Dry Needling for Myofascial Pain Syndrome

NCT05668728 | Completed

• 1 other identifier: 2270
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Myofascial pain syndrome (MAS) is defined as a regional painful syndrome characterized by pain and tenderness in a muscle group or a muscle, a taut band within the muscle, pain reflected by pressing, and the presence of trigger points. It causes localized muscle pain in the shoulder and neck. The frequency of mas is around 12% in the normal population, and its frequency increases in those with chronic diseases. It is more common in the 30-60 age range and in the female population. Mechanical causes such as micro-macro trauma, nociceptive disorders, physical fatigue, psychological stress and genetic factors are blamed in its etiopathogenesis. Painful myofascial trigger points may occur by pressing on all muscles in the body, although it is more common in the trazius muscle, especially in those who work at a desk, who are constantly in a certain position, and who are sedentary. Myofascial trigger points are often detected by examination.

Conditions

Myofascial Pain Syndromes; Neck Pain

Keywords

Dry Needling; Neck Pain; Myofascial Pain Syndromes

Outcome Measures

Primary Outcomes (1)

• Visuel Analog Scale

  It is used to convert some values that cannot be measured numerically into numeric. Two end definitions of the parameter to be evaluated are written at the two ends of a 100 mm line, and the patient is asked to indicate where on this line their situation is appropriate by drawing a line or by placing a dot or pointing. For example, for pain, I have no pain at one end and very severe pain at the other end, and the patient marks his/her current state on this line. The length of the distance from the point where there is no pain to the point marked by the patient indicates the patient's pain.

  one month

Secondary Outcomes (2)

• Neck Disability Index

  one month

• European Quality of Life 5 Dimensions 3 Level Version

  One month

Study Arms (3)

Group 1

ACTIVE COMPARATOR

Dry needling + standard exercise program with 4 sessions of stick and pull out method at 1 week intervals

Other: Group 1: Peppering

Group 2

ACTIVE COMPARATOR

Dry needling + standard exercise program with 4 sessions of turn-and-wait method at 1-week intervals

Other: group 2: spin and wait

Group 3

ACTIVE COMPARATOR

Dry needling + standard exercise program with 4 sessions of stick and turn and wait method 1-week intervals

Other: group 3: Peppering and spin and wait

Interventions

Group 1: Peppering OTHER

Before injection we will palpate the muscles of trapezius, m. rhomboideus, m. levator scapula for finding painful trigger points, and we will mark the point. the skin will be cleaned with an appropriate antiseptic. Before the needle is inserted, the area to be applied will be palpated once again to detect the painful trigger point between the thumb and index fingers. The needle will be guided to painful trigger points detected by palpation. Stainless steel 25x25 mm needles will be used for dry needling. The needle will be inserted and removed until the local twitch response disappears, at least 10 times at each point found. Afterwards, the patient will be given a standard exercise program for the neck muscles. With this method, dry needling will be applied to the patient 4 times a week, once a week.

Group 1

group 2: spin and wait OTHER

Just before the injection, painful trigger points in the bilateral muscles of trapezius, m. rhomboideus, and m. levator scapula will be identified and marked by palpation, and the skin will be cleaned with an appropriate antiseptic. Before the needle is inserted, the area to be applied will be palpated once again to detect the painful trigger point between the thumb and index fingers. The needle will be guided to painful trigger points detected by palpation. Stainless steel 25x25 mm needles will be used for dry needling. After the dry needle is inserted at each point found, it will be spinned counterclockwise and left. Waiting time for each patient will be limited to 15 minutes. Afterwards, the patient will be given a standard exercise program for the neck muscles. With this method, dry needling will be applied to the patient 4 times a week, once a week.

Group 2

group 3: Peppering and spin and wait OTHER

Just before the injection, painful trigger points in the bilateral muscles of trapezius, m. rhomboideus, and m. levator scapul will be identified and marked with palpation, and the skin will be cleaned with an appropriate antiseptic. Before the needle is inserted, the area to be applied will be palpated once again to detect the painful trigger point between the thumb and index fingers. The needle will be guided to painful trigger points detected by palpation. Stainless steel 25x25 mm needles will be used for dry needling. After the needle is inserted and removed, it will be spinned counterclockwise for 15 minutes in each patient until the local twitch response disappears, at least 10 times at each point found. Afterwards, the patient will be given a standard exercise program. With this method, dry needling will be applied to the patient 4 times a week, once a week.

Group 3

Eligibility Criteria

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

You may qualify if:

• Among the patients who applied to Sultan 2. Abdulhamid Han Hospital Physical Medicine and Rehabilitation Department and were diagnosed with myofascial pain syndrome
• Decided to receive dry needling treatment
• Between the ages of 18 and 65
• At least 1 painful myofascial trigger point in the m.trapezius, m.levator scapula muscles
• Patients with neck pain lasting less than 6 months

You may not qualify if:

• Those with a history of cervical operation
• Those who have a history of shoulder operation
• Patients with radiculopathy as a result of the examination
• Those who have been injected into the determined area in the last 3 months
• Those diagnosed with fibromyalgia according to the 2018 fibromyalgia scale
• Those with cervical disc herniation in the MR imaging taken within the last 1 year
• Pregnant/pregnant women
• Those who are allergic to silver
• Those with a history of malignancy
• Those with positive red flags
• Those with known rheumatological disease
• Those who do not accept dry needling
• Those with cognitive impairment
• Those who have local infection in the application area

Sponsors & Collaborators

• Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey: lead

Study Sites (1)

Sultan 2. Abdulhamid Han Training and Research Hospital

Istanbul, Turkey (Türkiye)

Location

Related Publications (3)

• Stieven FF, Ferreira GE, Wiebusch M, de Araujo FX, da Rosa LHT, Silva MF. Dry Needling Combined With Guideline-Based Physical Therapy Provides No Added Benefit in the Management of Chronic Neck Pain: A Randomized Controlled Trial. J Orthop Sports Phys Ther. 2020 Aug;50(8):447-454. doi: 10.2519/jospt.2020.9389. Epub 2020 Apr 9.

  PMID: 32272030 RESULT

• Gattie E, Cleland JA, Snodgrass S. The Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther. 2017 Mar;47(3):133-149. doi: 10.2519/jospt.2017.7096. Epub 2017 Feb 3.

  PMID: 28158962 RESULT

• Raeissadat SA, Rayegani SM, Sadeghi F, Rahimi-Dehgolan S. Comparison of ozone and lidocaine injection efficacy vs dry needling in myofascial pain syndrome patients. J Pain Res. 2018 Jun 29;11:1273-1279. doi: 10.2147/JPR.S164629. eCollection 2018.

  PMID: 29988746 RESULT

MeSH Terms

Conditions

Myofascial Pain Syndromes; Neck Pain

Interventions

spindlin

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Emre Ata, Ass.Prof.

  Sultan II. Abdulhamidhan Training and Research Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Proffesor

Model Details: 3 GROUPS DİFFERENT TYPES OF DRY NEEDLİNG

Study Record Dates

• First Submitted: December 6, 2022
• First Posted: December 30, 2022
• Study Start: January 1, 2023
• Primary Completion: February 15, 2023
• Study Completion: April 15, 2023
• Last Updated: May 30, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)