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Dry Needling in Post-operative Shoulder Pain

Primary Purpose

Proximal Humeral Fracture Fixated With PHILOS© Plate, Rotator Cuff Tear Surgical Repair

Status
Completed
Phase
Not Applicable
Locations
Spain
Study Type
Interventional
Intervention
Physical therapy plus dry needling
Physical therapy
Sponsored by
César Fernández-de-las-Peñas
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Proximal Humeral Fracture Fixated With PHILOS© Plate

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • proximal humeral fracture
  • rotator cuff tear
  • open reduction and internal fixation with PHILOS© plate (Synthes, Switzerland)
  • rotator cuff tear repair
  • post-operative shoulder pain
  • active TrPs in the neck-shoulder muscles

Exclusion Criteria:

  • no active TrPs
  • multiple fracture
  • previous surgery
  • cervical radiculopathy or myelopathy
  • diagnosis of fibromialgia
  • having undergone any physical therapy intervention in the year before the surgery
  • fear of needles
  • any contraindication for dry needling

Sites / Locations

  • Jose Luis Arias Buría

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Physical therapy plus dry needling

Physical therapy

Arm Description

Best-evidence physical therapy intervention in addition to a single session of TrP-DN targeted to active TrPs in the neck-shoulder muscles.

Best-evidence physical therapy intervention

Outcomes

Primary Outcome Measures

Changes in Constant-Murley score before and after the intervention
The Constant-Murley score is a 100-point scoring system that is divided into 4 main sub-scales: pain (15 points); activities of daily living (20 points); range of motion (40 points); and strength (25 points). Higher score represents better function

Secondary Outcome Measures

Full Information

First Posted
April 19, 2014
Last Updated
April 22, 2014
Sponsor
César Fernández-de-las-Peñas
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1. Study Identification

Unique Protocol Identification Number
NCT02122315
Brief Title
Dry Needling in Post-operative Shoulder Pain
Official Title
EFFECTIVENESS OF THE INCLUSION OF TRIGGER POINT DRY NEEDLING INTO A MULTIMODAL PHYSICAL THERAPY PROGRAM FOR POST-OPERATIVE SHOULDER PAIN
Study Type
Interventional

2. Study Status

Record Verification Date
April 2014
Overall Recruitment Status
Completed
Study Start Date
February 2013 (undefined)
Primary Completion Date
April 2013 (Actual)
Study Completion Date
April 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
César Fernández-de-las-Peñas

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Fractures of the proximal humerus account for between 5% and 8% off all reported fractures. Post-operative shoulder pain is highly frequent. Due to either surgical procedure, soft tissues surrounding the shoulder area can be damaged. The purpose of the current clinical trial was to compare the effects of physiotherapy versus physiotherapy plus TrP-DN on pain and function in patients who exhibit post-operative shoulder pain after a PHILOS procedure for proximal humeral fixation or rotator cuff tear repair.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Proximal Humeral Fracture Fixated With PHILOS© Plate, Rotator Cuff Tear Surgical Repair

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Physical therapy plus dry needling
Arm Type
Experimental
Arm Description
Best-evidence physical therapy intervention in addition to a single session of TrP-DN targeted to active TrPs in the neck-shoulder muscles.
Arm Title
Physical therapy
Arm Type
Active Comparator
Arm Description
Best-evidence physical therapy intervention
Intervention Type
Other
Intervention Name(s)
Physical therapy plus dry needling
Intervention Description
Best-evidence physical therapy intervention in addition to a single session of TrP-DN targeted to active TrPs in the neck-shoulder muscles
Intervention Type
Other
Intervention Name(s)
Physical therapy
Intervention Description
Best-evidence physical therapy intervention
Primary Outcome Measure Information:
Title
Changes in Constant-Murley score before and after the intervention
Description
The Constant-Murley score is a 100-point scoring system that is divided into 4 main sub-scales: pain (15 points); activities of daily living (20 points); range of motion (40 points); and strength (25 points). Higher score represents better function
Time Frame
Baseline and one week after the intervention

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: proximal humeral fracture rotator cuff tear open reduction and internal fixation with PHILOS© plate (Synthes, Switzerland) rotator cuff tear repair post-operative shoulder pain active TrPs in the neck-shoulder muscles Exclusion Criteria: no active TrPs multiple fracture previous surgery cervical radiculopathy or myelopathy diagnosis of fibromialgia having undergone any physical therapy intervention in the year before the surgery fear of needles any contraindication for dry needling
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Cesar Fernández-de-las-Peñas, PhD
Organizational Affiliation
Universidad Rey Juan Carlos
Official's Role
Study Chair
Facility Information:
Facility Name
Jose Luis Arias Buría
City
Madrid
Country
Spain

12. IPD Sharing Statement

Citations:
PubMed Identifier
35727196
Citation
Handoll HH, Elliott J, Thillemann TM, Aluko P, Brorson S. Interventions for treating proximal humeral fractures in adults. Cochrane Database Syst Rev. 2022 Jun 21;6(6):CD000434. doi: 10.1002/14651858.CD000434.pub5.
Results Reference
derived

Learn more about this trial

Dry Needling in Post-operative Shoulder Pain

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