Upper Thoracic Pain Due to Active Trigger PointsNCT06556758
Stripping Massage on Rhomboid Major and Minor Active Trigger Points in Upper Thoracic Pain
A study testing stripping massage + conventional therapy and Conventional therapy in people with Upper Thoracic Pain Due to Active Trigger Points, run by Riphah International University at 1 site in Pakistan.
Trial summary
Aim of this randomized controlled trial is to see the effects of stripping massage on rhomboids major and minor active trigger points in patients with upper thoracic pain for reducing pain, enhancing thoracic range of motion and physical functioning Read more about this study
- Who is it for?
- Ages 18 to 40 years, women only
- Conditions the study is for
- Upper Thoracic Pain Due to Active Trigger Points
- What is being tested?
- stripping massage + conventional therapy and Conventional therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 1 sitePakistan
- Study dates
- 9 Aug 2024to 10 Jan 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 40 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Participants falling in this category would be recruited into the study.
- females
- Age: 18-40
- Active TrPs in the rhomboid major and minor muscles.
- Presence of atleast one trigger point in rhomboids (diagnosed by the characteristics like hyperirritable spot in a taut band, twitch response and referral pain)
- Presence of Jump sign
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- Segmental hypomobility in upper thoracic region identified with positive springing test
- upper thoracic pain, defined as pain in the body region encompassing from T1 to T4) pain intensity score of ≥ 3 on the numeric pain rating scale (0-10)
- symptoms provoked by thoracic movement,or palpation of the rhomboid muscles.
Who cannot join
- Participants falling in this category would be excluded from the study.
- a history of neck trauma
- previously had surgery in the neck or shoulder area or suffered from physical injury
- Fractures, Dislocations, Traumatic injuries, Adhesive capsulitis, thoracic outlet syndrome.
- any rheumatic condition, osteoporosis, cancer, spinal infection, radicular pain, or neuropathy.
Trial locations and contacts
1 site in 1 country.
Pakistan1 site, 1 recruiting
- Recruiting
Railway General Hospital
Rawalpindi, Punjab Province, 44000
Aqsa Mustafa, MS-OMPT
About this study
Official title: Effects of Stripping Massage on Rhomboid Major and Minor Active Trigger Points in Patients With Upper Thoracic Pain.
Aim of this randomized controlled trial is to see the effects of stripping massage on rhomboids major and minor active trigger points in patients with upper thoracic pain for reducing pain, enhancing thoracic range of motion and physical functioning
Read the detailed description
Spine pain is a common condition that results in considerable levels of disability and lost work time and has a major impact on society, a lifetime prevalence ranging from 15.6% to 19.5% for thoracic pain. Thoracic pain is more prevalent in women than in men (2:1). The origin of spine pain is clearly multifactorial and often includes number of anatomical structures. One plausible etiology of symptoms associated with thoracic pain may be the presence of myofascial pain. Myofascial pain is generally associated with the presence of trigger points. Trigger points are hypersensitive spots within taut bands of skeletal musculature whose stimulation can be associated with referred pain and autonomic phenomena. Trigger points can be either active or latent depending on the association with symptoms. For instance, active trigger points (MTrPs) are associated with spontaneous pain, and the local and referred pain reproduces the symptoms of the patient, totally or partially.
Stripping massage (SM) is a gliding tissue massage technique that focuses on the deeper layers of the fascia and skeletal muscle.This technique involves gliding pressure along a muscle, usually from one attachment to the other in the direction of the muscle fibers. Applying SM to tender spots in muscles can cause ischaemia followed by reflexive hyperaemia. This increases the local blood flow, which improves pliability of the muscles and fascia and helps break down adhesions and decrease pain sensations. SM acts as a mechanical stress that stimulates parasympathetic activity which leads to the release of substances such as endorphins. These chemicals remove the noxious stimulus and decrease the pressure on nociceptors, reducing pain The rationale for the use of this technique is to identify the effects of stripping massage on rhomboids active trigger points in upper thoracic pain patients. This study will see the effects of stripping massage on rhomboids trigger points on pain, thoracic mobility, and functional performance. Aim of this study is to see the effects of stripping massage to figure out whether this technique would be more effective and should be incorporated into clinical settings in relation to conventional treatment.
