Physiotherapy in the Reduction of Post-needling Soreness

NCT04695548 | Completed

• 1 other identifier: CEIM/HU/2020/43
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Dry needling is a minimally invasive technique which generates good results and neuromuscular benefits. Its application involves a highly prevalent effect called post-needling soreness. It is defined as a residual pain, located in the incision area, with a self-limiting period of 24-72 hours, as a result of a physiological process generated by the technique. So far, different clinical trials have been carried out to measure the effectiveness of several techniques for reducing post-needling soreness, reaching positive results. However, no studies have been found with the aim of distinguish which method is more effective for this goal; therefore, it is clear the need to continue investigating on the subject and comparing these techniques among them.

Conditions

Dry Needling; Soreness, Muscle; Trigger Point Pain, Myofascial

Outcome Measures

Primary Outcomes (1)

• Post-needling soreness intensity

  The investigators use a Visual Analog Scale (VAS) to determine the intensity of the patient's post-needing pain after and for 72 hours after DN.The VAS is a 100-mm line, oriented horizontally, with one end representing "no pain" and the other end representing "worst pain." Subjects will be asked to rate their current pain with a mark on the scale.

  Change From Baseline in Pain Scores on the Visual Analog Scale at 72 hours.

Secondary Outcomes (3)

• Pain Catastrophizing

  Change from Baseline Pain Catastrophizing at 72 hours.

• Fear of Pain.

  Change from Baseline Fear of Pain at 72 hours.

• Pain Anxiety Symptoms

  Change from Baseline Pain Anxiety at 72 hours.

Study Arms (4)

Concentric contraction exercise

EXPERIMENTAL

After applying the dry needling technique to the upper trapezius muscle, the participant will be placed in a standing position, with the shoulders positioned in the scapular plane. A medium stiffness Theraband elastic band will be placed between the participant's ipsilateral foot on the side on which the dry needling technique was applied and the acromio-clavicular joint on the same side.The exercise will consist of raising the shoulder against the resistance of the elastic band, slowly and for 5 seconds

Other: Concentric contraction exercise

Isometric contraction exercise

EXPERIMENTAL

After applying the dry needling technique to the upper trapezius muscle, the participant will be placed in a standing position, with the shoulders positioned in the scapular plane. A medium stiffness Theraband elastic band will be placed between the participant's ipsilateral foot on the side on which the dry needling technique was applied and the acromio-clavicular joint on the same side.The exercise will consist of raising the shoulder and maintaining the tension of the elastic band for 5 seconds

Other: Isometric contraction exercise

Eccentric contraction exercise

EXPERIMENTAL

After applying the dry needling technique to the upper trapezius muscle, the participant will be placed in a standing position, with the shoulders positioned in the scapular plane. A medium stiffness Theraband elastic band will be placed between the participant's ipsilateral foot on the side on which the dry needling technique was applied and the acromio-clavicular joint on the same side.The exercise will consist of raising the shoulder against the resistance of the elastic band, slowly and for 5 seconds

Other: Eccentric contraction exercise

Analytic passive stretching.

EXPERIMENTAL

After applying the dry needling technique to the upper trapezius muscle, the patient remains supine position. The analytical passive stretch of the upper trapezius will be performed only once, bringing the muscle to the limit of elastic tension perceived by the subject. The passive stretching technique will be held for 30 seconds.

Other: Analytic passive stretching

Interventions

Concentric contraction exercise OTHER

The participant will be placed in a standing position, with the shoulders positioned in the scapular plane. A medium stiffness Theraband elastic band will be placed between the participant's ipsilateral foot on the side on which the dry needling technique was applied and the acromio-clavicular joint on the same side.The exercise will consist of raising the shoulder against the resistance of the elastic band, slowly and for 5 seconds

Also known as: Muscle concentric contraction

Concentric contraction exercise

Isometric contraction exercise OTHER

The participant will be placed in a standing position, with the shoulders positioned in the scapular plane. A medium stiffness Theraband elastic band will be placed between the participant's ipsilateral foot on the side on which the dry needling technique was applied and the acromio-clavicular joint on the same side.The exercise will consist of raising the shoulder and maintaining the tension of the elastic band for 5 seconds

Also known as: Muscle isometric contraction

Isometric contraction exercise

Eccentric contraction exercise OTHER

The participant will be placed in a standing position, with the shoulders positioned in the scapular plane. A medium stiffness Theraband elastic band will be placed between the participant's ipsilateral foot on the side on which the dry needling technique was applied and the acromio-clavicular joint on the same side.The exercise will consist of asking the participant to lower their shoulder, against the resistance of the elastic band, in a slow and controlled manner for 5 seconds.

Also known as: Muscle eccentric contraction

Eccentric contraction exercise

Analytic passive stretching OTHER

The patient remains supine position. The analytical passive stretch of the upper trapezius will be performed only once, bringing the muscle to the limit of elastic tension perceived by the subject. The passive stretching technique will be held for 30 seconds.

Also known as: Muscle passive stretching

Analytic passive stretching.

Eligibility Criteria

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

You may qualify if:

• Age between 18 and 65 years;
• Cervical pain.
• Presence of an active PGM in the upper trapezius muscle.

You may not qualify if:

• Traumatic history in the cervical region;
• Inability to understand or perform the required exercises;
• Pregnancy in the first trimester;
• Altered state of coagulation;
• Immunosuppression status;
• State of alteration of sensitivity (e.g. central sensitization processes, fibromyalgia, etc.);
• Unavoidable fear of needles;
• Lack of knowledge about the use of the WhatsApp or Telegram messaging platform

Sponsors & Collaborators

• University of Alcala: lead

Study Sites (1)

Clinical University Physiotherapy and pain

Alcalá de Henares, Madrid, 2805, Spain

Location

MeSH Terms

Conditions

Myalgia; Myofascial Pain Syndromes

Interventions

Isometric Contraction

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Neuromuscular Diseases; Nervous System Diseases; Musculoskeletal Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Muscle Contraction; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Daniel Pecos-Martin, PhD

  Alcala University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: January 2, 2021
• First Posted: January 5, 2021
• Study Start: February 23, 2021
• Primary Completion: April 25, 2021
• Study Completion: June 30, 2021
• Last Updated: July 19, 2021

Record last verified: 2021-07

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)