| CTRI Number |
CTRI/2026/02/103135 [Registered on: 05/02/2026] Trial Registered Prospectively |
| Last Modified On: |
05/02/2026 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Other |
|
Public Title of Study
|
Effect of two physiotherapy techniques in neck pain patients |
|
Scientific Title of Study
|
Efficacy of Integrated Neuromuscular Inhibitory Technique with Surged Faradic Current Compared to Manual Trigger Point Release in Improving Pain and Function in Patients with Chronic Upper Trapezitis: A Randomized Controlled 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 |
Subhankar Saha |
| Designation |
BPT (ongoing) |
| Affiliation |
Narayana Hrudayalaya Institute of Physiotherapy |
| Address |
Narayana Hrudayalaya Institute of Physiotherapy, 258/A, Health City, Bommasandra Industrial Area, Anekal Taluk, Bangalore
Narayana Hrudayalaya Institute of Physiotherapy, 258/A, Health City, Bommasandra Industrial Area, Anekal Taluk, Bangalore
Bangalore
KARNATAKA
560099
India |
| Phone |
9339317042 |
| Fax |
|
| Email |
princesubhankar748@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Subhankar Saha |
| Designation |
BPT (ongoing) |
| Affiliation |
Narayana Hrudayalaya Institute of Physiotherapy |
| Address |
Narayana Hrudayalaya Institute of Physiotherapy, 258/A, Health City, Bommasandra Industrial Area, Anekal Taluk, Bangalore
Narayana Hrudayalaya Institute of Physiotherapy, 258/A, Health City, Bommasandra Industrial Area, Anekal Taluk, Bangalore
Bangalore
KARNATAKA
560099
India |
| Phone |
9339317042 |
| Fax |
|
| Email |
princesubhankar748@gmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Dr Smruti Swagatika Dash |
| Designation |
Professor |
| Affiliation |
Narayana Hrudayalaya Institute of Physiotherapy |
| Address |
Narayana Hrudayalaya Institute of Physiotherapy, 258/A, Health City, Bommasandra Industrial Area, Anekal Taluk, Bangalore
Narayana Hrudayalaya Institute of Physiotherapy, 258/A, Health City, Bommasandra Industrial Area, Anekal Taluk, Bangalore
Bangalore
KARNATAKA
560099
India |
| Phone |
9448552026 |
| Fax |
|
| Email |
ssdashpt@gmail.com |
|
|
Source of Monetary or Material Support
|
| 258/A, health City, Physiotherapy department of Narayana orthopedic spine and trauma centre, Narayana health city, Bengalore, Karnataka, India-560099 |
|
|
Primary Sponsor
|
| Name |
Rajiv Gandhi University of Health Sciences |
| Address |
4th T Block, Jayanagar, Bengaluru-560041, Karnataka, India |
| Type of Sponsor |
Research institution and hospital |
|
|
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 |
| Dr Subhankar Saha |
Narayana orthopedic spine and trauma center |
258/A, Health city, Bommasandra Industrial Area, Department of orthopedic spine and trauma Rehabilitation OPD, Anekal Taluk, Bangalore- 560099
Bangalore
KARNATAKA |
9339317042
princesubhankar748@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Narayana Health Academic Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M628||Other specified disorders of muscle, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Efficacy of Integrated Neuromuscular Inhibitory Technique with Surged Faradic Current Compared to Manual Trigger Point Release in Improving Pain and Function in Patients with Chronic Upper Trapezitis. |
Group 1: Ischemic compression, therapist will place thumb over the active trigger points and will slowly increases the pressure until the tissue resistance barrier is felt. The presser will be maintained until the release of tissue resistance barrier is felt then release the pressure. Continue this process like 30 sec compression and 2-3 sec release until the palpable changes is there.
Strain Counter Strain Technique, Patient will be in supine position then pressure applied over painful point, the patient will be instructed to perform shoulder abduction at a range where the pain will be reduced. That position will be maintained for 30 sec and repeat that process 3 times.
Muscle Energy Technique, here the Lewit’s post isometric relaxation technique will be approaching. The one hand of therapist will be used for sterilize the shoulder on effected side and other hand on the ear/ mastoid process of effected side, then the therapist will then provide contralateral lateral flexion, cervical flexion and ipsilateral rotation till the restriction. Then the patient will shrug the shoulder towards the ear at that time the isometric effort will give for 7 to 10sec. To advance the technique 30 sec stretch are given ant the end of each rotation. 3 to 5 repetition per session.
