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CTRI Number  CTRI/2025/06/089543 [Registered on: 25/06/2025] Trial Registered Prospectively
Last Modified On: 23/06/2025
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   Effect of Instrument assisted soft tissue mobilization on upper trapezius myofascial trigger point with stretching versus percussion therapy with stretching on upper trapezius myofascial trigger points a two week intervention study  
Scientific Title of Study   Effectiveness 0f Instrument-Assisted soft tissue mobilization [IASTM] versus Percussion therapy with stretching in the individuals having upper trapezius myofascial trigger points: A single blinded randomized control trial . 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Yogesh Sunil Khairmode 
Designation  1st year MPT (Musculoskeletal physiotherapy) 
Affiliation  Dr Vitthalrao Vikhe patil College Of Physiotherapy 
Address  Department of musculoskeletal physiotherapy basement Dr. Vitthalrao Vikhe patil college of Physiotherapy Vilad Ghat Ahmednagar

Ahmadnagar
MAHARASHTRA
414111
India 
Phone  8291715939  
Fax    
Email  yogeshkhairmode17@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Syed Saqib 
Designation  Associate Professor Department of Musculoskeletal physiotherapy  
Affiliation  Dr Vitthalrao Vikhe patil College Of Physiotherapy 
Address  Department of musculoskeletal physiotherapy basement Dr. Vitthalrao Vikhe patil college of Physiotherapy Vilad Ghat Ahmednagar

Ahmadnagar
MAHARASHTRA
414111
India 
Phone  7517410984  
Fax    
Email  saqibpt@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Syed Saqib 
Designation  Associate Professor Department of Musculoskeletal physiotherapy  
Affiliation  Dr Vitthalrao Vikhe patil College Of Physiotherapy 
Address  Department of musculoskeletal physiotherapy basement Dr. Vitthalrao Vikhe patil college of Physiotherapy Vilad Ghat Ahmednagar


MAHARASHTRA
414111
India 
Phone  7517410984  
Fax    
Email  saqibpt@yahoo.com  
 
Source of Monetary or Material Support  
DVVPFS College of Physiotherapy Ahmednagar 
 
Primary Sponsor  
Name  DVVPFS College of Physiotherapy Ahmednagar 
Address  Dr. Vitthalrao Vikhe patil college of Physiotherapy Vilad Ghat Ahmednagar  
Type of Sponsor  Private medical college 
 
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 
Yogesh khairmode  DVVPFS College of Physiotherapy   Department of musculoskeletal physiotherapy basement block 1 DVVPF College of physiotherapy
Ahmadnagar
MAHARASHTRA 
8291715939

yogeshkhairmode17@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
DVVPFS College of Physiotherapy Institutional ethical Committee Ahmednagar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M708||Other soft tissue disorders related to use, overuse and pressure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Instrument Assisted soft tissue mobilization with stretching   Subjects will receive instrument assisted soft tissue mobilization with stretching for 3 times per week for 2 weeks  
Comparator Agent  NIL  NIL 
Intervention  Percussion Therapy with Stretching  Subjects will receive Percussion Therapy with Stretching for 3 times per week for 2 weeks 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  29.00 Year(s)
Gender  Both 
Details  Presence of active myofascial trigger points in the upper trapezius muscle confirmed by palpation.
Reporting pain intensity of more than or equal to four on the Numeric Pain Rating Scale (NPRS).
no history of recent corticosteroid injections or surgery in the neck/shoulder region. 
 
ExclusionCriteria 
Details  Presence of any neurological disorder affecting the cervical spine.
Recent trauma or fracture in the cervical or shoulder region.
Individuals undergoing concurrent alternative treatment e.g., acupuncture, chiropractic therapy.
Bilateral trigger points in upper trapezius 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Numeric pain rating scale
Neck Disability Index
Cervical range of motion
Pressure pain threshold 

Baseline , 2 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="48"
Sample Size from India="48" 
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)   29/08/2025 
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 pain syndrome (MPS) is a major contributor to musculoskeletal disorders, affecting millions worldwide. The upper trapezius is one of the most commonly affected muscles, often linked to poor posture, prolonged screen time, and repetitive strain. Traditional interventions such as massage, dry needling, and stretching have demonstrated efficacy, but there is a growing need for evidence-based, non-invasive techniques like Instrument-Assisted Soft Tissue Mobilization (IASTM). Recent advances in IASTM suggest that it can enhance myofascial release by stimulating mechanoreceptors, improving circulation, and modulating pain perception.
Studies indicate that IASTM, when combined with stretching or percussion therapy, may yield superior outcomes in reducing muscle stiffness and improving functional mobility. However, there is a lack of consensus on the optimal treatment combination for managing upper trapezius MTrP, necessitating further research. Additionally, the increasing reliance on technology has led to a surge in cases of neck and shoulder pain, emphasizing the urgency of developing effective physiotherapeutic interventions.
This study will compare the effectiveness of IASTM alone and in combination with stretching or percussion therapy. By identifying the most effective approach, this research will contribute to evidence-based rehabilitation strategies, ultimately improving patient outcomes and reducing the burden of musculoskeletal disorders.
 
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