<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20240811062721N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2025-02-07</date_registration>
      <primary_sponsor>Shahid Beheshti University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation the effects of a Massage device on muscle spasm in neck and shoulder</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation the effects of Massage Gun on pain and range of mation in the upper Trapezius myofascial trigger point, a randomized clinical Trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-08-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/78620</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Factorial, Purpose: Treatment, Randomization description: In order to achieve bias and comparability between the two groups, a generation method is used to assign individuals to the case and control groups. The method used in this study is the generation of random numbers. In this way, a number is generated randomly for each participant in the study. After generating random numbers with the help of statistical software, a threshold value, for example 0.5, is determined to determine whether the individual is assigned to the control or the case group. For example, if the random number assigned to the individual is less than 0.5. In order to assign individuals to groups, the participants are distributed to the control groups and examined to have an identification process of the participants in each group. If the absence between the two groups is severe, the participants are re-randomized. SPSS software is used to generate random numbers.
To conduct random assignment and assign participants to intervention and control groups in this study, the following steps were taken using SPSS:

1. **Creating New Variables**: A new variable named "Group" was created in the SPSS data file to determine the intervention and control groups.

2. **Generating Random Numbers**: The `RV.UNIFORM(0,1)` function was used to generate random numbers between 0 and 1 for each participant. This function can be executed in SPSS by going to the `Transform` menu and selecting `Compute Variable`.

3. **Defining the Threshold**: A threshold value of 0.5 was set. The random numbers generated for each participant were compared to this threshold.

4. **Assigning Groups**: If the random number generated for a participant was less than 0.5, they were assigned to the intervention group (e.g., value of 1); otherwise, they were assigned to the control group (e.g., value of 0). This assignment was implemented using the following SPSS command:

```plaintext
IF (RV.UNIFORM(0,1) &lt; 0.5) Group = 1.
ELSE Group = 0.
EXECUTE.
```

5. **Checking Randomization Distribution**: After randomization, the distribution of participants in the intervention and control groups was checked to ensure the randomization process had resulted in a balanced representation of participants in each group, Blinding description: The assessment before and after the treatment is done by a sports medicine resident who is not involved in the treatment, and the information collection form, does not include written information on the treatment method.
The analysis is done by Amarist and the information of the two groups is delivered to Amarist with a code for evaluation.</study_design>
      <phase>N/A</phase>
      <hc_freetext>muscle spasm.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Three treatment sessions with a Urikar massage gun by the therapist and each session lasts for 5 minutes at a low speed (level 1 equivalent to 30-40 Hz) in the location of muscle trigger points in the upper trapezius muscle. Intervention 2: Three sessions of acupuncture treatment for 10 minutes each session using 3 to 10 25 x 25 Huanqiu needles in the location of muscle trigger points in the upper trapezius muscle.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is no more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>شیوا دهقان قهفرخی</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Araabi st. Daneshjou Blvd. Velenjak. Taleghani hospital</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985711151</zip>
        <telephone>+98 21 2243 2560</telephone>
        <email>shiva2010med@yahoo.com</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Shiva Dehghan Ghahfarokhi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Araabi st. Daneshjou Blvd. Velenjak</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985711151</zip>
        <telephone>+98 21 2243 2560</telephone>
        <email>shiva2010med@yahoo.com</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>all patient with shoulder and neck pain</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>previous shoulder and neck surgery
cervical radiculopathy, osteoarthritis, myopathy,
major depression, Fibromyalgia or chronic fatigue syndrome
Life-threatening metabolic diseases (such as diabetes mellitus, Cardiovascular, neurological disease, coagulative state)
Pregnancy
BMI more than 30 kg/m2
no cooperation</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M62.838</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other muscle spasm</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Three treatment sessions with a Urikar massage gun by the therapist and each session lasts for 5 minutes at a low speed (level 1 equivalent to 30-40 Hz) in the location of muscle trigger points in the upper trapezius muscle</i_keyword>
      <i_keyword>Three sessions of acupuncture treatment for 10 minutes each session using 3 to 10 25 x 25 Huanqiu needles in the location of muscle trigger points in the upper trapezius muscle</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain. Timepoint: baseline and after therapeutic sessions. Method of measurement: Visual Analogue Scale.</prim_outcome>
      <prim_outcome>Park Northwick Questionnaire score. Timepoint: baseline and after therapeutic sessions. Method of measurement: Park Northwick Questionnaire.</prim_outcome>
      <prim_outcome>Neck Range of motion. Timepoint: baseline and after therapeutic sessions. Method of measurement: protractor.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Shahid Beheshti University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2024-07-31</approval_date>
        <contact_name>Ethics committee of Shahid Beheshti University of medical sciences</contact_name>
        <contact_address>Araabi st. Daneshjou Blvd. Velenjak. Taleghani hospital Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
