Efficacy of the Use of Dry Needling in Conventional Non-invasive Treatment of Acute and Subacute Whiplash

NCT03502928 | Completed

• 1 other identifier: 1489327794181094
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

INTRODUCTION: Whiplash is an injury produced by an acceleration-deceleration mechanism that transmits energy to the cervical spine. According to the bibliography, the conservative treatment (motor control exercises and manual therapy) has shown benefits in approaching this lesion, but its efficacy is limited. Dry needling has already shown its usefulness in different musculoskeletal pathologies, however, its efficacy is unknown when it is included in conservative treatment. OBJECTIVES: The objective of this study is to assess the effects of the incorporation of dry needling in the conventional treatment with manual therapy and motor control exercises, compared to the conventional non-invasive treatment in patients with acute or subacute whiplash. HYPOTHESIS: The inclusion of dry needling in conventional non-invasive treatment is more effective than conventional non-invasive treatment in patients with acute or subacute whiplash. METHODS: A randomized clinical trial will be conducted in which the subjects of study will be assigned to two groups, a control group (conventional treatment) and an experimental group (conventional treatment and dry needling).

Conditions

Whiplash Injuries

Keywords

Dry Needling; Manual Therapy; Motor Control; Whiplash

Outcome Measures

Primary Outcomes (1)

• Neck Disability Index. Changes from Baseline

  0-100% (0% = No Disability; 100% = Disability (highest level of disability)

  3 weeks, 6 weeks, 3 months

Secondary Outcomes (4)

• Pressure pain thresholds. Changes from Baseline

  3 weeks, 6 weeks, 3 months

• Cervical Range of Movement. Changes from Baseline

  3 weeks, 6 weeks, 3 months

• Kinesophobia. Changes from Baseline

  3 weeks, 6 weeks, 3 months

• Cervical Motor Control. Changes from Baseline

  3 weeks, 6 weeks, 3 months

Study Arms (2)

Conventional Treatment

ACTIVE COMPARATOR

Motor Control + Manual Therapy

Other: Motor Control; Other: Manual Therapy

Experimental Treatment

EXPERIMENTAL

Motor Control + Manual Therapy + Dry Needling

Other: Motor Control; Other: Manual Therapy; Other: Dry Needling

Interventions

Motor Control OTHER

Neck Motor Control

Conventional Treatment; Experimental Treatment

Manual Therapy OTHER

Massage + Joint Mobilizations

Conventional Treatment; Experimental Treatment

Dry Needling OTHER

Dry Needling in Neck Muscles

Experimental Treatment

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Medical Diagnosis of Whiplash Grade I-II in the QTF
• Neck Pain
• Whiplash in Acute or Subacute Phase

You may not qualify if:

• Pregnancy
• Belonephobia
• Cervical Fractures-Dislocations or Neurological Deficit Secondaries to Accident
• Previous Surgery of the Cervical Spine
• Circulatory Disease, Respiratory Disease, Neurological Disease, Rheumatologic Disease and Mental Illness
• Athletes

Sponsors & Collaborators

• University of Alcala: lead

Study Sites (1)

Universidad de Alcalá

Alcalá de Henares, Spain

Location

MeSH Terms

Conditions

Whiplash Injuries

Interventions

Functional Laterality; Musculoskeletal Manipulations; Dry Needling

Condition Hierarchy (Ancestors)

Neck Injuries; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Dominance, Cerebral; Nervous System Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Alexander Achalandabaso, PhD

  University of Jaén

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: physiotherapist

Study Record Dates

• First Submitted: April 5, 2018
• First Posted: April 19, 2018
• Study Start: November 4, 2019
• Primary Completion: January 16, 2020
• Study Completion: June 10, 2020
• Last Updated: June 11, 2020

Record last verified: 2020-06

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)