Dry Needling and High Intensity Laser Therapy in Treatment of Myofascial Pain Syndrome

NCT05078333 | Completed

• 1 other identifier: K-064
• Study Type: interventional
• Target: 108
• Locations: 1 country
• Sites: 1

Brief Summary

108 myofascial pain syndrome (MPS) diagnosed patients will be randomly divided into 3 groups. To groups; exercise, exercise+high-intensity laser therapy (HILT) and exercise+dry needling will be applied. Visual anolog scale (VAS) scores and neck range of motion (ROM) of the patients before-after treatment will be recorded and will be evaluated statistically.

Conditions

Myofascial Pain Syndrome

Keywords

Myofascial pain syndrome; high-intensity laser therapy; dry needling; exercise

Outcome Measures

Primary Outcomes (1)

• Visual anolog scale (VAS)

  A Visual Analogue Scale (VAS) is a horizontal line, 100 mm in length measurement instrument that tries to measure the amount of pain that a patient feels ranges across a continuum from none to an extreme amount of pain.

  10 seconds

Secondary Outcomes (1)

• neck range of motion (ROM)

  3 minutes

Study Arms (3)

exercise

NO INTERVENTION

All patients in all three groups will perform 15 sessions (for 3 weeks, weekdays), cervical area isometric strengthening exercises, active ROM exercises and stretching exercises for 15 minutes a day with the same physiotherapist.

exercise+HILT

ACTIVE COMPARATOR

In addition to the exercise program, randomly selected 36 case patients + HILT (BTL brand 6000 series, United Kingdom), to the cervical area, for the a period of 3 week-weekdays, 15-minute period and 15 sessions (1.02 minutes for each 25 cm² painful area, analgesic phase, with an anergy 8.0 W, a dose 5 J / cm², a frequency of 25 Hz and total 125 joules) will be applied.

Device: high intensity laser therapy

exercise+dry needling

ACTIVE COMPARATOR

In addition to the exercise program, dry needling (on 3 trigger points on the bilateral trapezius muscle) will be applied to the other 36 randomly selected patients with an acupuncture needle with a size of 0.25x0.25 by the PMR specialist for a total of 6 sessions twice a week for 3 weeks.

Other: dry needle

Interventions

dry needle OTHER

dry needling (on 3 trigger points on the bilateral trapezius muscle) will applied to the other 36 randomly selected patients with an acupuncture needle with a size of 0.25x0.25 by the PMR specialist for a total of 6 sessions twice a week for 3 weeks.

exercise+dry needling

high intensity laser therapy DEVICE

High intensity laser therapy (HILT), one of the physical therapy methods, was approved by the FDA in 2002. Its beneficial and versatile effect has been proven in the treatment of many musculoskeletal diseases. In addition to the exercise program, randomly selected 36 case patients + HILT (BTL brand 6000 series, United Kingdom), to the cervical area, for the a period of 3 week-weekdays, 15-minute period and 15 sessions (1.02 minutes for each 25 cm² painful area, analgesic phase, with an anergy 8.0 W, a dose 5 J / cm², a frequency of 25 Hz and total 125 joules) will be applied.

exercise+HILT

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• diagnosed with neck and / or back pain
• diagnosed with MPS
• had a taut band on the trapezius muscle and at least one active trigger point

You may not qualify if:

• Diagnosed with fibromyalgia,
• had systemic disease,
• significant cervical disc lesion / radiculopathy / myelopathy,
• had trigger point injection in the last 6 months,
• had neck or shoulder surgery in the year before being included in the study,
• was pregnant,
• received anticoagulant therapy,
• used aspirin in the last three days, and
• with the cognitive dysfunction patients

Sponsors & Collaborators

• Emine Dundar Ahi: lead

Study Sites (1)

Private Medar Hospital

Kocaeli, 41650, Turkey (Türkiye)

Location

Related Publications (1)

• Ahi ED, Sirzai H. Comparison of the effectiveness of dry needling and high-intensity laser therapy in the treatment of myofascial pain syndrome: a randomized single-blind controlled study. Lasers Med Sci. 2022 Dec 20;38(1):3. doi: 10.1007/s10103-022-03687-w.

  PMID: 36538189 DERIVED

MeSH Terms

Conditions

Myofascial Pain Syndromes; Motor Activity

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Behavior

Study Officials

• emine dundar ahi, assoc prof

  private medar hospital

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: September 20, 2021
• First Posted: October 14, 2021
• Study Start: August 16, 2021
• Primary Completion: December 31, 2021
• Study Completion: January 1, 2022
• Last Updated: January 11, 2022

Record last verified: 2022-01

Locations

TU (1)