ClinicalTrials.gg
RecruitingNCT07838584Updated Oct 5, 2026

Comparison of Ischemic Release and Sustained Pressure Direct Myofascial Release in Upper Trapezius Trigger Point

An interventional study of Ischemic release and Sustained pressure Direct Myofascial release in Trigger Point Pain, Myofascial, sponsored by Foundation University Islamabad. Recruiting at 1 site in Pakistan. Open to participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2026-10-05.

Sponsored by Foundation University Islamabad · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 2 months later.
Updated Oct 5, 2026Primary outcomes revisedGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 32 studies in Myofascial Pain Syndromes with a site in Pakistan — 10 open to participants now, 12 under way, none of them phase 3. Myofascial Pain Syndromes · Pakistan.

Planned enrollment
14th of 32
42 · median 37
Started
2026
with 6 others
No phase
32 of 32
10 open now
Primary completion
2026-12
later than 9 of 11 live
Registered
31st of 32
by date
Lead sponsor
2 of 32
Foundation University Islamabad

Among the 32 studies in Myofascial Pain Syndromes with a site in Pakistan, this one is the 14th largest by planned enrollment, is one of 7 that started in 2026, is one of 32 with no phase, reaches primary completion later than 9 of the 11 other live ones, and was the 31st registered.

Myofascial Pain Syndromes

339 studies on the registry are indexed under Myofascial Pain Syndromes; 66 are open to participants now.

Browse Myofascial Pain Syndromes studies →

Open to participants now

10 of the 32 studies in Myofascial Pain Syndromes with a site in Pakistan are open now. Recruiting first, the newest first:

4 more — sign in →

All 10 open studies →

A study can be open while its sites in Pakistan have not opened yet or have stopped. Only those recruiting at a site in Pakistan →

Who these studies take

Of the 34 Myofascial Pain Syndromes studies recruiting now, 5 (15%) set no upper age limit and 26 (76%) stop at 75 or younger; 2 take children under 18; 4 take healthy volunteers.

This study: 18 Years to 35 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 32 studies in Myofascial Pain Syndromes with a site in Pakistan, or all of them as a file.
02

Study summary

This randomized controlled trial aims to compare the clinical effectiveness of ischemic release and sustained pressure direct myofascial release for upper trapezius trigger points.

The study will compare their effects on pain pressure threshold, cervical range of motion, and scapular upward rotation following a two-week intervention.

Read the detailed description

Eligible participants will be recruited through purposive sampling. Upper trapezius trigger points will be assessed by manual palpation to identify a taut band and hypersensitive nodule, followed by pressure to determine reproduction of the participant's familiar pain. Baseline assessments will include pain pressure threshold, cervical range of motion, and scapular upward rotation. After baseline assessment, 42 participants will be allocated randomly into respective groups, each having 21 participants.

03

Conditions studied

  • Trigger Point Pain, Myofascial

Keywords

  • Ischemic compression
  • Myofascial release therapy
  • Trigger points
04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • AGE; 18-35 years
  • Male \& Female
  • Unilateral Trapezius muscle involvement
  • Presence of at least one active trigger point in upper trapezius muscle.
  • Numeric Pain Rating Scale (NPRS) score of 3-8 points
  • Subacute Neck pain for 4-12 weeks
  • Point tenderness on palpable taut band
  • Reproducible provocation according to referred pain pattern mapping
  • Cervical range of motion change in SB ≥ 2° and ROT ≥ 2° than normal SB=45° AND ROT=70°
  • Willing to participate and provide

Exclusion criteria

Exclusion Criteria:

  • Serious pathology (e.g. neoplasm, fracture)
  • Radiculopathy
  • History of whiplash injury within past 6 months
  • Neurological deficit
  • Taking or on concurrent physiotherapy treatment
  • Prior surgery to cervical spine \& shoulder
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
42 participants (estimated)

Study arms

  • Experimental
    Ischemic Release

    Procedure: Ischemic release

  • Experimental
    Sustained pressure direct myofascial release

    Procedure: Sustained pressure Direct Myofascial release

Interventions

  • ProcedureIschemic release

    Participants will receive a two-week physiotherapy program with three sessions per week. Each session will include heat application followed active ROM and passive stretching. Participants in Group A will receive ischemic compression in addition to standard physiotherapy. Pressure should be applied via thumb for 20 second - 1 minute until pain decreases or muscle begin to relax.

    Also known as: Ischemic compression

  • ProcedureSustained pressure Direct Myofascial release

    Participants will receive a two-week physiotherapy program with three sessions per week. Each session will include heat application followed active ROM and passive stretching. Participants in Group B will receive sustained pressure direct MFR in addition to standard physiotherapy. Apply pressure to the trigger point for 8-20 seconds, maintaining it until a physical "discharge" or release is felt, which may take five minutes or more.

06

What researchers measure

Primary outcomes

  1. Pain Pressure Threshold

    Pain pressure threshold will be measured using a Wagner digital pressure algometer, apply perpendicular to the identified upper trapezius trigger point with gradually increasing pressure. The pressure at which the participant first perceived pain was recorded as the pain pressure threshold (PPT) in kg/cm².

    Time frame: Baseline and after 2 weeks.

  2. Cervical range of motion

    Cervical ROM will be assessed using a goniometer.

    Time frame: Baseline and after 2 weeks

  3. Scapular upward rotation

    Scapular upward rotation will be assessed using a bubble inclinometer.

    Time frame: Baseline and after 2 weeks

07

Study locations

1 of 1 sites recruiting
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2026 (actual). Primary completion is estimated for Dec 2026, 3 months after the start.

Of 202 non-industry interventional studies with no phase under Myofascial Pain Syndromes, half reached primary completion within 5 months of starting (the median), counting those still running; a quarter within 2 and three quarters within 12. This study's planned 3 months is below that.

Counting every sponsor, half of 204 studies reached it within 5 months; a quarter within 2 and three quarters within 13.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 18, 2026
First posted
Sep 24, 2026
StartActual
Sep 9, 2026
Primary completionEst.
Dec 18, 2026
CompletionEst.
Jan 18, 2027
Last update
Oct 5, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Primary outcomes
1 description edited
What changed in the outcomes
  • DescriptionPain Pressure Threshold: how it is measured was reworded
Oct 5, 2026
Show all 1 update
  1. Oct 5, 2026
    Primary outcomes 1 description edited
    What changed in the outcomes
    • DescriptionPain Pressure Threshold: how it is measured was reworded

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07838584
Responsible party
Sponsor
First posted
Sep 24, 2026
Start date
Sep 9, 2026
Primary completion
Dec 18, 2026 (estimated)
Completion
Jan 18, 2027 (estimated)
Last update
Oct 5, 2026

Study contacts

Sohaima Javed, DPT
Contact
sohaimajaved55@gmail.com
+92321 5404044
Quratulain Saeed, MS-OMPT
Contact
quratulain.saeed@fui.edu.pk
+92331 5562889

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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