Effect of Dry Needling on Muscle Mechanical Properties and Muscle Contractility in Latent Trigger Points

NCT04466813 | Completed DMC

• 1 other identifier: DNMYOTMG
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine whether application of Dry Needling (DN) is effective for improved Muscle Mechanical Properties and Muscle Contractility in Latent Trigger Points point (LTrP) of upper trapezius. 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 Point Pain, Myofascial

Keywords

Latent trigger point; Dry needling; Myotonometer; Tensiomyography

Outcome Measures

Primary Outcomes (2)

• Change in Stiffness

  This outcome measure is obtained by a device named MyotonPro. Stiffness reflects the resistance of the muscle to the force deforming the muscle.

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

• Change in Maximal Radial Displacement (Dm)

  This outcome measure is obtained by a device named Tensiomiography. The variable Dm is given by the radial displacement of the muscular belly in a transverse plane, expressed in millimeters (mm) and depends on muscle tone or stiffness. A low Dm is related to a high muscle tone or an excess of stiffness, while a high Dm value indicates a lack of muscle tone or stiffness defect.

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

Secondary Outcomes (9)

• Change in Oscillation Frequency

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

• Change in Decrement (elasticity)

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

• Change in Mechanical Stress Relaxation Time [ms]

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

• Change in Ratio of deformation and Relaxation time, characterising Creep (Deborah number)

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

• Change in Contraction time (Tc)

  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: 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

Control-Dry Needling DEVICE

Sham Dry Needling into the site of the latent Trigger Point of the upper trapezius muscle with non-penetrating needles

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 (1)

• Sanchez-Infante J, Bravo-Sanchez A, Jimenez F, Abian-Vicen J. Effects of dry needling on mechanical and contractile properties of the upper trapezius with latent myofascial trigger points: A randomized controlled trial. Musculoskelet Sci Pract. 2021 Dec;56:102456. doi: 10.1016/j.msksp.2021.102456. Epub 2021 Sep 3.

  PMID: 34507046 DERIVED

MeSH Terms

Conditions

Myofascial Pain Syndromes

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases

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: July 6, 2020
• First Posted: July 10, 2020
• Study Start: July 20, 2020
• Primary Completion: September 20, 2020
• Study Completion: October 20, 2020
• Last Updated: October 23, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)