Effects of Dry Needling on Stiffness in Latent Trigger Points

NCT04394741 | Completed DMC

• 1 other identifier: DNStiffness
• Study Type: interventional
• Target: 51
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine whether application of Dry Needling (DN) is effective for reduced on Stiffness in Latent trigger point (LTrP) of upper trapezius. The secondary purposes are to determine the correlation on two elastography for stiffness measure (Shear-wave elastography and Strain elastography). Randomized controlled trial, in parallel with cross-control design. Two groups with LTrP in upper trapezius, and will be randomly selected to DN group or Sham-Dn group.

Conditions

Trigger Points

Keywords

Pain; Latent trigger point; Stiffness; Dry Needling

Outcome Measures

Primary Outcomes (1)

• Change on Stiffness (Shear wave elastography and Strain Elastography)

  Shear-wave Elastography (SWE) as assessed using an Logiq S8 US system (GE Healthcare). The stiffness was determined with measuring velocity of shear waves in trapezius muscle on SWE exam. Strain elastography (SEL) as assessed using an Logiq S8 US system (GE Healthcare). The stiffness was determined by applying light repetitive compression with the hand-held transducer

  Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment

Secondary Outcomes (3)

• Change in Pain Pressure Threshold (PPT)

  Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment

• Change in Thickness of muscle

  Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment

• Change in Post-needling soreness

  Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment

Study Arms (2)

Deep Dry Needling

EXPERIMENTAL

Intervention-Dry Needling: Deep Dry Needing into the latent trigger point of the upper trapezius muscle

Device: Intervention-Dry Needling

Sham Dry Needling

SHAM COMPARATOR

Control-Dry Needling: Sham Dry Needling into the latent trigger point of the upper trapezius muscle

Device: Intervention-Dry Needling; Device: Control-Dry Needling

Interventions

Intervention-Dry Needling DEVICE

Deep Dry Needling into the site of the latent Trigger Point of the upper trapezius muscle. 1 session in upper trapezius muscle moving the needle up and down ten times.

Deep Dry Needling; Sham Dry Needling

Control-Dry Needling DEVICE

Sham Dry Needling into the site of the latent Trigger Point of the upper trapezius muscle with non-penetrating needles 1 session in upper trapezius muscle moving the needle up and down ten times.

Sham Dry Needling

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age between 18 and 30 years
• The presence of LTrP in the middle third of the upper trapezius muscle on the dominant side
• Being able to provide written informed consent
• Being able to follow instructions and realize clinical tests

You may not qualify if:

• Any pharmacological therapeutic
• Any medical treatment or physical therapies at cervical region during the 6-month before this study - Any diagnosed health problem
• Any history of head and upper extremity surgery or trauma
• Any red flags to DN, (ie: metabolic diseases, pregnancy, kinesiophobia, Infection, cancer)
• Absence of recurrent history of neck pain
• No neck pain symptomatology the previous 6 months
• Cervical disk herniation

Sponsors & Collaborators

• University of Castilla-La Mancha: lead

Study Sites (1)

Performance and Sport Rehabilitation Laboratory

Toledo, 45071, Spain

Location

Related Publications (5)

• Ruiz-Saez M, Fernandez-de-las-Penas C, Blanco CR, Martinez-Segura R, Garcia-Leon R. Changes in pressure pain sensitivity in latent myofascial trigger points in the upper trapezius muscle after a cervical spine manipulation in pain-free subjects. J Manipulative Physiol Ther. 2007 Oct;30(8):578-83. doi: 10.1016/j.jmpt.2007.07.014.

  PMID: 17996549 BACKGROUND

• Grabowski PJ, Slane LC, Thelen DG, Obermire T, Lee KS. Evidence of Generalized Muscle Stiffness in the Presence of Latent Trigger Points Within Infraspinatus. Arch Phys Med Rehabil. 2018 Nov;99(11):2257-2262. doi: 10.1016/j.apmr.2018.03.024. Epub 2018 Apr 28.

  PMID: 29709524 BACKGROUND

• Maher RM, Hayes DM, Shinohara M. Quantification of dry needling and posture effects on myofascial trigger points using ultrasound shear-wave elastography. Arch Phys Med Rehabil. 2013 Nov;94(11):2146-50. doi: 10.1016/j.apmr.2013.04.021. Epub 2013 May 14.

  PMID: 23684553 BACKGROUND

• Luan S, Zhu ZM, Ruan JL, Lin CN, Ke SJ, Xin WJ, Liu CC, Wu SL, Ma C. Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. Am J Phys Med Rehabil. 2019 Aug;98(8):677-684. doi: 10.1097/PHM.0000000000001173.

  PMID: 31318748 BACKGROUND

• Sanchez-Infante J, Bravo-Sanchez A, Jimenez F, Abian-Vicen J. Effects of Dry Needling on Muscle Stiffness in Latent Myofascial Trigger Points: A Randomized Controlled Trial. J Pain. 2021 Jul;22(7):817-825. doi: 10.1016/j.jpain.2021.02.004. Epub 2021 Feb 23.

  PMID: 33636373 DERIVED

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Javier Abián-Vicén, PhD

  Castilla-La Mancha University

  STUDY DIRECTOR

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: SPONSOR

Study Record Dates

• First Submitted: May 10, 2020
• First Posted: May 19, 2020
• Study Start: June 1, 2020
• Primary Completion: July 31, 2020
• Study Completion: August 31, 2020
• Last Updated: October 5, 2020

Record last verified: 2020-09

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)