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CTRI Number  CTRI/2026/03/105966 [Registered on: 11/03/2026] Trial Registered Prospectively
Last Modified On: 11/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Which Works Better for Upper Trapezius Trigger Points when applied MFR & IC or Cryostretching & MET 
Scientific Title of Study   Comparative Study on the Effectiveness of Myofascial Release and Ischemic Compression vs Cryostretching and Muscle Energy Technique in the Management of Upper Trapezius Trigger Points 
Trial Acronym  CUTT Trial 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sejal jain 
Designation  Student 
Affiliation  Amity university, nodia 
Address  Amity Institute of Health Allied Sciences (AIHAS) F 1 Block, LGF, Sector-125, Noida-201303, India. Sector-125, Amity University NOIDA (UP)-201301, INDIA
Amity university, nodia
Gautam Buddha Nagar
UTTAR PRADESH
201301
India 
Phone  9412221602  
Fax    
Email  sejaljain2102@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bhumika Chibber 
Designation  Professor  
Affiliation  Amity university, noida 
Address  Amity Institute of Health Allied Sciences (AIHAS) F 1 Block, LGF, Sector 125, Noida-201303, India. Sector 125, Amity University NOIDA (UP)201301, INDIA
Amity Institute of Health Allied Sciences (AIHAS) F 1 Block, LGF, Sector 125, Noida-201303, India. Sector 125, Amity University NOIDA (UP) 201301, INDIA
Gautam Buddha Nagar
UTTAR PRADESH
201301
India 
Phone  9899223561  
Fax    
Email  bchhibber@amity.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Bhumika Chibber 
Designation  Professor  
Affiliation  Amity university, noida 
Address  Amity Institute of Health Allied Sciences (AIHAS) F 1 Block, LGF, Sector 125, Noida-201303, India. Sector 125, Amity University NOIDA (UP)201301, INDIA
Amity Institute of Health Allied Sciences (AIHAS) F 1 Block, LGF, Sector 125, Noida-201303, India. Sector 125, Amity University NOIDA (UP) 201301, INDIA
Gautam Buddha Nagar
UTTAR PRADESH
201301
India 
Phone  9899223561  
Fax    
Email  bchhibber@amity.edu  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Self funded 
Address  Amity university, hapur 
Type of Sponsor  Other [Educational university ] 
 
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 
Ritika Aggarwal   Amity university   Amity university sec 125 noida uttar pradesh F2 block room no 101
Gautam Buddha Nagar
UTTAR PRADESH 
8126120201

ritikaag22@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Amity university of health and allied science   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M638||Disorders of muscle in diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Myofascial Release and Ischemic Compression + Cryostretching and Muscle Energy Technique  Myofascial Release applied to the upper trapezius using sustained manual pressure and longitudinal gliding for 5–7 minutes followed by Ischemic Compression applied over the active trigger point with gradually increasing pressure for 60–90 seconds. Total session duration 10–12 minutes, administered 3 sessions per week for 2 weeks. Cryostretching applied using ice massage for 3–5 minutes followed by static stretching of the upper trapezius for 30 seconds × 3 repetitions. Muscle Energy Technique applied using post-isometric relaxation with the patient performing gentle isometric contraction for 5–7 seconds followed by passive stretch. Total session duration 10–12 minutes, administered 3 sessions per week for 2 weeks. 
Comparator Agent  not applicable   not applicable  
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  Presence of any neurological disorders
• History of shoulder or neck surgery
• Diagnosed with severe psychiatric illnesses bone related
diseases tumors or infections
• Diagnosed with cervical radiculopathy, myelopathy, or disc
herniation
• Local skin infections, open wounds, or recent injections in the
treatment area
• Currently undergoing other physiotherapy treatments for neck or
shoulder
• Pregnancy 
 
ExclusionCriteria 
Details  Presence of any neurological disorders
•History of shoulder or neck surgery
•Diagnosed with severe psychiatric illnesses bone related diseases tumors or infections
•Diagnosed with cervical radiculopathy, myelopathy, or disc herniation
•Local skin infections, open wounds, or recent injections in the treatment area
•Currently undergoing other physiotherapy treatments for neck or shoulder
•Pregnancy
•Previous traumatic injuries involving the upper limb or cervical spine (e.g., fractures or dislocations)
•Other systemic conditions such as thyroid issues, cardiac, pulmonary diseases, etc.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Reduction in pain intensity measured using VAS scale  Reduction in pain intensity measured using VAS scale 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement in cervical lateral flexion range of motion measured using a universal goniometer  Baseline (Day 0) and End of Week 2 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   26/03/2026 
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="1"
Days="15" 
Recruitment Status of Trial (Global)   Not Applicable 
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  

This study aims to compare the effectiveness of Myofascial Release combined with Ischemic Compression versus Cryostretching combined with Muscle Energy Technique in the management of upper trapezius myofascial trigger points. Upper trapezius trigger points commonly cause neck pain restricted movement and muscle tenderness. Thirty participants aged eighteen to forty years with clinically diagnosed active trigger points in the upper trapezius will be randomly allocated into two groups. Group A will receive Myofascial Release followed by Ischemic Compression and Group B will receive Cryostretching followed by Muscle Energy Technique. The intervention will be provided three sessions per week for two weeks. Pain intensity cervical range of motion and pressure pain threshold will be assessed at baseline week one and week two. The primary objective is to determine which treatment approach produces greater reduction in pain and muscle tenderness. The study may help clinicians choose a more effective manual therapy and stretching protocol for treating upper trapezius trigger points.


 
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