Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

NCT04285216 | Completed

• 1 other identifier: MSOMPT/Spring19/031 Aqsa Aroob
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

To determine the effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Conditions

Trigger Point Pain, Myofascial

Keywords

Dry needling; Myofascial trigger points; Upper Trapezius; Strain counter strain

Outcome Measures

Primary Outcomes (2)

• Numeric Pain Rating Scale (NPRS)

  The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).

  4 months

• Range of Motion

  Standard Goniometer will be used.Higher score shows improvement.

  4 months

Secondary Outcomes (1)

• Disability

  4 months

Study Arms (2)

Dry needling

EXPERIMENTAL

Hot pack 10 mints,stretching,Neck isometrics, dry needling(DN) and Strain counterstrain(SCS)

Other: Dry Needling

Strain counter strain

ACTIVE COMPARATOR

Hot pack 10 minutes, stretching,Neck isometrics, Strain counter strain (S C S)

Other: Strain counter strain

Interventions

Dry Needling OTHER

Hot pack 10 mints,stretching,Neck isometrics, dry needling(DN) and Strain counterstrain(SCS)

Dry needling

Strain counter strain OTHER

Hot pack 10 mints, stretchings,Neck isometrics, Strain counterstrain(SCS)

Strain counter strain

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with non-specific neck pain, having active myofascial trigger points in upper trapezius muscle.
• Patient of both gender under the age of 20-40 year
• bilateral pain involving the upper trapezius
• a duration of pain of at least 3 months
• pain localized in the cervical and occipital regions but not in the orofacial region.
• restricted cervical range of motion(side flexion)

You may not qualify if:

• history of traumatic injuries (e.g., contusion, fracture, and whiplash injury)
• needle phobia patients.
• systemic diseases such as blood coagula tion disorders, chronic pain syndrome, cancer,allergies fibromyalgia, systemic lupus erythematous, and psoriatic arthritis.
• cervical spine surgery patients.
• orofacial pain and temporomandibular disorders
• neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia)
• medical diagnosis of any primary headache (tension type or migraine) clinical diagnosis of cervical radiculopathy or myelopathy
• history of previous physical therapy intervention for the cervical region in last 6 month
• use of anticoagulants, opioids or antiepileptic medications

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Mayo Hospital

Lahore, 54000, Pakistan

Location

Related Publications (7)

• Gerwin RD, Shannon S, Hong CZ, Hubbard D, Gevirtz R. Interrater reliability in myofascial trigger point examination. Pain. 1997 Jan;69(1-2):65-73. doi: 10.1016/s0304-3959(96)03248-4.

  PMID: 9060014 BACKGROUND

• Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Anesthesiol Clin. 2007 Dec;25(4):841-51, vii-iii. doi: 10.1016/j.anclin.2007.07.003.

  PMID: 18054148 BACKGROUND

• Fischer AA. Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain. 1987 Jul;30(1):115-126. doi: 10.1016/0304-3959(87)90089-3.

  PMID: 3614975 BACKGROUND

• Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. J Am Board Fam Med. 2010 Sep-Oct;23(5):640-6. doi: 10.3122/jabfm.2010.05.090296.

  PMID: 20823359 BACKGROUND

• Tough EA, White AR, Cummings TM, Richards SH, Campbell JL. Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomised controlled trials. Eur J Pain. 2009 Jan;13(1):3-10. doi: 10.1016/j.ejpain.2008.02.006. Epub 2008 Apr 18.

  PMID: 18395479 BACKGROUND

• avaid HMW, Ahmad A, Ajmad F, Liaqat S, Tahir S. Effects of conventional physical therapy with or without strain counterstrain in patients with trigger points of upper trapezius; a randomized controlled clinical trial. Annals of King Edward Medical University. 2016;22(3).

  BACKGROUND

• Somprasong S, Mekhora K, Vachalathiti R, Pichaiyongwongdee S. Effects of strain counter-strain and stretching techniques in active myofascial pain syndrome. Journal of physical therapy science. 2011;23(6):889-93.

  BACKGROUND

MeSH Terms

Conditions

Myofascial Pain Syndromes

Interventions

Dry Needling

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities

Study Officials

• Maryam Shabbir, Phd

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Outcome Assessor will be binded
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 11, 2020
• First Posted: February 26, 2020
• Study Start: September 15, 2019
• Primary Completion: June 20, 2020
• Study Completion: August 28, 2020
• Last Updated: September 22, 2020

Record last verified: 2020-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)