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Efficacy of Dry Needling in Cervical Pain

Primary Purpose

Cervical Pain

Status

Completed

Phase

Not Applicable

Locations

Spain

Study Type

Interventional

Intervention

dry needling

Ischaemic compression

About this trial

This is an interventional health services research trial for Cervical Pain focused on measuring dry needling, physiotherapy techniques, cervical pain, pain

Eligibility Criteria

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

Inclusion Criteria: Patients presenting with neck pain Patients presenting with trigger point activation of the angularis scapulae muscle Exclusion Criteria: Patients who have an absolute fear of needles (belonephobia). Patients presenting with cervical pain with radiculopathy or irradiation of pain to the upper limb.

Sites / Locations

Universidad Católica de Ávila

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Arm Label

dry needling group

ischaemic compression group

Arm Description

Subjects undergoing dry needling of the angularis scapulae muscle

Subjects undergoing ischaemic compression of the angularis scapulae muscle

Outcomes

Primary Outcome Measures

Pain intensity

Pain intensity measured on the VAS scale with a minimum score of 0 (no pain) and a maximum score of 10 (highest possible pain endured).

Secondary Outcome Measures

pressure pain threshold

pressure on the sore spot measured by algometer and the unit is Newtons.

range of motion

Joint movement in the cervical spine measured in degrees using a goniometer

quality life

Measured by physical activity questionnaire. Scoring is based on patients' responses. Minimum of 0, maximum of 100 points.

Full Information

NCT ID

NCT05624515

First Posted

November 14, 2022

Last Updated

March 8, 2023

Sponsor

Universidad Católica de Ávila

1. Study Identification

Unique Protocol Identification Number

NCT05624515

Brief Title

Efficacy of Dry Needling in Cervical Pain

Official Title

Efficacy of Dry Needling and Ischaemic Compression of the Scapula Angularis Muscle in Patients With Cervicalgia. Randomised Clinical Trial

Study Type

Interventional

2. Study Status

Record Verification Date

March 2023

Overall Recruitment Status

Completed

Study Start Date

December 1, 2022 (Actual)

Primary Completion Date

January 1, 2023 (Actual)

Study Completion Date

January 15, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

Universidad Católica de Ávila

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

The presence of latent myofascial trigger points (MTrPs) in the angular muscle of the scapula is one of the possible causes of non-specific neck pain. Dry needling (DN) and ischaemic compression (IC) techniques may be useful for the treatment of these MTrPs. Methods: 80 participants were divided into two groups: the dry needling group, which received a single session of DN on the angular muscle plus hyperalgesia (n=40), and the IC group, which received a single session of IC on the angular muscle plus hyperalgesia (n=40). Pain intensity, pain pressure threshold (PPT), range of motion (ROM) and quality of life were assessed at baseline, immediately after, 48 hours and one week after treatment.

6. Conditions and Keywords

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

Cervical Pain

Keywords

dry needling, physiotherapy techniques, cervical pain, pain

7. Study Design

Primary Purpose

Health Services Research

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

Participant

Allocation

Randomized

Enrollment

80 (Actual)

8. Arms, Groups, and Interventions

Arm Title

dry needling group

Arm Type

Experimental

Arm Description

Subjects undergoing dry needling of the angularis scapulae muscle

Arm Title

ischaemic compression group

Arm Type

Experimental

Arm Description

Subjects undergoing ischaemic compression of the angularis scapulae muscle

Intervention Type

Device

Intervention Name(s)

dry needling

Intervention Description

Active trigger point puncture of the angularis scapulae muscle

Intervention Type

Other

Intervention Name(s)

Ischaemic compression

Intervention Description

Ischaemic compression at the active trigger point of the angularis scapulae muscle

Primary Outcome Measure Information:

Title

Pain intensity

Description

Pain intensity measured on the VAS scale with a minimum score of 0 (no pain) and a maximum score of 10 (highest possible pain endured).

Time Frame

3 months

Secondary Outcome Measure Information:

Title

pressure pain threshold

Description

pressure on the sore spot measured by algometer and the unit is Newtons.

Time Frame

3 months

Title

range of motion

Description

Joint movement in the cervical spine measured in degrees using a goniometer

Time Frame

3 months

Title

quality life

Description

Measured by physical activity questionnaire. Scoring is based on patients' responses. Minimum of 0, maximum of 100 points.

Time Frame

3 months

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Maximum Age & Unit of Time

65 Years

Accepts Healthy Volunteers

Eligibility Criteria

Facility Information:

Facility Name

Universidad Católica de Ávila

City

Ávila

State/Province

Completado

ZIP/Postal Code

05005

Country

Spain

12. IPD Sharing Statement

Plan to Share IPD

Undecided

Citations:

PubMed Identifier

33066556

Citation

Navarro-Santana MJ, Sanchez-Infante J, Fernandez-de-Las-Penas C, Cleland JA, Martin-Casas P, Plaza-Manzano G. Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis. J Clin Med. 2020 Oct 14;9(10):3300. doi: 10.3390/jcm9103300.

Results Reference

background

PubMed Identifier

21968483

Citation

Ballyns JJ, Shah JP, Hammond J, Gebreab T, Gerber LH, Sikdar S. Objective sonographic measures for characterizing myofascial trigger points associated with cervical pain. J Ultrasound Med. 2011 Oct;30(10):1331-40. doi: 10.7863/jum.2011.30.10.1331.

Results Reference

result

PubMed Identifier

24152997

Citation

Lluch E, Arguisuelas MD, Coloma PS, Palma F, Rey A, Falla D. Effects of deep cervical flexor training on pressure pain thresholds over myofascial trigger points in patients with chronic neck pain. J Manipulative Physiol Ther. 2013 Nov-Dec;36(9):604-11. doi: 10.1016/j.jmpt.2013.08.004. Epub 2013 Oct 21.

Results Reference

result

PubMed Identifier

32962567

Citation

Lew J, Kim J, Nair P. Comparison of dry needling and trigger point manual therapy in patients with neck and upper back myofascial pain syndrome: a systematic review and meta-analysis. J Man Manip Ther. 2021 Jun;29(3):136-146. doi: 10.1080/10669817.2020.1822618. Epub 2020 Sep 22.

Results Reference

result

PubMed Identifier

23756457

Citation

Kietrys DM, Palombaro KM, Azzaretto E, Hubler R, Schaller B, Schlussel JM, Tucker M. Effectiveness of dry needling for upper-quarter myofascial pain: a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2013 Sep;43(9):620-34. doi: 10.2519/jospt.2013.4668.

Results Reference

result

PubMed Identifier

33431282

Citation

Stieven FF, Ferreira GE, de Araujo FX, Angellos RF, Silva MF, da Rosa LHT. Immediate Effects of Dry Needling and Myofascial Release on Local and Widespread Pressure Pain Threshold in Individuals With Active Upper Trapezius Trigger Points: A Randomized Clinical Trial. J Manipulative Physiol Ther. 2021 Feb;44(2):95-102. doi: 10.1016/j.jmpt.2020.07.003. Epub 2021 Jan 9.

Results Reference

result

Learn more about this trial

Efficacy of Dry Needling in Cervical Pain

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