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Effectiveness of transcutaneous electrical nerve stimulation (TENS) and interferential therapy (IFT) on myofascial pain syndrome patients with myofascial trigger points in the upper trapezius and influence of pain catastrophysing on treatment response.

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SLCTR Registration Number

SLCTR/2013/014


Date of Registration

27 Mar 2013

The date of last modification

Mar 03, 2019


Trial Status



Application Summary


Scientific Title of Trial

Effectiveness of transcutaneous electrical nerve stimulation (TENS) and interferential therapy (IFT) on myofascial pain syndrome patients with myofascial trigger points in the upper trapezius and influence of pain catastrophysing on treatment response.


Public Title of Trial

A study of the effectiveness of two methods of electrotherapy treatment for painful areas in the upper shoulder.


Disease or Health Condition(s) Studied

Myofascial pain syndrome with upper trapezius trigger points


Scientific Acronym

None


Public Acronym

None


Brief title

None


Universal Trial Number

None


Any other number(s) assigned to the trial and issuing authority

2012/EC/39 (Ethics Review Committee, Faculty of Medicine, University of Peradeniya)


Trial Details


What is the research question being addressed?

What is the effectiveness of Transcutaneous Electrical Nerve Stimulation (TENS) and Interferential therapy (IFT) used in combination with standard treatment in treating myofascial pain syndrome patients with upper trapezius trigger points? What is the influence of pain catastrophysing on the treatment response?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Treatment


Study Phase

Not Available


Intervention(s) planned

Participants will be recruited from the orthopedic and sports medicine clinics at the Teaching Hospital, Peradeniya. The study will be conducted at the Physiotherapy Service Unit, Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya.

Following recruitment, all participants will be examined to determine the number and location of myofascial trigger points (MTP). The MTPs will be marked and pre-treatment pain intensity will be recorded using a Visual Analogue Scale (VAS). Cervical ROM, including flexion and extension, right- and left-side bending, and the right and left rotation will be evaluated using a universal goniometer of 360 degrees. The Pain Catastrophizing Scale will be administered to the participants at this visit

The participants will then be randomized using an envelope method to three treatment arms. Standard therapy will include hot pack (20min), active range of motion exercise (5repitions), myofascial release technique (10min) Arm 1 will receive TENS (20 mins) in addition to standard therapy, Arm 2 will receive IFT (20 mins) in addition to standard therapy while Arm 3C will receive standard therapy alone. Treatment will take place twice a week for a period of 4 weeks (8 sessions per participant).

The effect of pain catastrophysing will be assessed in all 3 arms.


Inclusion criteria

  1. Patients with myofascial pain syndrome patients with unilateral upper trapezius trigger points
  2. Ability too read and understand Sinhala and English language
  3. Age between 18 years to 50 years
  4. Able and willing to participate during the entire study period

Exclusion criteria

  1. Diagnosed with sensory disorders
  2. Clinical evidence of radiculopathy or myelopathy
  3. History of disk disease, degenerative joint disease, fracture, or dislocation in the cervical vertebrae
  4. Diagnosed with cognitive deficits


Primary outcome(s)

1.
  1. Change in neck ROM (using a universal goniometer of 360 degrees)
  2. Change in pain intensity (VAS)
  3. Change in the number of trigger points
[

At baseline, within 5min after the first session, before eighth session and one week after eighth session

]

Secondary outcome(s)

1.

Effect of pain catastrophysing on the treatment outcome

[

At the end of the study period

]

Target number/sample size

105


Countries of recruitment

Sri Lanka


Anticipated start date

2013-04-01


Anticipated end date

2014-06-25


Date of first enrollment

2013-04-04


Date of study completion


Recruitment status

Complete: follow up complete


Funding source

None


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2012-11-15


Approval number

2012/EC/39


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medicine, University of Peradeniya
Institutional Address:Galaha Road, Kandy, Sri Lanka
Telephone:+94-812396361
Email: chairpersonierc@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Thusharika Dilrukshi Dissanayaka
Lecturer(Probationary)
Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya

071-6305852

thushfhs@yahoo.com

Contact Person for Public Queries

Dr. Anula Kariyawasam . ,
Senior Lecturer
Department of Physiology, Faculty of Medicine, University of Peradeniya
0812396296
0718667836

thushfhs@yahoo.com


Primary study sponsor/organization

Department of Physiotherapy

Faculty of Allied Health Sciences, University of Peradeniya
081-3999623
081-2387394

www.pdn.ac.lk/ahs/index.html

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results