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Dry Needling Versus Strain-counterstrain on the Upper Trapezius (DNJ)

Primary Purpose

Neck Pain

Status
Completed
Phase
Not Applicable
Locations
Spain
Study Type
Interventional
Intervention
Dry needling
Strain-counterstrain technique
Placebo manual technique
Sponsored by
Cardenal Herrera University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neck Pain

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Active myofascial trigger point at the upper trapezius

Exclusion Criteria:

  • Diagnosed fibromyalgia
  • Cervical radiculopathy
  • Facial neuralgia
  • Coagulation alteration
  • Cancer
  • Allergy (included needles)
  • History of cervical or shoulder surgery
  • History of deep venous thrombosis
  • History of myopathy
  • History of infiltration at upper trapezius trigger point
  • Anticoagulant medication
  • Aspirin intake during the last 3 days
  • Drug intake (AINES, narcotics, antiepileptics, or any other analgesic medication)
  • Pregnancy

Sites / Locations

  • Universidad CEU Cardenal Herrera

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Dry Needling of trigger point

Strain-counterstraing technique

Placebo manual technique

Arm Description

Deep dry needling will be applied on the upper trapezius myofascial trigger point

This manual technique will be applied at the upper trapezius.

A technique simulating strain-counterstrain, but without any therapeutic manoeuvre will be applied at the upper trapezius site.

Outcomes

Primary Outcome Measures

Pain Pressure Threshold
Amount of pressure (Kg/cm2) applied at the myofascial trigger point site that elicit pain for the patient will be reported. Analogy pressure algometer(Wagner, FPK 20) will be used.

Secondary Outcome Measures

Pain at rest
Visual Analogue Scale
Neck Disability
Neck Disability Index
Electromyographic activity of the upper trapezius
Surface EMG will be recorded (MP 100 de BIOPAC Systems; Goleta, California, USA). Electrodes will be located to register activity of the Upper trapezius, according to Surface ElectroMyoGraphy for the Non-Invasive Assessment of Muscles (SENIAM) guidelines. Microvolts of activity at rest will be recorded. Data will be normalized through calculation of maximal voluntary contraction, so that final data will be reported as a percentage.

Full Information

First Posted
February 4, 2011
Last Updated
May 13, 2014
Sponsor
Cardenal Herrera University
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1. Study Identification

Unique Protocol Identification Number
NCT01290653
Brief Title
Dry Needling Versus Strain-counterstrain on the Upper Trapezius
Acronym
DNJ
Official Title
Dry Needling Versus Strain Counterstrain Technique: Pilot Study Comparing Effects Over the Upper Trapezius Myofascial Trigger Point
Study Type
Interventional

2. Study Status

Record Verification Date
May 2014
Overall Recruitment Status
Completed
Study Start Date
February 2011 (undefined)
Primary Completion Date
July 2011 (Actual)
Study Completion Date
September 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Cardenal Herrera University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study investigates the effect of two different techniques (dry needling and Strain-counterstrain manual technique) on the upper trapezius myofascial trigger point (MTP). Subjects with active or latent MTP in this location of the muscle will be identified and will be randomly assigned to one out of three groups: dry needling, strain-counterstrain or placebo manual technique. Pain pressure threshold, provoked pain, pain at rest, neck disability and electromyography (EMG) activity of the upper trapezius will be registered before and after six sessions of treatment.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Dry Needling of trigger point
Arm Type
Experimental
Arm Description
Deep dry needling will be applied on the upper trapezius myofascial trigger point
Arm Title
Strain-counterstraing technique
Arm Type
Experimental
Arm Description
This manual technique will be applied at the upper trapezius.
Arm Title
Placebo manual technique
Arm Type
Placebo Comparator
Arm Description
A technique simulating strain-counterstrain, but without any therapeutic manoeuvre will be applied at the upper trapezius site.
Intervention Type
Other
Intervention Name(s)
Dry needling
Intervention Description
Deep dry needling until achieving twitch response of the muscle
Intervention Type
Other
Intervention Name(s)
Strain-counterstrain technique
Intervention Description
A manual technique to release tension of painful muscles.
Intervention Type
Other
Intervention Name(s)
Placebo manual technique
Intervention Description
A placebo technique, consisting of manual contact of the therapist with the patient without any further therapeutic approach
Primary Outcome Measure Information:
Title
Pain Pressure Threshold
Description
Amount of pressure (Kg/cm2) applied at the myofascial trigger point site that elicit pain for the patient will be reported. Analogy pressure algometer(Wagner, FPK 20) will be used.
Time Frame
6 sessions
Secondary Outcome Measure Information:
Title
Pain at rest
Description
Visual Analogue Scale
Time Frame
6 sessions
Title
Neck Disability
Description
Neck Disability Index
Time Frame
6 sessions
Title
Electromyographic activity of the upper trapezius
Description
Surface EMG will be recorded (MP 100 de BIOPAC Systems; Goleta, California, USA). Electrodes will be located to register activity of the Upper trapezius, according to Surface ElectroMyoGraphy for the Non-Invasive Assessment of Muscles (SENIAM) guidelines. Microvolts of activity at rest will be recorded. Data will be normalized through calculation of maximal voluntary contraction, so that final data will be reported as a percentage.
Time Frame
6 sessions

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Active myofascial trigger point at the upper trapezius Exclusion Criteria: Diagnosed fibromyalgia Cervical radiculopathy Facial neuralgia Coagulation alteration Cancer Allergy (included needles) History of cervical or shoulder surgery History of deep venous thrombosis History of myopathy History of infiltration at upper trapezius trigger point Anticoagulant medication Aspirin intake during the last 3 days Drug intake (AINES, narcotics, antiepileptics, or any other analgesic medication) Pregnancy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eva Segura-Ortí, PhD
Organizational Affiliation
Cardenal Herrera University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Universidad CEU Cardenal Herrera
City
Moncada
State/Province
Valencia
ZIP/Postal Code
46113
Country
Spain

12. IPD Sharing Statement

Citations:
PubMed Identifier
26746173
Citation
Segura-Orti E, Prades-Vergara S, Manzaneda-Pina L, Valero-Martinez R, Polo-Traverso JA. Trigger point dry needling versus strain-counterstrain technique for upper trapezius myofascial trigger points: a randomised controlled trial. Acupunct Med. 2016 Jun;34(3):171-7. doi: 10.1136/acupmed-2015-010868. Epub 2016 Jan 8.
Results Reference
derived

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Dry Needling Versus Strain-counterstrain on the Upper Trapezius

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