- Being tested
- stripping massage + conventional therapy, Conventional therapy
- Keywords
- Stripping massage, Upper thoracic pain, Active trigger points
- Medical subject headings
- Chest Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
stripping massage + conventional therapyOther
Also called Stripping massage on rhomboid major and minor active trigger points
Stripping massage on rhomboid major and minor active trigger point in the direction of muscle fiber from origin to insertion of muscle. Frequency: 3 minutes for 3 times/week for 4 consecutive weeks. Conventional PT including Hot pack for 10 minutes + ischemic compression for 90 secs + CPA glides grade 3 kaltenborn mobilization on thoracic T1 to T4 (5 reps x 1 set) Frequency: 3 times/ week for 4 weeks
Conventional therapyOther
conventional therapy including Hot pack for 10 minutes + ischemic compression for 90 secs + CPA glides grade 3 kaltenborn mobilization on thoracic T1 to T4 (5 reps x 1 set ) Frequency : 3 times/ week for 4 weeks
| Study group | Role | What they receive |
|---|---|---|
| stripping massage + conventional Therapy | Experimental | Stripping Massage Stripping massage on rhomboid major and minor active trigger point in the direction of muscle fiber from origin to insertion of muscle. Frequency: 3 minutes for 3 times/week for 4 consecutive weeks.
Conventional therapy including Hot pack for 10 minutes + ischemic compression for 90 secs + CPA glides grade 3 kaltenborn mobilization on thoracic T1 to T4 (5 reps x 1 set) Frequency: 3 times/ week for 4 weeks Receives: Other: stripping massage + conventional therapy |
| Conventional therapy | Active comparator | Conventional Therapy Conventional PT including Hot pack for 10 minutes + ischemic compression for 90 secs + CPA glides grade 3 kaltenborn mobilization on thoracic T1 to T4(5 reps x 1 set ) Frequency : 3 times/ week for 4 weeks Receives: Other: Conventional therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numeric Pain Rating Scale NPRS
The NPRS is a segmented numeric version of the visual analog scale which is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.
Measured: 4 weeks
Secondary outcomes (1)
Bubble inclinometer
It is an instrument that measures the available range of motion at a joint.
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Aug 2024
- Study start9 Aug 2024
- Primary completion30 Dec 2024 (estimated)
- Study completion10 Jan 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Upper Thoracic Pain Due to Active Trigger PointsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 44 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Madiha Ali, MSOMPT, Principal investigator, Riphah International UniversityAqsa Mustafa, MSompt*, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06556758
- Sponsor's protocol ID
- Aqsa Mustafa
- Status last verified
- Aug 2024
- First submitted
- 13 Aug 2024
- Last updated
- 16 Aug 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Aug 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Stripping Massage on Rhomboid Major and Minor Active Trigger Points in Patients With Upper Thoracic Pain.
- ClinicalTrials.gov ID
- NCT06556758
- Acronym / sponsor ID
- Aqsa Mustafa
- Keywords
- Stripping massage, Upper thoracic pain, Active trigger points
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 44 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 9 Aug 2024 (actual)
- Primary completion
- 30 Dec 2024 (estimated)
- Study completion
- 10 Jan 2025 (estimated)
- First posted
- 16 Aug 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Aim of this randomized controlled trial is to see the effects of stripping massage on rhomboids major and minor active trigger points in patients with upper thoracic pain for reducing pain, enhancing thoracic range of motion and physical functioning
Detailed description
Spine pain is a common condition that results in considerable levels of disability and lost work time and has a major impact on society, a lifetime prevalence ranging from 15.6% to 19.5% for thoracic pain. Thoracic pain is more prevalent in women than in men (2:1). The origin of spine pain is clearly multifactorial and often includes number of anatomical structures. One plausible etiology of symptoms associated with thoracic pain may be the presence of myofascial pain. Myofascial pain is generally associated with the presence of trigger points. Trigger points are hypersensitive spots within taut bands of skeletal musculature whose stimulation can be associated with referred pain and autonomic phenomena. Trigger points can be either active or latent depending on the association with symptoms. For instance, active trigger points (MTrPs) are associated with spontaneous pain, and the local and referred pain reproduces the symptoms of the patient, totally or partially.
