The primer aim of this study is to demonstrate the effecti of instrument assisted soft tissue mobilization on pain, functionality, quality of life and depression in the treatment of female patients with myofascial pain syndrome due to active trigger points in the upper trapezius muscles
Myofascial Pain Syndrome (MAS); It is a non-articular, non-inflammatory regional musculoskeletal pain syndrome characterized by myofascial trigger points located at muscle, fascia or tendon insertion sites and the spread of pain to reference areas by palpation of these points. h The effectiveness of massage therapy in MAS is known. In this study, investigators will apply instrument assisted deep tissue mobilization (graston massage). Instrument-assisted soft tissue mobilization massage, which is a type of massage, will be applied by a physiotherapist who has a certificate on this subject and takes part as an assistant researcher in our study. Soft tissue mobilization is a unique soft tissue mobilization combined with active mobility and stretching exercises already prescribed for patients with musculoskeletal injuries. The various sizes and beveled edges of the stainless steel instruments allow physiotherapists to tailor treatment to different muscle structures facing myofascial constraints. Localized increases in blood flow and soft tissue realignment lead to muscle function, increased normal joint motion, and decreased pain. It has been investigated in the literature for many different diseases (trigger finger, nonspecific low back pain, myofascial pain syndrome) and found to be effective.CF
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
75
Instrument Assisted Soft Tissue Mobilization with graston tecnique and Home exercises programe
Instrument Assisted Soft Tissue Mobilization to be applied superficially so it is not like a real graston tecnique and Home exercises programe
Only Home exercises programe
Kırşehir Ahi Evran University Faculty of Medicine
Kırşehir, City Center, Turkey (Türkiye)
Pain Algometer
The pain threshold level will be measured with an algometer. The algometer manually evaluates the patient's pain threshold and gives a numerical data
Time frame: Baseline
Pain Algometer
The pain threshold level will be measured with an algometer. The algometer manually evaluates the patient's pain threshold and gives a numerical data
Time frame: Fourth week (Posttreatment)
Visual Analogue Scale (VAS)
Visual Analogue Scale (VAS) for pain assessment. In this scale, which evaluates pain with a 10-point Likert scale, 0 is scored as no pain, 5 as moderate pain, and 10 as excruciating pain.
Time frame: Baseline
Visual Analogue Scale (VAS)
Visual Analogue Scale (VAS) for pain assessment. In this scale, which evaluates pain with a 10-point Likert scale, 0 is scored as no pain, 5 as moderate pain, and 10 as excruciating pain.
Time frame: Fourth week (Posttreatment)
Number and location of trigger points
The number and location of trigger points that cause myofascial pain will be determined and recorded by examination.
Time frame: Baseline
Number and location of trigger points
The number and location of trigger points that cause myofascial pain will be determined and recorded by examination.
Time frame: Fourth week (Posttreatment)
Beck depression questionnaire
Beck depression questionnaire is a questionnaire consisting of 21 questions that evaluates the mood of the patient and has Turkish validity and reliability(1).
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Time frame: Baseline
Beck depression questionnaire
Beck depression questionnaire is a questionnaire consisting of 21 questions that evaluates the mood of the patient and has Turkish validity and reliability(1).
Time frame: Fourth week (Posttreatment)
The World Health Organization health-related quality of life-brief form
The World Health Organization health-related quality of life-brief form (WHO-health-related quality of life-brief form)
Time frame: Baseline
The World Health Organization health-related quality of life-brief form
The World Health Organization health-related quality of life-brief form (WHO-health-related quality of life-brief form)
Time frame: Fourth week (Posttreatment)
The neck disability index
The neck disability index is a questionnaire consisting of 10 questions with Turkish validity and reliability, which recognizes the functional evaluation of neck pain (3). Each question is scored between 0 and 5. High scores are associated with increased disability.
Time frame: Baseline
The neck disability index
The neck disability index is a questionnaire consisting of 10 questions with Turkish validity and reliability, which recognizes the functional evaluation of neck pain (3). Each question is scored between 0 and 5. High scores are associated with increased disability.
Time frame: Fourth week (Posttreatment)