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CTRI Number  CTRI/2025/03/082385 [Registered on: 17/03/2025] Trial Registered Prospectively
Last Modified On: 17/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A comparative between Fascial Distortion Model and Counterstrain technique and their impact on Pain, Mobility, and Function in Badminton Players with Trigger Points 
Scientific Title of Study   Effectiveness of Fascial Distortion Model Approach versus Counterstrain Technique on Trigger Points Pain Pressure Threshold, Range of Motion and Functional activities in Recreational Badminton Players: A Comparative Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ayushi Gupta 
Designation  PG Student 
Affiliation  PG Student 
Address  SGT University, Chandu Budhera, Gurgaon, Haryana

Gurgaon
HARYANA
122505
India 
Phone  8743995475  
Fax    
Email  ayushi2000.gupta@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pooja Anand 
Designation  Professor 
Affiliation  Professor  
Address  SGT University, Chandu Budhera, Gurgaon, Haryana

Gurgaon
HARYANA
122505
India 
Phone  9599810884  
Fax    
Email  pooja.physiotherapy@sgtuniversity.org  
 
Details of Contact Person
Public Query
 
Name  Dr Pooja Anand 
Designation  Professor 
Affiliation  Professor 
Address  SGT University, Chandu Budhera, Gurgaon, Haryana

Gurgaon
HARYANA
122505
India 
Phone  9599810884  
Fax    
Email  pooja.physiotherapy@sgtuniversity.org  
 
Source of Monetary or Material Support  
Faculty of Physiotherapy, SGT University Chandu Budhera 122505 
 
Primary Sponsor  
Name  Ayushi Gupta 
Address  SGT University, Chandu Budhera, 122505 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Ayushi Gupta  SGT Medical college  Physiotherapy OPD, Room no.13
Gurgaon
HARYANA 
08743995475

ayushi2000.gupta@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Departmental Ethical Committee, Faculty of Physiotherapy, SGT University   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M953||Acquired deformity of neck,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Counterstrain Technique   the Counterstrain Technique refers to the manual positioning of the body by trained practitioners to alleviate strain on identified trigger points. 3 sessions per week for 4 weeks protocol. 
Intervention  Fascial Distortion Model  the FDM approach refers to the application of manual therapy techniques by trained practitioners to identify and address areas of fascial distortion. 3 sessions per week for 4 weeks protocol. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  48.00 Year(s)
Gender  Both 
Details  Participants must engage in badminton as a recreational activity for at least 2 times per week in 1 years
Participants should exhibit trigger points in upper back muscle group who reported trigger point pain upon palpation
Player elicits Positive jump sign
Trigger point palpation pain assessed with Visual Analogue Scale (VAS) is above 3.

 
 
ExclusionCriteria 
Details  Any chronic medical conditions such as Diabetes Mellitus, Hypertension, Asthma, COPD, Osteoarthritis, CKD etc
Any recent acute injuries, such as Ankle Sprain, Fractured Bone, Concussion, Dislocated Joint, Burns, Lacerations
Any musculoskeletal disorder or postural abnormalities like Forward head posture or upper cross syndrome
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain intensity, Pain Pressure Threshold  Day 1 of assessment
4th week of assessment 
 
Secondary Outcome  
Outcome  TimePoints 
Range of motion and DASH Questionnaire   Day 1 assessment
4th week assessment 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   28/03/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Myofascial Trigger Point are classified as being active or latent, depending on their clinical characteristics. An active trigger point causes pain at rest. It is tender to palpation with a referred pain pattern that is similar to the patient’s pain complaint. This referred pain is felt not at the site of the trigger-point origin, but remote from it. The pain is often described as spreading or radiating. Referred pain is an important characteristic of a trigger point. It differentiates a trigger point from a tender point, which is associated with pain at the site of palpation only. shortening tissues may affect local cellular healing adaptations. The pathophysiology of MTrPs is not fully understood, but current hypotheses suggest that they arise from a combination of mechanical, neurological, and biochemical factors. Muscle overload, repetitive strain, poor posture, and stress are all considered potential contributors to the formation of trigger points. In response to these stressors, localized areas of muscle may undergo a state of sustained contraction, leading to the development of taut bands and the subsequent formation of trigger points. These points, when compressed or stressed, can produce local and referred pain, contributing to a wide range of chronic pain conditions, including tension headaches, neck pain, and back pain. This study seeks to address the gap by conducting a comparative investigation into the effectiveness of the FDM approach versus Counterstrain Technique in managing trigger points pain pressure threshold, ROM, and functional performance among recreational badminton players. 

Null Hypothesis

H (0): There will be no significant difference in the effect of the Fascial Distortion Model approach on trigger points pain pressure threshold, range of motion and functional activities in recreational badminton players.

H (0): There will be no significant difference in the effect of the Counterstrain technique on trigger points pain pressure threshold, range of motion and functional activities in recreational badminton players.

H (0): There will be no significant difference in the effect of the Fascial Distortion Model and counterstarin technique on trigger points pain pressure threshold, range of motion and functional activities in recreational badminton players.

 

Alternate Hypothesis

H (1): There will be significant difference in the effect of the Fascial Distortion Model approach on trigger points pain pressure threshold, range of motion and functional activities in recreational badminton players.

 H (2): There will be significant difference in the effect of the Counterstrain technique on trigger points pain pressure threshold, range of motion and functional activities in recreational badminton players.

 H (3): There will be significant difference in the effect of the Fascial Distortion Model and counterstarin technique on trigger points pain pressure threshold, range of motion and functional activities in recreational badminton players.

 
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