Dry Needling Versus Magnesium Sulphate Iontophoresis in Subjects With Chronic Mechanical Neck Pain

NCT04809038 | Completed

• 1 other identifier: p.t.REC/012/003108
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

the aim of this trial is to compare dry needling and magnesium sulphate iontophoresis in subjects with mechanical neck pain

Conditions

Chronic Pain

Keywords

dry needling, iontophoresis, neck pain

Outcome Measures

Primary Outcomes (2)

• pain intensity

  pain will be measured by visual analogue scale

  up to four weeks

• muscle activity in the form of normalized root mean square

  muscle activity will be measured by electromyograph

  up to four weeks

Secondary Outcomes (2)

• function

  up to four weeks

• pressure pain threshold

  up to four weeks

Study Arms (3)

dry needling

EXPERIMENTAL

dry needling will be received twice a week for four weeks

Other: dry needling; Other: stretching exercise

magnesium sulphate iontophoresis

EXPERIMENTAL

magnesium sulphate iontophoresis will be received twice a week for four weeks

Other: magnesium sulphate iontophoresis; Other: stretching exercise

stretching exercise

ACTIVE COMPARATOR

stretching will be received twice a week for four weeks

Other: stretching exercise

Interventions

dry needling OTHER

Patient will be placed in a comfortable prone position and encouraged to maintain complete relaxation. The selected active MTrPs was prepared by wiping the area with alcohol pad, and a gauge needle with its plastic guide tube in place will be palced over the active MTrPs .a tapping motion will be used to advance the needle to a depth of 5 to 10 mm for 30 seconds

dry needling

magnesium sulphate iontophoresis OTHER

The subjects in the iontophoresis group received MgSO4 iontophoresis using an iontophoretic drug delivery system (Phoresor\_IIAuto,ModelPM850,IOMED. MTrPs were examined using pincer palpation and marked by pin. MgSO4 was applied to the active positive electrode using a syringe with a concentration of 100 mg/cm2. The active electrode was placed directly over the marked area where the sensitive MTrPs were located. The dispersive electrode was applied to the skin 6 inches distal from the active electrode.

magnesium sulphate iontophoresis

stretching exercise OTHER

The patient will be placed in a comfortable and relaxed sitting position with his back supported ; one hand was placed on the side of the head applying the stretching force, while the other hand was placed on the patients shoulder applying shoulder stablization . The direction of stretched force was in flexion , side bending to the opposite side and rotation to the same side . The stretched position will be sustained for 30 seconds , then a relaxation period of 30 seconds . This procedure was repeated 3 times .

dry needling; magnesium sulphate iontophoresis; stretching exercise

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• All patients had active trigger myofascial trigger points (MTrPs) in upper trapeziues muscle in the dominant side with mechanical neck pain.
• The patients age ranged from 18-35years The patients had been choosen from both sexes . patient agrees not to receive additional treatment for their painful condition during the trial (apart from NSAIDs and pain killers The patients body mass index \< 30 kg/m²

You may not qualify if:

• History of whiplash injury History of cervical spine surgery Cervical radiculopathy or myelopathy Having undergone physical therapy within the past 3 months before the study. Non -rheumatologic diseases as multiple sclerosis , thyroid dysfunction and chronic infection

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Al Shaymaa Shaaban Abd El Azeim

Giza, 12511, Egypt

Location

MeSH Terms

Conditions

Chronic Pain; Neck Pain

Interventions

Dry Needling; Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: al shaymaa shaaban abd el azeim

Model Details: this trial has three group; two experimental and one control

Study Record Dates

• First Submitted: March 18, 2021
• First Posted: March 22, 2021
• Study Start: April 1, 2021
• Primary Completion: August 30, 2021
• Study Completion: August 30, 2021
• Last Updated: July 27, 2022

Record last verified: 2022-07

Locations

EG (1)