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Comparing Physical Therapy Interventions on Craniovertebral Angle (CVA) in Cervical Myofascial Pain Syndrome (MPS)
Sponsor: National Orthopedic and General Hospital
Summary
Myofascial pain syndrome (MPS) and radiculopathy are prevalent musculoskeletal conditions that afflict a substantial portion of the population, causing significant discomfort and impairments in daily functioning. MPS is characterized by localized muscle pain, trigger points, and referred pain, often accompanied by stiffness and restricted range of motion. A common feature shared by individuals with MPS and radiculopathy is the presence of postural abnormalities and balance impairments . The craniovertebral angle, which reflects the relationship between the head and neck, is often compromised in these individuals due to muscle imbalances, pain-related guarding, and structural changes in the spine. Various physiotherapy modalities, including dry needling, manual mobilization and soft tissue release, trigger point therapy, stretching, cupping therapy, and electrotherapy, have been utilized in clinical practice, but their relative efficacy in improving the craniovertebral angle and alleviating symptoms in individuals with MPS and radiculopathy has not been comprehensively compared. Understanding the underlying mechanisms and comparative effectiveness of various physiotherapy interventions is essential for guiding evidence-based clinical decision-making and optimizing treatment outcomes for individuals with MPS and radiculopathy. By elucidating the effects of different treatment modalities on the craniovertebral angle and associated outcomes, this research endeavor aims to contribute to the development of more tailored and effective physiotherapy approaches for improving the well-being of individuals affected by these debilitating musculoskeletal conditions.
Official title: Comparative Analysis of Different Physiotherapy Interventions on Craniovertebral Angle in Individuals With Myofascial Pain Syndrome and Radiculopathy: a Randomized Controlled Trial
Key Details
Gender
All
Age Range
20 Years - 40 Years
Study Type
INTERVENTIONAL
Enrollment
100
Start Date
2025-03-15
Completion Date
2025-09-15
Last Updated
2025-08-01
Healthy Volunteers
No
Conditions
Interventions
Dry Needling
will use dry needles of different recommended sizes to intercept the trigger points will add on myofascial release technique manually.
Trigger point therapy
will release trigger points by manual pressure using trigger point therapy technique protocols will ad on stretching techniques
Maitlands' Mobilizations
Maitlands' Mobilizations Grade-1\& Grade-2 will be applied to upper thoracic and cervical regions dry cupping therapy will be applied as ad on therapy
Tens and ultrasound
TENS and ultrasound will be applied according to recommended dosages followed by stretching and Range of motion activities
Locations (1)
National Orthopedic and General Hospital
Bahawalpur, Punjab Province, Pakistan