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RECRUITING Not applicable ClinicalTrials.gov

Comparison of Ischemic Release and Sustained Pressure Direct Myofascial Release in Upper Trapezius Trigger Point

Sponsor: Foundation University Islamabad • ClinicalTrials.gov ID: NCT07838584

Registry updated: 2026-10-05
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Description

This randomized controlled trial aims to compare the clinical effectiveness of ischemic release and sustained pressure direct myofascial release for upper trapezius trigger points. The study will compare their effects on pain pressure threshold, cervical range of motion, and scapular upward rotation following a two-week intervention.

Interventions

  • Ischemic release (Procedure)
    Participants will receive a two-week physiotherapy program with three sessions per week. Each session will include heat application followed active ROM and passive stretching. Participants in Group A will receive ischemic compression in addition to standard physiotherapy. Pressure should be applied via thumb for 20 second - 1 minute until pain decreases or muscle begin to relax.
  • Sustained pressure Direct Myofascial release (Procedure)
    Participants will receive a two-week physiotherapy program with three sessions per week. Each session will include heat application followed active ROM and passive stretching. Participants in Group B will receive sustained pressure direct MFR in addition to standard physiotherapy. Apply pressure to the trigger point for 8-20 seconds, maintaining it until a physical "discharge" or release is felt, which may take five minutes or more.

Eligibility criteria

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

Conditions

Trigger Point Pain, Myofascial

Locations

  • Foundation University College of Physical Therapy — Islamabad, Punjab Province, Pakistan
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record