measured at baseline and after the intervention. Participants are adults aged 18 to 35 recruited from Foundation University College of Physical Therapy, Islamabad. The study uses purposive sampling for eligibility and follows standard safety and consent procedures.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* AGE; 18-35 years
* Male \& Female
* Unilateral Trapezius muscle involvement
* Presence of at least one active trigger point in upper trapezius muscle.
* Numeric Pain Rating Scale (NPRS) score of 3-8 points
* Subacute Neck pain for 4-12 weeks
* Point tenderness on palpable taut band
* Reproducible provocation according to referred pain pattern mapping
* Cervical range of motion change in SB ≥ 2° and ROT ≥ 2° than normal SB=45° AND ROT=70°
* Willing to participate and provide informed consent

Exclusion Criteria:

* Serious pathology (e.g. neoplasm, fracture)
* Radiculopathy
* History of whiplash injury within past 6 months
* Neurological deficit
* Taking steroids or on concurrent physiotherapy treatment
* Prior surgery to cervical spine \& shoulder

Where it's running

• Foundation University College of Physical Therapy
  Islamabad, Punjab Province, Pakistan Recruiting

Study contacts

• Study coordinator: Sohaima Javed, DPT
• Email: sohaimajaved55@gmail.com
• Phone: +92321 5404044

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.