Comparison of the Efficacy of Dry Needling and Balneotherapy in the Treatment of Myofascial Pain Syndrome

NCT04261296 | Completed

• 1 other identifier: 2019-22/217
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

Myofascial pain syndrome (MAS) is a syndrome characterized by muscle spasm, tenderness, limited range of motion, stiffness, fatigue and sometimes autonomic dysfunctions accompanying pain and pain caused by trigger points in the tense bands formed in the muscles The disease is diagnosed clinically and there are many pharmacological and non-pharmacological approaches in treatment. One of these treatments is dry needle therapy. Dry needling has been used for a long time in the treatment of myofascial pain syndrome. Another treatment used in the treatment of myofascial pain syndrome is balneotherapy (spa treatment At Ahi Evran University Physical Therapy and Rehabilitation Center, balneotherapy is frequently used in the treatment of patients with myofascial pain syndrome. The aim of this study is to compare the effectiveness of dry needling and balneotherapy, which has been used in the treatment of myofascial pain syndrome for many years.

Conditions

Myofascial Pain Syndrome of Neck

Keywords

dry needling; spa

Outcome Measures

Primary Outcomes (1)

• Visual Analogue Scale

  Pain level of the patients will be determined by "Visual Analogue Scale".

  Measurements will be made before treatment, at the 1st week after treatment and at the 3rd month after treatment. Then change of the level of pain will be investigated.

Secondary Outcomes (7)

• Mood of the patients

  Measurements will be made before treatment, at the 1st week after treatment and at the 3rd month after treatment. Then change of the level of the mood of patients will be investigated.

• Pressure pain threshold

  Measurements will be made before treatment, at the 1st week after treatment and at the 3rd month after treatment. Then change of the level of pain pressure threshold will be investigated.

• Anxiety level of the patients

  Measurements will be made before treatment, at the 1st week after treatment and at the 3rd month after treatment. Then change of the level of the anxiety will be investigated.

• Quality of life of the patients

  Measurements will be made before treatment, at the 1st week after treatment and at the 3rd month after treatment. Then change of the quality of life will be investigated.

• Kinesiophobia of the patients

  Measurements will be made before treatment, at the 1st week after treatment and at the 3rd month after treatment. Then change of the level of kinesiophobia will be investigated.

Study Arms (3)

Dry needling

EXPERIMENTAL

Arm 1: Dry needling group. Dry needling will be done with painful trigger point and it will be waited for about 20 minutes. This treatment will be repeated once a week for 3 weeks.No medication is used in this treatment.

Other: dry needling

balneotherapy

EXPERIMENTAL

Arm 2: Balneotherapy A total of 15 sessions, 20 minutes a day, 5 days a week for 3 weeks, will be held in the spa, which operates within the body of Kırşehir Ahi Evran University Physical Therapy and Rehabilitation Center.

Other: balneotherapy

Dry needling + balneotherapy

EXPERIMENTAL

Arm3: dry needling + balneotherapy Both of these methods will be applied to patients in the third group.

Other: dry needling +balneotherapy

Interventions

dry needling OTHER

In this treatment, depending on the thickness of the adipose tissue under the skin, 13 mm, 25 mm or 30 mm long; 0.20 mm thick acupuncture needle is used

Dry needling

balneotherapy OTHER

This treatment method; An "alert-fit" performed in a certain time interval and in a cure style by using the methods and doses of hot mineral waters, gases and peloids (sludge) from natural underground, determined in detail, repeatedly in series as bath, drinking and inhalation treatments. treatment can be defined as. There are studies showing that the effect of balneotherapy is mechanical, thermal, chemical, anti-inflammatory and immunological.

Also known as: Spa

balneotherapy

dry needling +balneotherapy OTHER

Both of these methods will be applied to patients in the third group.

Dry needling + balneotherapy

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Female and male patients between the ages of 18-50 who have been diagnosed as "myofascial pain syndrome (MAS)" by clinical and examination
• Patients with cooperations who can correctly understand what is stated in the patient information form
• Patients who consent to participate in the study according to the informed voluntary consent form will be included in the study.

You may not qualify if:

• Presence of cervical disc hernia, radiculopathy or myelopathy
• Having tumoral, infectious, psychiatric, systemic disease and bleeding diathesis
• Stage 3-4 osteodegeneration
• Having a diagnosis of fibromyalgia syndrome according to the diagnostic criteria of 2016 American College of Rheumatology
• Presence of kyphoscoliosis
• Pregnancy
• Having had previous brain, neck or shoulder surgery
• Having received treatment for MAS in the last 6 months
• Symptom onset duration is less than 3 months
• Having analgesic use for any reason
• Failure to cooperate

Sponsors & Collaborators

• Ahi Evran University Education and Research Hospital: lead

Study Sites (1)

Ahi Evran University Education and Research Hospital

Kırşehir, 40100, Turkey (Türkiye)

Location

Related Publications (1)

• Ong J, Claydon LS. The effect of dry needling for myofascial trigger points in the neck and shoulders: a systematic review and meta-analysis. J Bodyw Mov Ther. 2014 Jul;18(3):390-8. doi: 10.1016/j.jbmt.2013.11.009. Epub 2013 Nov 9.

  PMID: 25042309 BACKGROUND

MeSH Terms

Interventions

Dry Needling; Balneology

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities

Study Officials

• Zeynep Karakuzu Güngör, MD

  Ahi Evran Unıversity Faculty of Medicine

  PRINCIPAL INVESTIGATOR

• Fatmanur Aybala Koçak, MD

  Ahi Evran Unıversity Faculty of Medicine

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: randomized controlled study

Study Record Dates

• First Submitted: February 4, 2020
• First Posted: February 7, 2020
• Study Start: February 10, 2020
• Primary Completion: May 31, 2020
• Study Completion: May 31, 2020
• Last Updated: March 1, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)