Dry Needling Effectiveness and Post-punction Pain

NCT04148469 | Completed

• 1 other identifier: urjc20-13
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this estudy was to dertermine if the application of Transcutaneous Nerve Stimiulation (TENS) current have an hypoalgesic effect on pattientes suffering from miofascial neck pain, compared with a only dry needling treatment. Psicological varaibles were also mesured in order to determine how they change after each treatment.

Conditions

Neck Pain

Keywords

Miofascial pain syndrom.; Trigger point.; Dry needling.; Transcotaneous Nerve Stimuilation.; Hipoalgesia

Outcome Measures

Primary Outcomes (1)

• Visual Analogue Scale

  Visual Analogue Scale (VAS) is a subjective evaluation. There are previous studies that demonstrate its reliability and its sensitivity, wich give validity to VAS messures. The messure is made using a two sides 10 centimeters scale. The patient´s face shows an increasing slope that allows the patient to mark his pain level. That mark has his equivalent number on the scale, so 0 is no pain and 10 is maximum pain. A differece of 2 points on the scale means the minimum clinically significant change.

  Patients will be reassed in four days.

Secondary Outcomes (2)

• Active Cervical Range of Movement

  Patient will be reassed in four days.

• Pressure Pain Threshold

  Patients will be reassed in four days.

Study Arms (3)

dry needling and TENS

EXPERIMENTAL

A dry needling treatment was performed on trapezius trigger point number 2, and just after thar, a TENS curretn was applied. Patients will be reassed on fourth day after treatment.

Procedure: Transcutaneous Nerve Stimulation.

Placebo

PLACEBO COMPARATOR

A placebo dry needling was performed on trapezius trigger point number 2. Patients will be reassed on fourth day after treatment.

Procedure: Placebo needling

dry needling

EXPERIMENTAL

A dry needling treatment was performed on trapezius trigger point number 2. Patients will be reassed on fourth day after treatment.

Procedure: Dry needling

Interventions

Dry needling PROCEDURE

Dry needlin is a manual therapy technique used for miofascuial pain syndrom treatment. The patient will be supine, in a confortable position. The therapist localizes the trapezius trigger point number 2 and then performes the needling until 2 REL are obtenined. The patient will remain supine during 15 minutes.

dry needling

Transcutaneous Nerve Stimulation. PROCEDURE

Transcutaneous Nerve Stimulation (TENS) is a current used for pain treatment. The needle will be used as the negative pole and a adhesive patch 2 centimeters lateral will be the positive pole. The frecuency selected will have 2 Hz with pulses of 120 microseconds. The currente will be applied for 15 minutes.

dry needling and TENS

Placebo needling PROCEDURE

No active technique is performed with the placebo needling. Patient will be supine and a placebo needle willb be performed. The patient will remain supine for 15 minutes.

Placebo

Eligibility Criteria

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

You may qualify if:

• Mechanical Neck pain of at least 6 months.
• VAS 2 or greather.
• Existance of miofascial trigger point in trapezius muscle assesed by an expert PT.

You may not qualify if:

• Neck pain due secondary to ostheoporosis, metastasis, neoplasias, fractures, infections, cervical stenosis or infexious procces.
• Headache secondary to medular compression presenting one o the following signs: abnormal sensitivity, hiperreflexia, clonus, spread weakness, cervical hernia.
• Neck pain with radiculopathy.
• Whiplash.
• Vertebrobasilar syndrome.
• Dizzyness.
• Pregnancy.
• Having received dry needling treatment before.

Sponsors & Collaborators

• Universidad Rey Juan Carlos: lead

Study Sites (1)

Universidad Rey Juan Carlos

Alcorcón, Madrid, 28922, Spain

Location

MeSH Terms

Conditions

Neck Pain

Interventions

Dry Needling; Transcutaneous Electric Nerve Stimulation

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Electric Stimulation Therapy; Rehabilitation; Analgesia; Anesthesia and Analgesia

Study Officials

• Jose Vicente León Hernández, PT

  Universitdad Rey Juan Carlos

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: October 30, 2019
• First Posted: November 1, 2019
• Study Start: November 1, 2012
• Primary Completion: June 12, 2013
• Study Completion: December 10, 2013
• Last Updated: November 1, 2019

Record last verified: 2019-10

Locations

ES (1)