Effects of Dry Needling on Autonomic Nervous System and Nociceptive Pain Processing in Neck Pain

NCT05391568 | Completed

• 1 other identifier: 2015/18
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Pain in the neck is a musculoskeletal disorder that affects many individuals. Dry needling has shown an effective technique for the treatment of shoulder and neck disorders. The mechanisms of action of the dry needling are not well-known. This study aims to evaluate the effects of dry needling in the upper trapezius on the autonomic nervous system and nociceptive pain processing in patients with non-specific neck pain. Hypothesis: Dry needling applied in the upper trapezius in patients with non-specific neck pain produced greater activation of the autonomic nervous system and nociceptive pain processing than sham dry needling.

Conditions

Neck Pain

Keywords

Neck Ache; Cervicalgia; Cervicodynia; Neckache; Cervical Pain; Dry Needling

Outcome Measures

Primary Outcomes (1)

• Skin Conductance

  Measured in the hand of the needled upper trapezius. Measured in microsiemens.

  Through study completion, an average of 20 minutes

Secondary Outcomes (11)

• Pressure Pain Sensitivity

  Baseline; Immediate (10 minutes after intervention)

• Pressure Pain Stimuli for Temporal Summation

  Baseline; Immediate (10 minutes after intervention)

• Temporal Summation

  Baseline; Immediate (10 minutes after intervention)

• Conditioned Pain Modulation (CPM)

  Baseline; Immediate (10 minutes after intervention)

• Temporal Summation during conditioned stimuli.

  Baseline; Immediate (10 minutes after intervention)

Study Arms (2)

Dry Needling

EXPERIMENTAL

One single session of DN

Other: Real Dry Needling

Sham Dry Needling

SHAM COMPARATOR

One single session of Sham DN

Other: Sham Dry Needling

Interventions

Real Dry Needling OTHER

Needle will be placed at trapezius muscle. "Fast-in, Fast-out" technique will be used at the active trigger point of upper trapezius muscle.

Dry Needling

Sham Dry Needling OTHER

Sham needle will be placed at trapezius muscle. Simulated "Fast-in, Fast-out" technique will be used at the active trigger point of upper trapezius muscle.

Sham Dry Needling

Eligibility Criteria

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

You may qualify if:

• Pain in the neck area, including the upper trapezius muscle;
• At least one active TrP (i.e., TrP which referred pain is able to reproduce the patient symptoms in the upper trapezius)
• Ability to read and understand Spanish
• Self-reported Intensity of pain rating on the 0-10 NPRS for the neck-shoulder region is 3 or greater
• Ability to understand, write, and speak Spanish fluently

You may not qualify if:

• Neurological symptoms or signs compatible with cervical radiculopathy or myelopathy
• Cervical trauma
• Systemic diseases
• Pregnancy
• Psychiatric problems
• Fear of needles.

Sponsors & Collaborators

• Universidad Complutense de Madrid: lead

Study Sites (1)

Universidad Complutense de Madrid

Madrid, 28040, Spain

Location

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 17, 2022
• First Posted: May 26, 2022
• Study Start: May 31, 2022
• Primary Completion: June 15, 2022
• Study Completion: June 20, 2022
• Last Updated: June 22, 2022

Record last verified: 2022-05

Locations

ES (1)