Efficacy of Dry Needling Treatment in Myofascial Pain Syndrome

NCT05066529 | Completed

• 1 other identifier: KAEK/2021.03.88
• Study Type: interventional
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to investigate the short and long-term effects of dry-needling of participants with trigger points in the upper trapezius muscle. 64 participants who diagnosed with myofascial pain syndrome will be included in the study. All participants will have trigger points in the upper trapezius muscles. They are randomised into two groups: dry needling (n=32) and exercise group (n=32). Ultrasonographic evaluation of trigger points (diameter, circumference and area), pain intensity and neck disability will be evaluated as primary outcome. Active cervical range of motion will be evaluated as secondary outcome.

Conditions

Trigger Point Pain, Myofascial

Keywords

trigger point; dry-needling; ultrasonography; pain intensity; neck disability

Outcome Measures

Primary Outcomes (5)

• diameter of trigger point

  an ultrasonographic evaluation

  3 month follow-ups

• circumference of trigger point

  an ultrasonographic evaluation

  3 month follow-ups

• area of trigger point

  an ultrasonographic evaluation

  3 month follow-ups

• Numerical Rating Scale

  a questionnaire to evaluate pain intensity

  3 month follow-ups

• Neck Disability index

  a questionnaire to evaluate neck disability

  3 month follow-ups

Secondary Outcomes (1)

• active servical range of motion

  3 month follow-ups

Study Arms (2)

dry-needling group

EXPERIMENTAL

32 participants in this group Dry-needling treatment will be applied once a week for three weeks. Servical stretching exercises are given to all participants. (20 repetitions in one session and 2 sessions in a day, three days a week.) All participants will be evaluated before treatment, after treatment (at 3rd week) and at 3 month follow-ups.

Procedure: dry-needling

exercise group

OTHER

32 participants in this group Servical stretching exercises are given to all participants. (20 repetitions in one session and 2 sessions in a day, three days a week.) All participants will be evaluated before treatment, after treatment (at 3rd week) and at 3 month follow-ups.

Procedure: dry-needling

Interventions

dry-needling PROCEDURE

Dry needling is a technique in which a fine needle is used to penetrate the skin, subcutaneous tissues and muscles to mechanically disrupt tissue without the use of anesthesia. Treatment is often used to treat myofascial trigger points.

Also known as: exercise

dry-needling group; exercise group

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• trigger points in the upper trapezius muscle
• years old
• no treatment in three months for myofascial pain syndrome (MPS)
• accept to participate treatment program

You may not qualify if:

• already treated in 3 months for MPS
• below 18 years and above 45 years old
• no acceptance to participate the trial

Sponsors & Collaborators

• Kanuni Sultan Suleyman Training and Research Hospital: lead

Study Sites (1)

Kanuni Sultan Suleyman Training and Research Hospital

Istanbul, 34303, Turkey (Türkiye)

Location

Related Publications (3)

• Gattie E, Cleland JA, Snodgrass S. The Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther. 2017 Mar;47(3):133-149. doi: 10.2519/jospt.2017.7096. Epub 2017 Feb 3.

  PMID: 28158962 RESULT

• Gerber LH, Shah J, Rosenberger W, Armstrong K, Turo D, Otto P, Heimur J, Thaker N, Sikdar S. Dry Needling Alters Trigger Points in the Upper Trapezius Muscle and Reduces Pain in Subjects With Chronic Myofascial Pain. PM R. 2015 Jul;7(7):711-718. doi: 10.1016/j.pmrj.2015.01.020. Epub 2015 Feb 4.

  PMID: 25661462 RESULT

• Gattie ER, Cleland JA, Snodgrass SJ. Dry Needling for Patients With Neck Pain: Protocol of a Randomized Clinical Trial. JMIR Res Protoc. 2017 Nov 22;6(11):e227. doi: 10.2196/resprot.7980.

  PMID: 29167092 RESULT

MeSH Terms

Conditions

Myofascial Pain Syndromes; Pain

Interventions

Dry Needling; Exercise

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Merve Damla Korkmaz

  Kanuni Sultan Suleyman Training and Research Hospital

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: All treatments will be applied by an investigator and a different blinded investigator will evaluate all participants
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical Doctor

Model Details: Dry needling is a technique in which a fine needle is used to penetrate the skin, subcutaneous tissues and muscles to mechanically disrupt tissue without the use of anesthesia. Treatment is often used to treat myofascial trigger points.

Study Record Dates

• First Submitted: August 28, 2021
• First Posted: October 4, 2021
• Study Start: April 1, 2021
• Primary Completion: September 30, 2021
• Study Completion: October 30, 2021
• Last Updated: November 5, 2021

Record last verified: 2021-10

Data Sharing

• IPD Sharing: Will share

Locations

TU (1)