to investigate the effects of Magnesium Sulphate Iontophoresis versus High Power Pain Threshold Ultrasound on pain, function and range of motion on active MTrPs found in the upper trapezius.
Myofascial pain syndrome (MPS) is a musculoskeletal chronic pain disorder that affects the majority of pain population and characterized by the presence of trigger points. MPS is usually associated with tenderness, spasm, movement limitation and referred pain . Myofascial trigger points (MTrPs) are hyperirritable taut fibers of skeletal muscle. The taut fibers within the muscle create palpable nodules that may cause local pain, and refer pain elsewhere with soft tissue examination .
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
90
will receive Mgso4 Iontophoresis in addition to conventional therapy twice a week/4 weeks
will receive HPPT-US on the upper trapezius in addition to conventional therapy twice a week/4 weeks
will receive postural correction exercise-stretching and strengthening twice a week/4weeks
Faculty of Physical Therapy Cairo University
Cairo, Egypt
RECRUITINGpain intensity
The scale that will be used the VAS ;each subject will instructed to put point on line from no pain to tolerable pain
Time frame: up to four weeks
Pain pressure threshold (PPT)
Pain pressure threshold (PPT) is used to measure deep muscular tissue sensitivity by Algometer.
Time frame: up to four weeks
neck disability
will be measured by Arabic neck disability index
Time frame: up to four weeks
range of motion
will be measured by myrin gravity reference goniometer
Time frame: up to four weeks
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