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Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Primary Purpose

Trigger Point Pain, Myofascial

Status

Completed

Phase

Not Applicable

Locations

Pakistan

Study Type

Interventional

Intervention

Dry Needling

Strain counter strain

About this trial

This is an interventional treatment trial for Trigger Point Pain, Myofascial focused on measuring Dry needling, Myofascial trigger points, Upper Trapezius, Strain counter strain

Eligibility Criteria

20 Years - 40 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Patients with non-specific neck pain, having active myofascial trigger points in upper trapezius muscle.
Patient of both gender under the age of 20-40 year
bilateral pain involving the upper trapezius
a duration of pain of at least 3 months
pain localized in the cervical and occipital regions but not in the orofacial region.
restricted cervical range of motion(side flexion)

Exclusion Criteria:

history of traumatic injuries (e.g., contusion, fracture, and whiplash injury)
needle phobia patients.
systemic diseases such as blood coagula tion disorders, chronic pain syndrome, cancer,allergies fibromyalgia, systemic lupus erythematous, and psoriatic arthritis.
cervical spine surgery patients.
orofacial pain and temporomandibular disorders
neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia)
medical diagnosis of any primary headache (tension type or migraine) clinical diagnosis of cervical radiculopathy or myelopathy
history of previous physical therapy intervention for the cervical region in last 6 month
use of anticoagulants, opioids or antiepileptic medications

Sites / Locations

Mayo Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Dry needling

Strain counter strain

Arm Description

Hot pack 10 mints,stretching,Neck isometrics, dry needling(DN) and Strain counterstrain(SCS)

Hot pack 10 minutes, stretching,Neck isometrics, Strain counter strain (S C S)

Outcomes

Primary Outcome Measures

Numeric Pain Rating Scale (NPRS)

The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).

Range of Motion

Standard Goniometer will be used.Higher score shows improvement.

Secondary Outcome Measures

Disability

Scoring: For each section the total possible score is 5: if the first statement is marked the section score = 0, if the last statement is marked it = 5. If all ten sections are completed the score is calculated as follows: Example:16 (total scored) 50 (total possible score) x 100 = 32% If one section is missed or not applicable the score is calculated: 16 (total scored) 45 (total possible score) x 100 = 35.5% Minimum Detectable Change (90% confidence): 5 points or 10 %points

Full Information

NCT ID

NCT04285216

First Posted

February 11, 2020

Last Updated

September 18, 2020

Sponsor

Riphah International University

1. Study Identification

Unique Protocol Identification Number

NCT04285216

Brief Title

Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Official Title

Combined Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Study Type

Interventional

2. Study Status

Record Verification Date

September 2020

Overall Recruitment Status

Completed

Study Start Date

September 15, 2019 (Actual)

Primary Completion Date

June 20, 2020 (Actual)

Study Completion Date

August 28, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Sponsor

Name of the Sponsor

Riphah International University

4. Oversight

Studies a U.S. FDA-regulated Drug Product

Studies a U.S. FDA-regulated Device Product

Data Monitoring Committee

5. Study Description

Brief Summary

To determine the effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Detailed Description

It is Randomized Controlled trail will be conduct in Mayo Hospital Lahore and Alnoor Hospital Awan town Lahore. Non probability consecutive sampling technique will be used to collect the data. Each group contain the 14 patients, Patient will be divided into two groups. Group A will be experimental group treated by Dry needling and strain counter strain with baseline treatment and Group B will be control group treated by Strain counter strain with baseline treatment(Hot pack 10 mints,stretching,Neck isometrics). Neck Disability index (NDI) ,visual analogue scale(VAS) and goniometer will be used as data collecting tools.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Trigger Point Pain, Myofascial

Keywords

Dry needling, Myofascial trigger points, Upper Trapezius, Strain counter strain

7. Study Design

Primary Purpose

Treatment

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

Outcomes Assessor

Masking Description

Outcome Assessor will be binded

Allocation

Randomized

Enrollment

28 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Dry needling

Arm Type

Experimental

Arm Description

Hot pack 10 mints,stretching,Neck isometrics, dry needling(DN) and Strain counterstrain(SCS)

