| CTRI Number |
CTRI/2025/07/092128 [Registered on: 31/07/2025] Trial Registered Prospectively |
| Last Modified On: |
25/07/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Other |
|
Public Title of Study
|
A Telehealth Approach to Upper Back Pain: Myofascial Release and Exercise Therapy in Post-CABG Older Adults |
|
Scientific Title of Study
|
To study the effectiveness of myofascial trigger release and Exercise-Based Tele rehabilitation for Older Adult Discharged CABG patients having upper back pain |
| Trial Acronym |
nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Abishai Jonathan |
| Designation |
PG Student |
| Affiliation |
Sri ramakrishna institute of paramedical sciences |
| Address |
Department of physiotherapy 395, Sarojini Naidu Rd, Siddhapudur, New Siddhapudur, Coimbatore, Tamil Nadu 641044
Coimbatore
TAMIL NADU
641029
India |
| Phone |
9003615868 |
| Fax |
|
| Email |
fjonathan03@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
CH Anand chellappa |
| Designation |
Professor |
| Affiliation |
Sri ramakrishna institute of paramedical sciences |
| Address |
395, Sarojini Naidu Rd, Siddhapudur, New Siddhapudur, Coimbatore, Tamil Nadu 641044
Coimbatore
TAMIL NADU
641044
India |
| Phone |
9629733374 |
| Fax |
|
| Email |
anandreena2016@gmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Abishai Jonathan |
| Designation |
PG Student |
| Affiliation |
Sri ramakrishna institute of paramedical sciences |
| Address |
Department of physiotherapy 395, Sarojini Naidu Rd, Siddhapudur, New Siddhapudur, Coimbatore, Tamil Nadu 641044
Coimbatore
TAMIL NADU
641044
India |
| Phone |
9003615868 |
| Fax |
|
| Email |
fjonathan03@gmail.com |
|
|
Source of Monetary or Material Support
|
| SRI RAMAKRISHNA INSTITUTE OF PARAMEDIUCAL SCIENCES 395, Sarojini Naidu Rd, Siddhapudur, New Siddhapudur, Coimbatore, Tamil Nadu 641044 |
|
|
Primary Sponsor
|
| Name |
nil |
| Address |
nil |
| Type of Sponsor |
Private medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Seetharaman |
Sri ramakrishna Multispeciality hospital |
395, Sarojini Naidu Rd, Siddhapudur, New Siddhapudur, Coimbatore, Tamil Nadu 641044
Coimbatore
TAMIL NADU |
9842744406
principal@sripimsphysio.ac.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Sri Ramakrishna hospital ethics commitee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: I708||Atherosclerosis of other arteries, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
EXERCISE BASED TELEREHABILITATION |
Exercise-Based Telerehabilitation is a remote physiotherapy approach where patients perform prescribed exercise programs under virtual supervision, using video calls or digital platforms. It allows continuous rehabilitation at home, improving accessibility, especially for patients with mobility issues or those in remote areas. It is effective in managing chronic conditions, post-surgical recovery, and improving strength, flexibility, and function, all while ensuring regular monitoring and guidance by a physiotherapist.
|
| Intervention |
MYOFASCIAL TRIGGER RELEASE |
Myofascial Trigger Release (MFTR) is a manual therapy technique used to relieve pain and improve mobility by targeting myofascial trigger points—tight, sensitive knots in muscles and fascia. The therapist applies gentle, sustained pressure to these points to release tension, reduce pain, and restore normal muscle function. It is commonly used in rehabilitation for musculoskeletal pain, including back, neck, and shoulder issues.
|
| Comparator Agent |
NOT APPLICABLE |
NOT APPLICABLE |
|
|
Inclusion Criteria
|
| Age From |
55.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Male |
| Details |
Gender: Male only
Age group: 50 to 59
Patients having only upper back muscle pain
Patients who is having a score above 50 to 60 in mcgill pain questionnaire are taken for the study
Post CABG patients (3rd post operative week)
Patients available within 50 km range |
|
| ExclusionCriteria |
| Details |
Patients who is having neurological problems
Patients who undergone any back surgeries
Patients who have respiratory problem
Patients who is not near Ramakrishna and nearby area
|
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
MCGILL PAIN QUESTIONARRIE
GONIOMETRY |
3 weeks and 4 weeks |
|
|
Secondary Outcome
|
|
|
Target Sample Size
|
Total Sample Size="30"
Sample Size from India="30"
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)
|
07/10/2025 |
| 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="0"
Months="8"
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
|
Background:
Coronary Artery Bypass Grafting (CABG) is a common surgical procedure used to treat coronary artery disease. Although life-saving, postoperative recovery is often complicated by musculoskeletal pain, particularly upper back pain, which can impede physical rehabilitation and reduce quality of life in older adults. With growing demand for accessible and cost-effective rehabilitation, tele-rehabilitation and manual therapy techniques such as Myofascial Trigger Point Release (MTR) have shown potential in post-CABG care. Aim: To study the effectiveness of myofascial trigger release and exercise based tele rehabilitation in older adult discharged CABG patients. Objectives:
To evaluate the effectiveness of Myofascial Trigger Point Release and exercise-based tele-rehabilitation in reducing upper back pain among older adults discharged CABG patients Methods:
A total of 50 post-CABG patients aged 50 to 59 and above were purposively assigned into two groups (n = 25 each). The intervention group A received MTR along with Strengthening exercises, while the group B received Exercise based telerehabilitation along with strengthening exercises. Pain intensity and range of motion was assessed pre- and post-intervention using a validated pain scale and goniometry .Data were analyzed using an independent t-test. Conclusion:
On comparing the results of independent t test and dependent t test, both the groups showed significant improvement but group A showed significantly more improvement than group B. hence we reject null hypothesis and accept the alternate hypothesis. Thus, we conclude that myofascial trigger release is more effective in reducing the upper back pain. Keywords: Myofascial trigger point release, Exercise-based tele-rehabilitation, Coronary artery bypass graft (CABG), Older adult rehabilitation, Post-CABG upper back pain, Physiotherapy for cardiac patients,Tele-physiotherapy,Remote rehabilitation,Cardiac rehabilitation, Upper back musculoskeletal pain. |