Effect of Thoracic Manipulation on Latent Trigger Point

NCT05554887 — Not applicable, Completed, 38 participants, Pamukkale University

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Effect of Thoracic Manipulation on Muscle Strength and Pressure Pain Threshold in Healthy Individuals With Rhomboid Latent Trigger Point: A Randomized Sham Controlled Study.

Registry	NCT05554887
Status	Completed
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: single, treatment
Enrollment	38 (Actual)
Sponsor	Pamukkale University (Other)
Conditions	Trigger Points
Interventions	Thrust manipulation, Sham thrust manipulation (Other)
Dates	start 2022-10-11, primary completion 2022-12-01, completion 2022-12-12, first posted 2022-09-26, last updated 2022-12-28
Locations	1 site in Turkey (Türkiye)

-Summary

The aim of this study is to investigate the effect of one session thoracic manipulation on pressure pain threshold and rhomboid muscle strength in healthy individuals with latent trigger point.

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+Detailed description

Within the scope of the study, all individuals studying at Sarayköy Vocational School and volunteering to participate in the study will be screened.Immediately after determining the latent trigger points in the rhomboid muscles, the participants will be randomized by computer method and divided into 2 groups. Participants who underwent thrust thoracic manipulation will form the study group, and participants who received sham thrust thoracic manipulation will form the control group.Pressure pain threshold will be evaluated with an algometer and rhomboid muscle strength will be evaluated with a hand dynamometer.

+Arms and interventions

Arm	Type	Interventions	Description
Thrust manipulation Group	Experimental	Other: Thrust manipulation	Participants undergoing thrust manipulation
Sham thrust manipulation group	Sham comparator	Other: Sham thrust manipulation	Participants undergoing sham thrust manipulation

Thrust manipulation (Other): Participants will be positioned prone and the clinician will perform a high-speed, low-amplitude thrust into the most symptomatic segment of the thoracic spine. TM type, thrust direction, and number of thrusts will be at the clinician's discretion and will be based on the individualized assessment of the patient.
Sham thrust manipulation (Other): The same protocol will be applied as the push thoracic manipulation application, but no push will be applied.

+Outcome measures

Primary outcomes

pressure pain threshold [up to 3 months]: assessed with algometer
rhomboid muscle strength [up to 3 months]: assessed with hand held dynamometer

+Eligibility

Sex: All, ages: 18 Years to 30 Years, accepts healthy volunteers

Inclusion Criteria:

* not having any systemic disease
* not having any neuromuscular deficit
* To be defined as inactive (less than 30 minutes of moderate physical activity five times a week) according to the minimum activity guidelines published by the American College of Sports Medicine

Exclusion Criteria:

* Being actively involved in any sport
* Participating in a regular exercise program

+Locations (1)

Facility	City	Country	Status
Şule Şimşek	Denizli, Sarayköy	Turkey (Türkiye)

+Publications

Hanney WJ, Puentedura EJ, Kolber MJ, Liu X, Pabian PS, Cheatham SW. The immediate effects of manual stretching and cervicothoracic junction manipulation on cervical range of motion and upper trapezius pressure pain thresholds. J Back Musculoskelet Rehabil. 2017 Sep 22;30(5):1005-1013. doi: 10.3233/BMR-169573. PMID 28505955
The effect of lower cervical and upper thoracic spinal manipulative therapy on pressure algometer readings of rhomboid and infraspinatus muscles by influencing the fascial tension of the spiral line: Doctoral dissertation, Johannesburg: University of Johannesburg, 2015.

+Investigators

Şule Şimşek, Phd, Study director, Phd faculty member