Arm Title

Strain counter strain

Arm Type

Active Comparator

Arm Description

Hot pack 10 minutes, stretching,Neck isometrics, Strain counter strain (S C S)

Intervention Type

Other

Intervention Name(s)

Dry Needling

Intervention Description

Hot pack 10 mints,stretching,Neck isometrics, dry needling(DN) and Strain counterstrain(SCS)

Intervention Type

Other

Intervention Name(s)

Strain counter strain

Intervention Description

Hot pack 10 mints, stretchings,Neck isometrics, Strain counterstrain(SCS)

Primary Outcome Measure Information:

Title

Numeric Pain Rating Scale (NPRS)

Description

Time Frame

4 months

Title

Range of Motion

Description

Standard Goniometer will be used.Higher score shows improvement.

Time Frame

4 months

Secondary Outcome Measure Information:

Title

Disability

Description

Time Frame

4 months

10. Eligibility

Sex

All

Minimum Age & Unit of Time

20 Years

Maximum Age & Unit of Time

40 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Patients with non-specific neck pain, having active myofascial trigger points in upper trapezius muscle. Patient of both gender under the age of 20-40 year bilateral pain involving the upper trapezius a duration of pain of at least 3 months pain localized in the cervical and occipital regions but not in the orofacial region. restricted cervical range of motion(side flexion) Exclusion Criteria: history of traumatic injuries (e.g., contusion, fracture, and whiplash injury) needle phobia patients. systemic diseases such as blood coagula tion disorders, chronic pain syndrome, cancer,allergies fibromyalgia, systemic lupus erythematous, and psoriatic arthritis. cervical spine surgery patients. orofacial pain and temporomandibular disorders neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia) medical diagnosis of any primary headache (tension type or migraine) clinical diagnosis of cervical radiculopathy or myelopathy history of previous physical therapy intervention for the cervical region in last 6 month use of anticoagulants, opioids or antiepileptic medications

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Maryam Shabbir, Phd

Organizational Affiliation

Riphah International University

Official's Role

Principal Investigator

Facility Information:

Facility Name

Mayo Hospital

City

Lahore

ZIP/Postal Code

54000

Country

Pakistan

12. IPD Sharing Statement

Plan to Share IPD

Citations:

PubMed Identifier

9060014

Citation

Gerwin RD, Shannon S, Hong CZ, Hubbard D, Gevirtz R. Interrater reliability in myofascial trigger point examination. Pain. 1997 Jan;69(1-2):65-73. doi: 10.1016/s0304-3959(96)03248-4.

Results Reference

background

PubMed Identifier

18054148

Citation

Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Anesthesiol Clin. 2007 Dec;25(4):841-51, vii-iii. doi: 10.1016/j.anclin.2007.07.003.

Results Reference

background

PubMed Identifier

3614975

Citation

Fischer AA. Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain. 1987 Jul;30(1):115-126. doi: 10.1016/0304-3959(87)90089-3.

Results Reference

background

PubMed Identifier

20823359

Citation

Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. J Am Board Fam Med. 2010 Sep-Oct;23(5):640-6. doi: 10.3122/jabfm.2010.05.090296.

Results Reference

background

PubMed Identifier

18395479

Citation

Tough EA, White AR, Cummings TM, Richards SH, Campbell JL. Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomised controlled trials. Eur J Pain. 2009 Jan;13(1):3-10. doi: 10.1016/j.ejpain.2008.02.006. Epub 2008 Apr 18.

Results Reference

background

Citation

avaid HMW, Ahmad A, Ajmad F, Liaqat S, Tahir S. Effects of conventional physical therapy with or without strain counterstrain in patients with trigger points of upper trapezius; a randomized controlled clinical trial. Annals of King Edward Medical University. 2016;22(3).

Results Reference

background

Citation

Somprasong S, Mekhora K, Vachalathiti R, Pichaiyongwongdee S. Effects of strain counter-strain and stretching techniques in active myofascial pain syndrome. Journal of physical therapy science. 2011;23(6):889-93.

Results Reference

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Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

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