Surged Faradic Current, patient must be in relaxed prone position, treated area should be clean, Frequency 50Hz and pulsed duration 0.1 to 1 microsecond, duration of treatment 10 min.
Group 2:Manual Trigger point release, first the therapist will identify the trigger point by pincer palpation method then the therapist will apply five slow and sufficient pressure (moderate but tolerable) on trigger point, the holding time is until the trigger point softens (max 60 sec), loss of referred pain. 10 sec hold for each before each episode. |
| Comparator Agent |
Integrated Neuromuscular Inhibitory Technique with Surged Faradic Current. |
This group will be getting Integrated Neuromuscular Inhibitory Technique with Surged Faradic Current. Every week there will be 3 seasons for one month. INMIT consists of 3 techniques, those are Ischemic Compression, Strain Counter Stain technique and Muscle Energy Technique.
Ischemic compression, therapist will place thumb over the active trigger points and will slowly increases the pressure until the tissue resistance barrier is felt. The presser will be maintained until the release of tissue resistance barrier is felt then release the pressure. Continue this process like 30 sec compression and 2-3 sec release until the palpable changes is there.
Strain Counter Strain Technique, Patient will be in supine position then pressure applied over painful point, the patient will be instructed to perform shoulder abduction at a range where the pain will be reduced. That position will be maintained for 30 sec and repeat that process 3 times.
Muscle Energy Technique, here the Lewit’s post isometric relaxation technique will be approaching. The one hand of therapist will be used for sterilize the shoulder on effected side and other hand on the ear/ mastoid process of effected side, then the therapist will then provide contralateral lateral flexion, cervical flexion and ipsilateral rotation till the restriction. Then the patient will shrug the shoulder towards the ear at that time the isometric effort will give for 7 to 10sec. To advance the technique 30 sec stretch are given ant the end of each rotation. 3 to 5 repetition per session.
Surged Faradic Current, patient must be in relaxed prone position, treated area should be clean, Frequency 50Hz and pulsed duration 0.1 to 1 microsecond, duration of treatment 10 min |
| Comparator Agent |
Manual Trigger Point Release technique. |
This group will be getting Manual Trigger Point Release technique. Every week 3 seasons of treatment for 1 month.
Manual Trigger point release, first the therapist will identify the trigger point by pincer palpation method then the therapist will apply five slow and sufficient pressure (moderate but tolerable) on trigger point, the holding time is until the trigger point softens (max 60 sec), loss of referred pain. 10 sec hold for each before each episode. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
35.00 Year(s) |
| Gender |
Both |
| Details |
Patients having complaint of upper back pain.
Limited neck movement.
Age between 18 to 35 years.
Pain from at least last 1 month.
Palpable tender spot over the upper trapezius muscle.
Willing to participate
|
|
| ExclusionCriteria |
| Details |
Any kind of cervical injury.
Open wound.(around the shoulder and neck)
Recent or unstable fracture over the cervical spine.
Degenerative changes on the cervical spine
Any paresthesia sensation on upper limb.
In-cooperative patient
Patient below 18 years or above 35 years
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Other |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| VAS (visual Analogue scale) |
Baseline (Day 0),
Post- Intervention (Week 4) |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| NDI (Neck Disability Index) |
Baseline (Day 0),
Post- Intervention (Week 4)
|
| CROM (Cervical Range of motion) |
Baseline (Day 0),
Post- Intervention (Week 4) |
|
|
Target Sample Size
|
Total Sample Size="56"
Sample Size from India="56"
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)
|
24/02/2026 |
| 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="2"
Days="0" |
|
Recruitment Status of Trial (Global)
|
Open to Recruitment |
| 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
|
Chronic upper trapezitis leads to pain in the upper back region and increased functional disability. So, it is necessary to treat chronic upper trapezitis and reduce functional disability. Integrated neuromuscular inhibitory technique with surged faradic current and manual trigger point release both are effective in improving the pain and reducing functional disability. So in this study we are going to understand the most effective method between this two groups experimental design and random patient allocation to experimental and control groups. The study anticipates significant functional outcomes using VAS, NID and ROM. |