Effects Of Dry Needling On Sternocleidomastoid Muscle For Pain And Disability In Migraine

NCT05285852 | Completed DMC

• 1 other identifier: REC-FSD-00258
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

To determine the effects, sequel of dry needling in migraine by resolving MTrPs in sternocleidomastoid muscle. To determine the possession of dry needling technique to mitigate the frequency, intensity and duration of headache. To determine the effectiveness of dry needling in the disability hindrance in migraine patients.

Conditions

Migraine

Keywords

Dry Needling; Sternocleidomastoid Muscle; Pain; Disability; Randomized Control Trial; Migraine

Outcome Measures

Primary Outcomes (3)

• Visual Analogue Scale

  A Visual Analogue Scale is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms.

  12th Week

• Bubble Inclinometer

  Bubble Inclinometer is a simple to use device for measuring range of motion in patients. The inclinometer can be used to measure range of motion in the neck, the hip, the elbow, the knee, the shoulder, the spine, the ankle, the wrist, and the Metacarpophalangeal joint.

  12th Week

• Sternocleidomastoid muscle Ultrasonography

  An ultrasonograph scan uses high-frequency sound waves to make an image of a person's internal body structures

  12th Week

Study Arms (2)

Dry Needling

EXPERIMENTAL

For application of the Dry Needling the individual should be in the supine position. To facilitate the approach and adhesion of the Sternocleidomastoid Muscle, the person's neck is placed ipsilaterally in the slightly lateral flexed position. Consequently, the therapist identified the active Trigger Points in the Sternocleidomastoid Muscle and cleansed the surface using an antiseptic solution. Using the insertion pipe, the dry needle inserted into the muscle. For the separation of neurovascular structure from muscle belly the needle is carried out in an anterior-posterior direction. A compression of 90 secs with a cotton swab will be applied at the needling site immediately after removing the needle to reduce the intensity and duration of pain. The variables will then be measured immediately following the processing session. Six sessions of Dry Needling will be applied to each patient and there will be a gap of at least 48 hours between each session.

Other: Dry Needling

Placebo Dry Needling

PLACEBO COMPARATOR

Following identification of the trigger point in the muscle, the surface would be cleaned with an antiseptic solution. For placebo Dry Needling, which only causes a pricking sensation, a blunt needle will be applied to the trigger points without penetrating the skin after application of a certain pressure to the skin. The protocol will be applied six times, with a two-day pause between treatments. Like the intervention group, the variables will be measured immediately after the processing session.

Other: Placebo Dry Needling

Interventions

Dry Needling OTHER

Dry needling technique is maneuvered by different skilled health practitioners aiming to reduce central sensitization, i.e., the hypersensitivity to pain of the central nervous system. It is also apprehended to reduce the local and referred pain, and improve the muscle activation patterns leading to improved range of motion.

Dry Needling

Placebo Dry Needling OTHER

Placebo Dry Needling only causes a pricking sensation

Placebo Dry Needling

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Submitted with a headache diagnosis by a neurologist.
• Presence of active Trigger points in the Sternocleidomastoid muscle reproducing the symptoms of migraine.
• Active trigger points will be identified if "there is muscle sensitivity that has been activated by pressure and reproduces the patient's referred pain and headache."
• A jump sign the characteristic behavioral response to compression on a trigger point, will be produced.

You may not qualify if:

• background of neck trauma
• cervical radiculopathy
• History of head/shoulder surgery
• Diagnosis of other unusual headaches/migraines
• Phobia of pricking
• pregnancy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Ripah International University

Faisalabad, Punjab Province, 38000, Pakistan

Location

MeSH Terms

Conditions

Migraine Disorders; Pain

Interventions

Dry Needling

Condition Hierarchy (Ancestors)

Headache Disorders, Primary; Headache Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities

Study Officials

• Muhammad Kashif

  Riphah International University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 8, 2022
• First Posted: March 18, 2022
• Study Start: March 1, 2021
• Primary Completion: May 15, 2022
• Study Completion: May 15, 2022
• Last Updated: May 19, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)