Effectiveness of Dry Needling of Active Trigger Points in Neck Muscles in Patients With Chronic Cervical Pain

NCT06257992 | Not Yet Recruiting

• 1 other identifier: RAT 2022-53
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

Randomized Single-Blind Clinical Trial in which the treatment will be administered through 3 sessions of dry needling in the cervical muscles's active trigger points in patients with chronic cervical pain.

Conditions

Cervical Pain

Outcome Measures

Primary Outcomes (3)

• Cervical Pain Intensity

  For the Assesment of cervical pain intensity the Numeric Pain Rating Scale (NPRS) was used.

  Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months

• Neck Disability Index

  For the assesment of perceived neck disability the neck disability index was used.

  Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months

• Pressure Pain Threshold

  For the assesment of pressure pain threshold of active trigger points a digital algometer was used

  Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months

Secondary Outcomes (2)

• Cervical range of movement

  Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months

• Cervical muscles Electromyography

  Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months

Study Arms (2)

Dry Needling Group

EXPERIMENTAL

Other: Dry Needling

Stretch Group

ACTIVE COMPARATOR

Other: Stretch

Interventions

Dry Needling OTHER

3 treatments of dry needling to inactivate all active trigger points found in patient's cervical muscles.

Dry Needling Group

Stretch OTHER

3 treatments of stretch applied to all cervical muscles that present active trigger points in patient's cervical muscles.

Stretch Group

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Be older than 18 years old
• Sign informed consent form prior to participating in this study
• Have chronic cervical pain diagnosis of their primary care doctor.
• Have one or more active myofascial trigger point in the cervical muscles according to the criteria established by Simons et al.

You may not qualify if:

• Major trauma on cervical spine stated from the medical history
• Inflammatory, hormonal or neurological disorders
• Have contraindication to conservative or invasive physiotherapy (infection, fever, hypothyroidism, wound in the puncture area, metal allergies, cancer or systemic diseases, or belonephobia)
• Having received physiotherapy treatment for the condition in the past month

Sponsors & Collaborators

• Universidad de Zaragoza: lead

Study Sites (1)

Centro Clínico de Fisioterapia OMT-E

Zaragoza, 50009, Spain

Location

Related Publications (4)

• Cerezo-Tellez E, Torres-Lacomba M, Fuentes-Gallardo I, Perez-Munoz M, Mayoral-Del-Moral O, Lluch-Girbes E, Prieto-Valiente L, Falla D. Effectiveness of dry needling for chronic nonspecific neck pain: a randomized, single-blinded, clinical trial. Pain. 2016 Sep;157(9):1905-1917. doi: 10.1097/j.pain.0000000000000591.

  PMID: 27537209 BACKGROUND

• Fernandez-de-las-Penas C, Alonso-Blanco C, Miangolarra JC. Myofascial trigger points in subjects presenting with mechanical neck pain: a blinded, controlled study. Man Ther. 2007 Feb;12(1):29-33. doi: 10.1016/j.math.2006.02.002.

  PMID: 21882489 BACKGROUND

• Navarro-Santana MJ, Sanchez-Infante J, Gomez-Chiguano GF, Cleland JA, Fernandez-de-Las-Penas C, Martin-Casas P, Plaza-Manzano G. Dry Needling Versus Trigger Point Injection for Neck Pain Symptoms Associated with Myofascial Trigger Points: A Systematic Review and Meta-Analysis. Pain Med. 2022 Mar 2;23(3):515-525. doi: 10.1093/pm/pnab188.

  PMID: 34114639 BACKGROUND

• Ball AM, Finnegan M, Koppenhaver S, Freres W, Dommerholt J, Mayoral Del Moral O, Bron C, Moore R, Ball EE, Gaffney EE. The relative risk to the femoral nerve as a function of patient positioning: potential implications for trigger point dry needling of the iliacus muscle. J Man Manip Ther. 2019 Jul;27(3):162-171. doi: 10.1080/10669817.2019.1568699. Epub 2019 Feb 20.

  PMID: 30935326 BACKGROUND

MeSH Terms

Conditions

Neck Pain

Interventions

Dry Needling

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities

Central Study Contacts

Julian Müller-Thyssen Uriarte

CONTACT

+34 0633673021; julianmuller.jmt@gmail.com

Study Design

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

Study Record Dates

• First Submitted: February 5, 2024
• First Posted: February 14, 2024
• Study Start: February 1, 2024
• Primary Completion: July 1, 2024
• Study Completion: August 1, 2024
• Last Updated: February 14, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)