Superficial Dry Needling Versus Deep Dry Needling on the Upper Trapezius

NCT ID: NCT03719352

Last Updated: 2018-11-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-24

Study Completion Date

2018-11-08

Brief Summary

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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

Detailed Description

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Conditions

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Neck Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Double (participant, outcomes Assessor

Study Groups

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Deep dry needling

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

Group Type EXPERIMENTAL

Experimental: Deep dry needling

Intervention Type PROCEDURE

Deep dry needling until achieving twitch response of the muscle

Superficial dry needling

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

Group Type EXPERIMENTAL

Experimental: Superficial dry needling

Intervention Type PROCEDURE

Superficial dry needling to achieve sensitive pain with needle rotation

Placebo Gastrocnemius dry needling

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.

Group Type PLACEBO_COMPARATOR

Placebo Comparator: Placebo Gastrocnemius dry needling

Intervention Type PROCEDURE

Simulate pain with de plastic needle guard in the gastrocnemius muscle

Interventions

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Experimental: Deep dry needling

Deep dry needling until achieving twitch response of the muscle

Intervention Type PROCEDURE

Experimental: Superficial dry needling

Superficial dry needling to achieve sensitive pain with needle rotation

Intervention Type PROCEDURE

Placebo Comparator: Placebo Gastrocnemius dry needling

Simulate pain with de plastic needle guard in the gastrocnemius muscle

Intervention Type PROCEDURE

Eligibility Criteria

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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.

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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cardenal Herrera University

OTHER

Sponsor Role lead

Responsible Party

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SERGIO MONTERO NAVARRO

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sergio Montero-Navarro, PhD

Role: PRINCIPAL_INVESTIGATOR

Cardenal Herrera University

Locations

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Universidad CEU Cardenal Herrera

Valencia, Moncada, Spain

Site Status

Countries

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Spain

References

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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.

Reference Type BACKGROUND
PMID: 26746173 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 25836591 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 24725800 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 24568260 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 25269764 (View on PubMed)

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.

Reference Type RESULT
PMID: 27697768 (View on PubMed)

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.

Reference Type DERIVED
PMID: 34553614 (View on PubMed)

Provided Documents

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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form

View Document

Related Links

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http://www.uchceu.es

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

Other Identifiers

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CEU UCH 205

Identifier Type: -

Identifier Source: org_study_id

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