Virtual Reality and Post-dry Needling Soreness

NCT ID: NCT03788161

Last Updated: 2021-04-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-01-15
• Study Completion Date: 2021-04-26

Brief Summary

Application of trigger point dry needling can induce post-dry needling soreness. This is not a negative experience, but sometimes some patients want to reduce it as much as possible. Different therapeutic strategies targeting to decrease post-dry needling soreness need to be investigated. Previous studies have investigated spray and stretch, ischemic compression or low-load eccentric exercise as post-needling intervention procedures. There is increasing evidence supporting the role of descending pain inhibition mechanisms for paon control. The application of virtual reality as a distraction technique could active brain mechanisms during dry needling. Therefore, the objective of this study will be to investigate the effects of playing virtual reality during the application of dry needling on post-needling soreness over trigger points in the extensor carpi radialis brevis muscle. A secondary aim will be to determine the prognostic role of baseline scores of pressure pain sensitivity, related-disability, anxiety and catastrophizing levels.

Conditions

Healthy; Epicondylitis of the Elbow

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: TRIPLE

Study Groups

Real Virtual Reality

Participants will receive a distraction by playing a game of virtual reality with a 3D application

Group Type: EXPERIMENTAL

Real Virtual Reality

Intervention Type: OTHER

Participants will receive a distraction by playing a game of virtual reality with a 3D application

Placebo Virtual Reality

Participants will receive a placebo distraction with a game of virtual reality with a 3D application without functioning

Group Type: PLACEBO_COMPARATOR

Placebo Virtual Reality

Intervention Type: OTHER

Participants will receive a placebo distraction with a game of virtual reality with a 3D application without functioning

Interventions

Real Virtual Reality

Participants will receive a distraction by playing a game of virtual reality with a 3D application

Intervention Type: OTHER

Placebo Virtual Reality

Participants will receive a placebo distraction with a game of virtual reality with a 3D application without functioning

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• no history of upper quadrant pain symptoms the year preceding the study
• no history of upper quadrant surgery
• presence of a latent trigger point in the extensor carpi radialis brevis muscle

• pain over the lateral side of the elbow;
• pain on palpation over the lateral epicondyle or the associated common wrist extensor tendon;
• elbow pain with either resisted static contraction or stretching of the wrist extensor muscles.
• presence of an active trigger point in the extensor carpi radialis brevis muscle

Exclusion Criteria

• bilateral symptoms;
• older than 50 years of age;
• previous surgery or steroid injections;
• other diagnoses of upper extremity (shoulder pathology, cervical radiculopathy, cervical whiplash);
• history of cervical or upper extremity trauma;
• history of musculoskeletal medical conditions (rheumatoid arthritis, fibromyalgia);

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Universidad Rey Juan Carlos

OTHER

Sponsor Role: lead

Responsible Party

César Fernández-de-las-Peñas

Director of Department

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Cesar Fernandez-de-Las-Peñas

Alcorcón, Madrid, Spain

Countries

Spain

Other Identifiers

URJC1509201810418

Identifier Type: -

Identifier Source: org_study_id