Superficial Dry Needling Versus Deep Dry Needling on the Upper Trapezius

NCT03719352 | Completed

• 1 other identifier: CEU UCH 205
• Study Type: interventional
• Target: 180
• Locations: 1 country
• Sites: 1

Brief Summary

This study investigates the effect of two different techniques (deep dry needling and superficial dry needling) on the latent myofascial trigger point in the upper trapezius. Subjects with latent Myofascial trigger point in this location of the muscle will be identified and will be randomly assigned to one out of the three groups: deep dry needling, superficial dry needling or sham dry needling in gastrocnemius muscle. cervical range of motion and pain pressure threshold in the upper trapezius will be registered before, immediately after the intervention, at 24 hours after the intervention, at 72 hours after the intervention and a week after the intervention

Conditions

Neck Pain

Outcome Measures

Primary Outcomes (1)

• Pain pressure threshold

  Amount of pressure (Kg/cm2) applied at the upper trapezius myofascial trigger point site that elicit pain for the patient will be reported

  a week

Secondary Outcomes (1)

• Cervical range of motion

  a week

Study Arms (3)

Deep dry needling

EXPERIMENTAL

Deep dry needling will be applied in the upper trapezius myofascial trigger point

Procedure: Experimental: Deep dry needling

Superficial dry needling

EXPERIMENTAL

Superficial dry needling will be applied in the upper trapezius myofascial trigger point

Procedure: Experimental: Superficial dry needling

Placebo Gastrocnemius dry needling

PLACEBO COMPARATOR

A technique simulating dry needling will be applied in the gastrocnemius myofascial trigger point with a needle guard guide tube, without any therapeutic manoeuvre will be applied.

Procedure: Placebo Comparator: Placebo Gastrocnemius dry needling

Interventions

Experimental: Deep dry needling PROCEDURE

Deep dry needling until achieving twitch response of the muscle

Deep dry needling

Experimental: Superficial dry needling PROCEDURE

Superficial dry needling to achieve sensitive pain with needle rotation

Superficial dry needling

Placebo Comparator: Placebo Gastrocnemius dry needling PROCEDURE

Simulate pain with de plastic needle guard in the gastrocnemius muscle

Placebo Gastrocnemius dry needling

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Present the latent Myofascial trigger Point (MTP) 1 in upper trapezius.
• Accept participation in the study (signature of informed consent).
• Be in an age range between 18 and 55 years.

You may not qualify if:

• Do not present MTP 1 latent in the upper trapezius.
• Suffering and / or having suffered from upper limb pathologies, deformities or orthopedic injuries that could alter the static and biomechanics of the shoulder and neck.
• Not clearly identify the MTP 1 in the upper trapezius.
• Have been diagnosed with fibromyalgia, myelopathy or radiculopathy.
• Having contraindicated the technique of dry needling for suffering, for example, coagulation problems.
• Having suffered a whiplash.
• Be pregnant.
• Have used analgesics 24 hours before participating in the study.
• Having belonephobia.
• Know the study techniques.
• Be in physiotherapy treatment and / or have been treated with needle techniques at some time.
• Having had cervical surgery.

Sponsors & Collaborators

• Cardenal Herrera University: lead

Study Sites (1)

Universidad CEU Cardenal Herrera

Valencia, Moncada, 46113, Spain

Location

Related Publications (7)

• Segura-Orti E, Prades-Vergara S, Manzaneda-Pina L, Valero-Martinez R, Polo-Traverso JA. Trigger point dry needling versus strain-counterstrain technique for upper trapezius myofascial trigger points: a randomised controlled trial. Acupunct Med. 2016 Jun;34(3):171-7. doi: 10.1136/acupmed-2015-010868. Epub 2016 Jan 8.

  PMID: 26746173 BACKGROUND

• Martin-Pintado-Zugasti A, Pecos-Martin D, Rodriguez-Fernandez AL, Alguacil-Diego IM, Portillo-Aceituno A, Gallego-Izquierdo T, Fernandez-Carnero J. Ischemic Compression After Dry Needling of a Latent Myofascial Trigger Point Reduces Postneedling Soreness Intensity and Duration. PM R. 2015 Oct;7(10):1026-1034. doi: 10.1016/j.pmrj.2015.03.021. Epub 2015 Mar 31.

  PMID: 25836591 BACKGROUND

• Ziaeifar M, Arab AM, Karimi N, Nourbakhsh MR. The effect of dry needling on pain, pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle. J Bodyw Mov Ther. 2014 Apr;18(2):298-305. doi: 10.1016/j.jbmt.2013.11.004. Epub 2013 Nov 9.

  PMID: 24725800 BACKGROUND

• Mejuto-Vazquez MJ, Salom-Moreno J, Ortega-Santiago R, Truyols-Dominguez S, Fernandez-de-Las-Penas C. Short-term changes in neck pain, widespread pressure pain sensitivity, and cervical range of motion after the application of trigger point dry needling in patients with acute mechanical neck pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2014 Apr;44(4):252-60. doi: 10.2519/jospt.2014.5108. Epub 2014 Feb 25.

  PMID: 24568260 BACKGROUND

• Llamas-Ramos R, Pecos-Martin D, Gallego-Izquierdo T, Llamas-Ramos I, Plaza-Manzano G, Ortega-Santiago R, Cleland J, Fernandez-de-Las-Penas C. Comparison of the short-term outcomes between trigger point dry needling and trigger point manual therapy for the management of chronic mechanical neck pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2014 Nov;44(11):852-61. doi: 10.2519/jospt.2014.5229. Epub 2014 Sep 30.

  PMID: 25269764 BACKGROUND

• Abbaszadeh-Amirdehi M, Ansari NN, Naghdi S, Olyaei G, Nourbakhsh MR. Therapeutic effects of dry needling in patients with upper trapezius myofascial trigger points. Acupunct Med. 2017 Apr;35(2):85-92. doi: 10.1136/acupmed-2016-011082. Epub 2016 Oct 3.

  PMID: 27697768 RESULT

• Montero Navarro S, Del Rio Medina S, Martin Botella Rico J, Isabel Rocha Ortiz M, Teresa Perez Gracia M. Analysis and comparison of pain pressure threshold and active cervical range of motion after superficial and deep dry needling techniques of the upper trapezius muscle. Acupunct Med. 2022 Feb;40(1):13-23. doi: 10.1177/09645284211039523. Epub 2021 Sep 23.

  PMID: 34553614 DERIVED

Related Links

• The University CEU-Cardenal Herrera is th first private university in the Valencian Community. It belongs to the Foundation San Pablo - CEU and is the leading educational organization in Spain with three Universities all over Spain

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Sergio Montero-Navarro, PhD

  Cardenal Herrera University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Double (participant, outcomes Assessor
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 15, 2018
• First Posted: October 25, 2018
• Study Start: October 24, 2018
• Primary Completion: October 25, 2018
• Study Completion: November 8, 2018
• Last Updated: November 14, 2018

Record last verified: 2018-11

Locations

ES (1)