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Superficial Dry Needling Versus Deep Dry Needling on the Upper Trapezius

Primary Purpose

Neck Pain

Status

Completed

Phase

Not Applicable

Locations

Spain

Study Type

Interventional

Intervention

Experimental: Deep dry needling

Experimental: Superficial dry needling

Placebo Comparator: Placebo Gastrocnemius dry needling

About this trial

This is an interventional treatment trial for Neck Pain

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Present the latent Myofascial trigger Point (MTP) 1 in upper trapezius.
Accept participation in the study (signature of informed consent).
Be in an age range between 18 and 55 years.
Do not present any exclusion criteria.

Exclusion Criteria:

Do not present MTP 1 latent in the upper trapezius.
Suffering and / or having suffered from upper limb pathologies, deformities or orthopedic injuries that could alter the static and biomechanics of the shoulder and neck.
Not clearly identify the MTP 1 in the upper trapezius.
Have been diagnosed with fibromyalgia, myelopathy or radiculopathy.
Having contraindicated the technique of dry needling for suffering, for example, coagulation problems.
Having suffered a whiplash.
Be pregnant.
Have used analgesics 24 hours before participating in the study.
Having belonephobia.
Know the study techniques.
Be in physiotherapy treatment and / or have been treated with needle techniques at some time.
Having had cervical surgery.

Sites / Locations

Universidad CEU Cardenal Herrera

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Arm Label

Deep dry needling

Superficial dry needling

Placebo Gastrocnemius dry needling

Arm Description

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

Superficial dry needling will be applied in the upper trapezius myofascial trigger point

A technique simulating dry needling will be applied in the gastrocnemius myofascial trigger point with a needle guard guide tube, without any therapeutic manoeuvre will be applied.

Outcomes

Primary Outcome Measures

Pain pressure threshold

Amount of pressure (Kg/cm2) applied at the upper trapezius myofascial trigger point site that elicit pain for the patient will be reported

Secondary Outcome Measures

Cervical range of motion

cervical movement in flexion and extension, left and right rotation and side bending left and right

Full Information

NCT ID

NCT03719352

First Posted

October 15, 2018

Last Updated

November 10, 2018

Sponsor

Cardenal Herrera University

1. Study Identification

Unique Protocol Identification Number

NCT03719352

Brief Title

Superficial Dry Needling Versus Deep Dry Needling on the Upper Trapezius

Official Title

Analysis, Comparison and Evaluation of Cervical Range of Motion and Neck Pain After Deep Dry Needling and Superficial Dry Needling in the Upper Trapezius: A Randomised Controlled Trial

Study Type

Interventional

2. Study Status

Record Verification Date

November 2018

Overall Recruitment Status

Completed

Study Start Date

October 24, 2018 (Actual)

Primary Completion Date

October 25, 2018 (Actual)

Study Completion Date

November 8, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

Cardenal Herrera 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

This study investigates the effect of two different techniques (deep dry needling and superficial dry needling) on the latent myofascial trigger point in the upper trapezius. Subjects with latent Myofascial trigger point in this location of the muscle will be identified and will be randomly assigned to one out of the three groups: deep dry needling, superficial dry needling or sham dry needling in gastrocnemius muscle. cervical range of motion and pain pressure threshold in the upper trapezius will be registered before, immediately after the intervention, at 24 hours after the intervention, at 72 hours after the intervention and a week after the intervention

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

Masking Description

Double (participant, outcomes Assessor

Allocation

Randomized

Enrollment

180 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Deep dry needling

Arm Type

Experimental

Arm Description

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

Arm Title

Superficial dry needling

Arm Type

Experimental

Arm Description

Superficial dry needling will be applied in the upper trapezius myofascial trigger point

Arm Title

Placebo Gastrocnemius dry needling

Arm Type

Placebo Comparator

Arm Description

A technique simulating dry needling will be applied in the gastrocnemius myofascial trigger point with a needle guard guide tube, without any therapeutic manoeuvre will be applied.

Intervention Type

Procedure

Intervention Name(s)

Experimental: Deep dry needling

Intervention Description

Deep dry needling until achieving twitch response of the muscle

Intervention Type

Procedure

Intervention Name(s)

Experimental: Superficial dry needling

Intervention Description

Superficial dry needling to achieve sensitive pain with needle rotation

Intervention Type

Procedure

Intervention Name(s)

Placebo Comparator: Placebo Gastrocnemius dry needling

Intervention Description

Simulate pain with de plastic needle guard in the gastrocnemius muscle

Primary Outcome Measure Information:

Title

Pain pressure threshold

Description

Amount of pressure (Kg/cm2) applied at the upper trapezius myofascial trigger point site that elicit pain for the patient will be reported

