Efficacy of Dry Needling in Cervical Pain

NCT05624515 | Completed

• 1 other identifier: 14/11/2022
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

The presence of latent myofascial trigger points (MTrPs) in the angular muscle of the scapula is one of the possible causes of non-specific neck pain. Dry needling (DN) and ischaemic compression (IC) techniques may be useful for the treatment of these MTrPs. Methods: 80 participants were divided into two groups: the dry needling group, which received a single session of DN on the angular muscle plus hyperalgesia (n=40), and the IC group, which received a single session of IC on the angular muscle plus hyperalgesia (n=40). Pain intensity, pain pressure threshold (PPT), range of motion (ROM) and quality of life were assessed at baseline, immediately after, 48 hours and one week after treatment.

Conditions

Cervical Pain

Keywords

dry needling; physiotherapy techniques; cervical pain; pain

Outcome Measures

Primary Outcomes (1)

• Pain intensity

  Pain intensity measured on the VAS scale with a minimum score of 0 (no pain) and a maximum score of 10 (highest possible pain endured).

  3 months

Secondary Outcomes (3)

• pressure pain threshold

  3 months

• range of motion

  3 months

• quality life

  3 months

Study Arms (2)

dry needling group

EXPERIMENTAL

Subjects undergoing dry needling of the angularis scapulae muscle

Device: dry needling

ischaemic compression group

EXPERIMENTAL

Subjects undergoing ischaemic compression of the angularis scapulae muscle

Other: Ischaemic compression

Interventions

dry needling DEVICE

Active trigger point puncture of the angularis scapulae muscle

dry needling group

Ischaemic compression OTHER

Ischaemic compression at the active trigger point of the angularis scapulae muscle

ischaemic compression group

Eligibility Criteria

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

You may qualify if:

• Patients presenting with neck pain
• Patients presenting with trigger point activation of the angularis scapulae muscle

You may not qualify if:

• Patients who have an absolute fear of needles (belonephobia).
• Patients presenting with cervical pain with radiculopathy or irradiation of pain to the upper limb.

Sponsors & Collaborators

• Universidad Católica de Ávila: lead

Study Sites (1)

Universidad Católica de Ávila

Ávila, Completado, 05005, Spain

Location

Related Publications (6)

• Navarro-Santana MJ, Sanchez-Infante J, Fernandez-de-Las-Penas C, Cleland JA, Martin-Casas P, Plaza-Manzano G. Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis. J Clin Med. 2020 Oct 14;9(10):3300. doi: 10.3390/jcm9103300.

  PMID: 33066556 BACKGROUND

• Ballyns JJ, Shah JP, Hammond J, Gebreab T, Gerber LH, Sikdar S. Objective sonographic measures for characterizing myofascial trigger points associated with cervical pain. J Ultrasound Med. 2011 Oct;30(10):1331-40. doi: 10.7863/jum.2011.30.10.1331.

  PMID: 21968483 RESULT

• Lluch E, Arguisuelas MD, Coloma PS, Palma F, Rey A, Falla D. Effects of deep cervical flexor training on pressure pain thresholds over myofascial trigger points in patients with chronic neck pain. J Manipulative Physiol Ther. 2013 Nov-Dec;36(9):604-11. doi: 10.1016/j.jmpt.2013.08.004. Epub 2013 Oct 21.

  PMID: 24152997 RESULT

• Lew J, Kim J, Nair P. Comparison of dry needling and trigger point manual therapy in patients with neck and upper back myofascial pain syndrome: a systematic review and meta-analysis. J Man Manip Ther. 2021 Jun;29(3):136-146. doi: 10.1080/10669817.2020.1822618. Epub 2020 Sep 22.

  PMID: 32962567 RESULT

• Kietrys DM, Palombaro KM, Azzaretto E, Hubler R, Schaller B, Schlussel JM, Tucker M. Effectiveness of dry needling for upper-quarter myofascial pain: a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2013 Sep;43(9):620-34. doi: 10.2519/jospt.2013.4668.

  PMID: 23756457 RESULT

• Stieven FF, Ferreira GE, de Araujo FX, Angellos RF, Silva MF, da Rosa LHT. Immediate Effects of Dry Needling and Myofascial Release on Local and Widespread Pressure Pain Threshold in Individuals With Active Upper Trapezius Trigger Points: A Randomized Clinical Trial. J Manipulative Physiol Ther. 2021 Feb;44(2):95-102. doi: 10.1016/j.jmpt.2020.07.003. Epub 2021 Jan 9.

  PMID: 33431282 RESULT

MeSH Terms

Conditions

Neck Pain; Pain

Interventions

Dry Needling

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities

Study Design

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

Study Record Dates

• First Submitted: November 14, 2022
• First Posted: November 22, 2022
• Study Start: December 1, 2022
• Primary Completion: January 1, 2023
• Study Completion: January 15, 2023
• Last Updated: March 10, 2023

Record last verified: 2023-03

Locations

ES (1)