Ignite Creation Date:
2024-10-25 @ 8:03 PM
Last Modification Date:
2024-10-26 @ 3:40 PM
Study NCT ID:
NCT06604962
Status:
COMPLETED
Last Update Posted:
None
First Post:
2024-09-14
Brief Title:
Intramuscular Electrical Stimulation on Upper Trapezius With Trigger Points
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Intramuscular Electrical Stimulation Using Inverse Electrodes Placement on Electromyographic Activity and Pressure Pain Threshold in the Upper Trapezius With Trigger Points - A Randomized Controlled Trial
Status:
COMPLETED
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The prevalence of myofascial pain ranges from 30 to 93 and can result in sensorimotor and autonomic deficits In routine neuromuscular electrical stimulation conventional electrode placement CEP and inverse electrode placement IEP are used to deliver electrical stimulation for pain modulation However Whether pain modulation can be achieved better from the intramuscular electrical stimulation IMES using the inverse electrode placement IEP or the conventional electrode placement CEP is still an open issue Thus current studys aim to compare the effects of IMES using IEP and CEP and sham-IMES on pressure pain threshold PPT EMG activity upper trapezius UT muscle length and pain severity in the UT muscle with myofascial trigger points MTrPs among young adults
Detailed Description:
Myofascial trigger points MTrPs are defined as discrete areas of tenderness in taut bands of skeletal muscles that are painful The upper trapezius UT muscle has been found to be often affected by MTrPs which can result in altered sensory-motor function
MTrPs may be related to pressure pain sensitivity and alterations in the upper trapezius muscle activity A reduction in PPTs and increased electromyographic EMG activity of the UT muscle with MTrPs can be respectively interpreted as increased pain receptors sensitization and motor endplate activity
In routine clinical practice exercises TrP injections medications and alternative therapies such as acupuncture dry needling DN are used to treat MTrPs In recent years some studies have reported that intramuscularly delivered electrical stimulation is a potential resource for the management of myofascial pain syndrome MPS Evidence from the literature suggests that IMES is effective in conditions such as adhesive capsulitis MPS and other non-traumatic musculoskeletal disorders
In routine neuromuscular electrical stimulation conventional electrode placement CEP is used in which an active cathode pole is placed in the peripheral target tissue and a reference anode is placed over the spinal level for peripheral pain modulation Inverse electrode placement IEP is a alternate electrode placement method in which a cathode pole is placed over the spinal level and an anode pole over the distal parts of the limbs IEP model experiments on MPS and non-traumatic shoulder pain disorders achieved significant clinical outcomes for shoulder pain and associated functional disabilities
Although IMES is effective in reducing the pain threshold and changing EMG activity the difference between the effects of IMES based on IEP and CEP on PPT and EMG activity MVIC remains unknown In line with previous study findings this study hypothesized that IMES using IEP would achieve significant changes in the PPT EMG activity muscle length and pain severity of the UT muscle with TrPs compared with IMES using CEP and Sham-IMES
MTrPs may be related to pressure pain sensitivity and alterations in the upper trapezius muscle activity A reduction in PPTs and increased electromyographic EMG activity of the UT muscle with MTrPs can be respectively interpreted as increased pain receptors sensitization and motor endplate activity
In routine clinical practice exercises TrP injections medications and alternative therapies such as acupuncture dry needling DN are used to treat MTrPs In recent years some studies have reported that intramuscularly delivered electrical stimulation is a potential resource for the management of myofascial pain syndrome MPS Evidence from the literature suggests that IMES is effective in conditions such as adhesive capsulitis MPS and other non-traumatic musculoskeletal disorders
In routine neuromuscular electrical stimulation conventional electrode placement CEP is used in which an active cathode pole is placed in the peripheral target tissue and a reference anode is placed over the spinal level for peripheral pain modulation Inverse electrode placement IEP is a alternate electrode placement method in which a cathode pole is placed over the spinal level and an anode pole over the distal parts of the limbs IEP model experiments on MPS and non-traumatic shoulder pain disorders achieved significant clinical outcomes for shoulder pain and associated functional disabilities
Although IMES is effective in reducing the pain threshold and changing EMG activity the difference between the effects of IMES based on IEP and CEP on PPT and EMG activity MVIC remains unknown In line with previous study findings this study hypothesized that IMES using IEP would achieve significant changes in the PPT EMG activity muscle length and pain severity of the UT muscle with TrPs compared with IMES using CEP and Sham-IMES
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None