Comparison Between Deep Dry Needling and Muscle Energy Technique on Chronic Non-specific Neck Pain Patients.

NCT05730426 | Completed

• 1 other identifier: P.T.REC/012/003913
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to compare between applying deep dry needling and muscle energy technique in chronic non-specific neck pain patients. Researchers will compare between deep dry needling group, muscle energy technique group and control group to see if there are change in pain, range of motion or function.

Conditions

Neck Pain

Outcome Measures

Primary Outcomes (4)

• Change in pain intensity from baseline to 4 weeks after.

  Visual Analogue scale (VAS) * A value of 0 denotes no pain, whereas a value of 1 to 3 indicates mild pain. * 4 to 6 denotes moderate pain. * 7 to 10 denotes intense pain.

  at baseline and after 4 weeks from the baseline.

• Change in function from baseline to 4 weeks after.

  The Neck Disability Index (NDI) The NDI questionnaire (scored out of 50) was used to measure the patient's perceived disability resulting from their neck pain. The score for each section was from 0 to 5, with 0 represented the highest level of function and 5 represented the lowest level of function. Total NDI scores were shown as a percentage. A high score corresponded to a higher degree of disability. * 0-4points (0-8%) no disability. * 5-14points (10 - 28%) mild disability. * 15-24points (30-48%) moderate disability. * 25-34points (50- 64%) severe disability. * 35-50points (70-100%) complete disability.

  at baseline and after 4 weeks from the baseline.

• Change in cervical range of motion (ROM) in sagittal, coronal and transverse planes from baseline to 4 weeks after.

  AcuAngle® Inclinometer: (Baseline® AcuAngle Inclinometer; Elmsford, NY, U.S. PAT 2194335, 2-D Functions)

  at baseline and after 4 weeks from the baseline.

• Change in pain threshold from baseline to 4 weeks after.

  Pain Pressure Algometer: (BASELINE 22-POUND DOLORIMETER).

  at baseline and after 4 weeks from the baseline.

Study Arms (3)

Group A

ACTIVE COMPARATOR

In addition to Transcutaneous Electrical Nerve Stimulation (TENS) (typical,100 Hz, 20 mins), Infrared (7 mins), and Exercises (Cervical Stability Exercises through activation of deep neck flexors), patients received deep dry needling on active trigger points in selected muscles (upper trapezius, levator scapulae, and sternocleidomastoid ), 3 sessions/week, for 4 weeks period.

Procedure: Deep dry needling

Group B

ACTIVE COMPARATOR

In addition to Transcutaneous Electrical Nerve Stimulation (TENS) (typical,100 Hz, 20 mins), Infrared (7 mins), and Exercises (Cervical Stability Exercises through activation of deep neck flexors), patients received muscle energy technique (post isometric relaxation) in selected muscles (upper trapezius, levator scapulae, and sternocleidomastoid ), 3 sessions/week, for 4 weeks period.

Procedure: Muscle energy technique

Group C

PLACEBO COMPARATOR

Patients receive Transcutaneous Electrical Nerve Stimulation (TENS) (typical,100 Hz, 20 mins), Infrared (7 mins), and Exercises (Cervical Stability Exercises through activation of deep neck flexors) , 3 sessions/week, for 4 weeks period.

Procedure: Neck stability exercise

Interventions

Deep dry needling PROCEDURE

Method to decrease pain and improve function in musculoskeletal disorders.

Group A

Muscle energy technique PROCEDURE

Method to decrease pain and improve function in musculoskeletal disorders.

Also known as: Post isometric relaxation

Group B

Neck stability exercise PROCEDURE

Method to decrease pain and improve function in musculoskeletal disorders.

Group C

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age 18 and 40 years.
• Current neck pain.
• Presence of at least one or two trigger points .
• Patients are diagnosed and referred from orthopedist complaining from chronic neck pain for at least 12 weeks.
• No clinical treatment for neck pain within the past month.
• lacked a history of neck and shoulder myopathy, neuropathy, myelopathy and neck, torso and shoulder surgery.
• Patients with body mass index less than 30 kg/m2.

You may not qualify if:

• Patients outside the target range.
• Neck pain associated with vertigo.
• Osteoporosis.
• Diagnosed psychological disorders.
• Fibromyalgia syndrome.
• Vertebral fractures.
• Spinal stenosis.
• Tumors.
• Previous neck surgery.
• Red flags (night pain, severe muscle spasm, loss of involuntary weight, symptom mismatch).
• Physiotherapeutic treatment continued in the last 3 months. Any contraindications for deep dry needling such as anticoagulants, infections and bleeding.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Delta University for science and technology.

Al Mansurah, Egypt

Location

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Haneen M. Ghalwash

  Delta University for Science and Technology

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Teaching assisstat

Study Record Dates

• First Submitted: February 5, 2023
• First Posted: February 15, 2023
• Study Start: August 1, 2022
• Primary Completion: December 30, 2022
• Study Completion: February 1, 2023
• Last Updated: February 15, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)