Status:

COMPLETED

Dose Response Effects of Cervical Spinal Manipulative Therapy (SMT) on Pressure Sensitivity of Myofascial Trigger Points

Lead Sponsor:

Canadian Memorial Chiropractic College

Collaborating Sponsors:

University of Guelph

Conditions:

Trigger Points, Myofascial

Myofascial Trigger Points

Eligibility:

All Genders

21-40 years

Phase:

PHASE2

Brief Summary

Specific Aim 1: To determine if the effect of cervical spinal manipulation on the pressure pain thresholds in a myofascial trigger point in the infraspinatus muscle can be enhanced and/or extended af...

Detailed Description

Fibromyalgia syndrome (FMS) is one of the most common manifestations of myofascial pain syndromes. The total annual cost of FMS is $2298 per patient in Canada. A Canadian study suggests that FMS-relat...

Eligibility Criteria

Inclusion

  • female subjects between the ages of 21-40 from the Canadian Memorial Chiropractic College (CMCC) main campus and campus clinic
  • MTrPs in the infraspinatus muscle

Exclusion

  • Received cSMT within the 72 hour\*
  • Insufficient English language to complete pre-study questionnaires
  • No MTrP in the infraspinatus muscle
  • PPT in the MTrPs in the infraspinatus of greater than 35N
  • Any absolute or relative contraindications to manipulation such as; previous VBI, blood-clotting disorders, hypertension, or cardiovascular disorders
  • Any current or prior history of neurological signs and symptoms including facial or extremity weakness, abnormal sensation to the face, body, upper, or lower extremities, uncontrolled bodily movements, gait disturbances, unexplained dizziness, unexplained nausea or vomiting, difficulty with speaking or swallowing
  • Previous history of a whiplash associated disorder
  • Previous cervical spine surgery
  • Any current or recent cervical or thoracic injury including cervical disc herniation with or without radiculopathy, facet irritation, fracture to the cervical spine, fracture to the thoracic spine, or fracture to the scapula
  • Concomitant injuries and/or co-morbidities affecting the cervical, thoracic, upper limb musculoskeletal system and systemic diseases affecting the musculoskeletal system such as diabetes, muscular dystrophies, or chronic pain disorders
  • Current nerve entrapments in the upper extremities
  • Myositis ossificans in the infraspinatus muscle
  • Seronegative spondyloarthropathies
  • Current use of medications such as NSAIDS, antidepressants, or opioids \*A wash out period of no cSMT is needed because people accommodate to treatment. A 72-hour time period was chosen as it allows sufficient time for any effects of cSMT on MTrPs to disappear

Key Trial Info

Start Date :

September 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 1 2012

Estimated Enrollment :

26 Patients enrolled

Trial Details

Trial ID

NCT01418170

Start Date

September 1 2011

End Date

August 1 2012

Last Update

January 25 2018

Active Locations (1)

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1

Canadian Memorial Chiropractic College

Toronto, Ontario, Canada, M2H 3J1