Stripping massage (SM) is a gliding tissue massage technique that focuses on the deeper layers of the fascia and skeletal muscle.This technique involves gliding pressure along a muscle, usually from one attachment to the other in the direction of the muscle fibers. Applying SM to tender spots in muscles can cause ischaemia followed by reflexive hyperaemia. This increases the local blood flow, which improves pliability of the muscles and fascia and helps break down adhesions and decrease pain sensations. SM acts as a mechanical stress that stimulates parasympathetic activity which leads to the release of substances such as endorphins. These chemicals remove the noxious stimulus and decrease the pressure on nociceptors, reducing pain The rationale for the use of this technique is to identify the effects of stripping massage on rhomboids active trigger points in upper thoracic pain patients. This study will see the effects of stripping massage on rhomboids trigger points on pain, thoracic mobility, and functional performance. Aim of this study is to see the effects of stripping massage to figure out whether this technique would be more effective and should be incorporated into clinical settings in relation to conventional treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| stripping massage + conventional Therapy | Experimental | Other: stripping massage + conventional therapyStripping Massage Stripping massage on rhomboid major and minor active trigger point in the direction of muscle fiber from origin to insertion of muscle. Frequency: 3 minutes for 3 times/week for 4 consecutive weeks. Conventional therapy including Hot pack for 10 minutes + ischemic compression for 90 secs + CPA glides grade 3 kaltenborn mobilization on thoracic T1 to T4 (5 reps x 1 set) Frequency: 3 times/ week for 4 weeks |
| Conventional therapy | Active comparator | Other: Conventional therapyConventional Therapy Conventional PT including Hot pack for 10 minutes + ischemic compression for 90 secs + CPA glides grade 3 kaltenborn mobilization on thoracic T1 to T4(5 reps x 1 set ) Frequency : 3 times/ week for 4 weeks |
Who may qualify
- Ages
- 18 to 40 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (9 listed)
- Participants falling in this category would be recruited into the study.
Key exclusion criteria (5 listed)
- Participants falling in this category would be excluded from the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| stripping massage + conventional therapyAlso: Stripping massage on rhomboid major and minor active trigger pointsStripping massage on rhomboid major and minor active trigger point in the direction of muscle fiber from origin to insertion of muscle. Frequency: 3 minutes for 3 times/week for 4 consecutive weeks. Conventional PT including Hot pack for 10 minutes + ischemic compression for 90 secs + CPA glides grade 3 kaltenborn mobilization on thoracic T1 to T4 (5 reps x 1 set) Frequency: 3 times/ week for 4 weeks | Other | stripping massage + conventional Therapy |
| Conventional therapyconventional therapy including Hot pack for 10 minutes + ischemic compression for 90 secs + CPA glides grade 3 kaltenborn mobilization on thoracic T1 to T4 (5 reps x 1 set ) Frequency : 3 times/ week for 4 weeks | Other | Conventional therapy |
Primary outcome
Numeric Pain Rating Scale NPRS
Time frame: 4 weeks
The NPRS is a segmented numeric version of the visual analog scale which is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.
1 secondary outcome
Bubble inclinometer
Time frame: 4 weeks
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Aug 2024.
- Individual participant dataSharing planned: No
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Madiha Ali, MSOMPT principal investigator
Riphah International University
Aqsa Mustafa, MSompt* principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing stripping massage + conventional therapy and Conventional therapy in people with Upper Thoracic Pain Due to Active Trigger Points, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 16 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Madiha Ali, MS-OMPT (0331-3360064, madiha.ali@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Numeric Pain Rating Scale NPRS (time frame: 4 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Aug 2024; AzTrials last refreshed its copy on 1 Nov 2026.