Effects of Dry Needling Versus Ischemic Compression on Pain, Range of Motion and Finctional Disability

NCT05296226 | Unknown

• 1 other identifier: IRB-UOL-FAHS/1085/2021
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

Neck pain can occur from a number of conditions, most common is trigger points. Trigger points are of two point one is active and other is latent trigger point, hyperirritable spots located in a taut band of skeletal muscle. They produce pain locally and in a referred pattern and often accompany chronic musculoskeletal disorders. Acute trauma or repetitive micro trauma may lead to the development of stress on muscle fibers and the formation of trigger points Khadijeh Otadi and her colleague study in 2020, to compare immediate and short-term effects of combining dry needling patient education vs ischemic compression patient education for treating myofascial trigger points in office workers with neck pain. Both intervention groups had some positive immediate and short-term effects after 2 treatment sessions. However, Ischemic compression was more effective than Dry needling in the treatment of MTPs in office workers with neck pain. Study design: randomized control trial (RCT) Settings: study will be conducted in DHQ hospital Okara physiotherapy department. Duration of study: nine months after the approval of synopsis. Sample Size: 72 patients will be randomly divided into two equal groups of 36 each.

Conditions

Trigger Points

Keywords

dry needling; ischemic compression; trigger point; pain; range of motion; functional disability

Outcome Measures

Primary Outcomes (3)

• NPRS

  The number of patients will be 36. And they will be given session in 3 alternate days in a week. Results will be noted immediate after the treatment session then again note the response 3 days after treatment session and ultimately note the response 1 month after the treatment session. The patient's total session of treatment will be 4 weeks.

  4 weeks

• NDI

  The number of patients will be 36. And they will be given session in 3 alternate days in a week. Results will be noted immediate after the treatment session then again note the response 3 days after treatment session and ultimately note the response 1 month after the treatment session. The patient's total session of treatment will be 4 weeks.

  4 weeks

• ROM

  The number of patients will be 36. And they will be given session in 3 alternate days in a week. Results will be noted immediate after the treatment session then again note the response 3 days after treatment session and ultimately note the response 1 month after the treatment session. The patient's total session of treatment will be 4 weeks.

  4 weeks

Study Arms (2)

dry needling group

EXPERIMENTAL

dry needling is probably the most popular, trigger-point dry needling is an invasive procedure where a fine Needle or acupuncture needle is inserted into the skin and muscle Goniometry will be used to assess range ofmotion. Ischemic compression is one of the least invasive trigger point therapies.

Procedure: dry needling and ischemic compression

ischemic compression group

EXPERIMENTAL

compression is one of the least invasive trigger point therapies. Ischemic compression is a mechanical treatment of myofascial trigger points that consists of application of sustained pressure for a long enough time to inactivate the trigger points. Pressure is sustained for 10 to 20 second

Procedure: dry needling and ischemic compression

Interventions

dry needling and ischemic compression PROCEDURE

dry needling is an invasive procedure where a fine Needle or acupuncture needle is inserted into the skin and muscle Ischemic compression is one of the least invasive trigger point therapies. Ischemic compression is a mechanical treatment of myofascial trigger points that consists of application of sustained pressure for a long enough time to inactivate the trigger points.

Also known as: Exercises

dry needling group; ischemic compression group

Eligibility Criteria

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

You may qualify if:

• Age 18-40 years.
• Presence of palpable taut band in muscle.
• Presence of a hypersensitive tender spot in the taut band.
• Pain at least 8 points on a numeric pain scale (NPS)

You may not qualify if:

• History of fibromyalgia syndrome, whiplash injury, cervical spine surgery and fracture, cervical radiculopathy.
• Any systematic disease such as rheumatism, tuberculosis, cervical myelopathy, or multiple sclerosis.
• Peripheral nerve entrapment, fibromyalgia, hypermobility syndrome, shoulders diseases (tendonitis, bursitis, and capsulitis).

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

Hafiz Ijaz Bhaati

Okara, Punjab Province, 56300, Pakistan

Location

MeSH Terms

Conditions

Pain

Interventions

Dry Needling; Acupressure; Exercise

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Therapy, Soft Tissue; Musculoskeletal Manipulations; Rehabilitation; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• RABIA ASHIQ, PT

  University of Lahore

  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

Study Record Dates

• First Submitted: February 14, 2022
• First Posted: March 25, 2022
• Study Start: January 3, 2020
• Primary Completion: October 10, 2021
• Study Completion: May 24, 2022
• Last Updated: April 15, 2022

Record last verified: 2022-02

Locations

PA (1)