Time Frame

a week

Secondary Outcome Measure Information:

Title

Cervical range of motion

Description

cervical movement in flexion and extension, left and right rotation and side bending left and right

Time Frame

a week

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Maximum Age & Unit of Time

55 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Present the latent Myofascial trigger Point (MTP) 1 in upper trapezius. Accept participation in the study (signature of informed consent). Be in an age range between 18 and 55 years. Do not present any exclusion criteria. Exclusion Criteria: Do not present MTP 1 latent in the upper trapezius. Suffering and / or having suffered from upper limb pathologies, deformities or orthopedic injuries that could alter the static and biomechanics of the shoulder and neck. Not clearly identify the MTP 1 in the upper trapezius. Have been diagnosed with fibromyalgia, myelopathy or radiculopathy. Having contraindicated the technique of dry needling for suffering, for example, coagulation problems. Having suffered a whiplash. Be pregnant. Have used analgesics 24 hours before participating in the study. Having belonephobia. Know the study techniques. Be in physiotherapy treatment and / or have been treated with needle techniques at some time. Having had cervical surgery.

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Sergio Montero-Navarro, PhD

Organizational Affiliation

Cardenal Herrera University

Official's Role

Principal Investigator

Facility Information:

Facility Name

Universidad CEU Cardenal Herrera

City

Valencia

State/Province

Moncada

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

background

PubMed Identifier

25836591

Citation

Martin-Pintado-Zugasti A, Pecos-Martin D, Rodriguez-Fernandez AL, Alguacil-Diego IM, Portillo-Aceituno A, Gallego-Izquierdo T, Fernandez-Carnero J. Ischemic Compression After Dry Needling of a Latent Myofascial Trigger Point Reduces Postneedling Soreness Intensity and Duration. PM R. 2015 Oct;7(10):1026-1034. doi: 10.1016/j.pmrj.2015.03.021. Epub 2015 Mar 31.

Results Reference

background

PubMed Identifier

24725800

Citation

Ziaeifar M, Arab AM, Karimi N, Nourbakhsh MR. The effect of dry needling on pain, pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle. J Bodyw Mov Ther. 2014 Apr;18(2):298-305. doi: 10.1016/j.jbmt.2013.11.004. Epub 2013 Nov 9.

Results Reference

background

PubMed Identifier

24568260

Citation

Mejuto-Vazquez MJ, Salom-Moreno J, Ortega-Santiago R, Truyols-Dominguez S, Fernandez-de-Las-Penas C. Short-term changes in neck pain, widespread pressure pain sensitivity, and cervical range of motion after the application of trigger point dry needling in patients with acute mechanical neck pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2014 Apr;44(4):252-60. doi: 10.2519/jospt.2014.5108. Epub 2014 Feb 25. Erratum In: J Orthop Sports Phys Ther. 2015 Apr;45(4):329.

Results Reference

background

PubMed Identifier

25269764

Citation

Llamas-Ramos R, Pecos-Martin D, Gallego-Izquierdo T, Llamas-Ramos I, Plaza-Manzano G, Ortega-Santiago R, Cleland J, Fernandez-de-Las-Penas C. Comparison of the short-term outcomes between trigger point dry needling and trigger point manual therapy for the management of chronic mechanical neck pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2014 Nov;44(11):852-61. doi: 10.2519/jospt.2014.5229. Epub 2014 Sep 30. Erratum In: J Orthop Sports Phys Ther. 2015 Feb;45(2):147.

Results Reference

background

PubMed Identifier

27697768

Citation

Abbaszadeh-Amirdehi M, Ansari NN, Naghdi S, Olyaei G, Nourbakhsh MR. Therapeutic effects of dry needling in patients with upper trapezius myofascial trigger points. Acupunct Med. 2017 Apr;35(2):85-92. doi: 10.1136/acupmed-2016-011082. Epub 2016 Oct 3.

Results Reference

result

PubMed Identifier

34553614

Citation

Montero Navarro S, Del Rio Medina S, Martin Botella Rico J, Isabel Rocha Ortiz M, Teresa Perez Gracia M. Analysis and comparison of pain pressure threshold and active cervical range of motion after superficial and deep dry needling techniques of the upper trapezius muscle. Acupunct Med. 2022 Feb;40(1):13-23. doi: 10.1177/09645284211039523. Epub 2021 Sep 23.

Results Reference

derived

Links:

URL

http://www.uchceu.es

Description

The University CEU-Cardenal Herrera is th first private university in the Valencian Community. It belongs to the Foundation San Pablo - CEU and is the leading educational organization in Spain with three Universities all over Spain

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Superficial Dry Needling Versus Deep Dry Needling on the Upper Trapezius

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