Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

NCT ID: NCT04285216

Last Updated: 2020-09-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 28 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-09-15
• Study Completion Date: 2020-08-28

Brief Summary

To determine the effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Detailed Description

It is Randomized Controlled trail will be conduct in Mayo Hospital Lahore and Alnoor Hospital Awan town Lahore. Non probability consecutive sampling technique will be used to collect the data. Each group contain the 14 patients, Patient will be divided into two groups. Group A will be experimental group treated by Dry needling and strain counter strain with baseline treatment and Group B will be control group treated by Strain counter strain with baseline treatment(Hot pack 10 mints,stretching,Neck isometrics). Neck Disability index (NDI) ,visual analogue scale(VAS) and goniometer will be used as data collecting tools.

Conditions

Trigger Point Pain, Myofascial

Study Design

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

Study Groups

Dry needling

Hot pack 10 mints,stretching,Neck isometrics, dry needling(DN) and Strain counterstrain(SCS)

Group Type: EXPERIMENTAL

Dry Needling

Intervention Type: OTHER

Hot pack 10 mints,stretching,Neck isometrics, dry needling(DN) and Strain counterstrain(SCS)

Strain counter strain

Hot pack 10 minutes, stretching,Neck isometrics, Strain counter strain (S C S)

Group Type: ACTIVE_COMPARATOR

Strain counter strain

Intervention Type: OTHER

Hot pack 10 mints, stretchings,Neck isometrics, Strain counterstrain(SCS)

Interventions

Dry Needling

Hot pack 10 mints,stretching,Neck isometrics, dry needling(DN) and Strain counterstrain(SCS)

Intervention Type: OTHER

Strain counter strain

Hot pack 10 mints, stretchings,Neck isometrics, Strain counterstrain(SCS)

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients with non-specific neck pain, having active myofascial trigger points in upper trapezius muscle.
• Patient of both gender under the age of 20-40 year
• bilateral pain involving the upper trapezius
• a duration of pain of at least 3 months
• pain localized in the cervical and occipital regions but not in the orofacial region.
• restricted cervical range of motion(side flexion)

Exclusion Criteria

• history of traumatic injuries (e.g., contusion, fracture, and whiplash injury)
• needle phobia patients.
• systemic diseases such as blood coagula tion disorders, chronic pain syndrome, cancer,allergies fibromyalgia, systemic lupus erythematous, and psoriatic arthritis.
• cervical spine surgery patients.
• orofacial pain and temporomandibular disorders
• neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia)
• medical diagnosis of any primary headache (tension type or migraine) clinical diagnosis of cervical radiculopathy or myelopathy
• history of previous physical therapy intervention for the cervical region in last 6 month
• use of anticoagulants, opioids or antiepileptic medications

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Maryam Shabbir, Phd

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Mayo Hospital

Lahore, , Pakistan

Countries

Pakistan

References

Gerwin RD, Shannon S, Hong CZ, Hubbard D, Gevirtz R. Interrater reliability in myofascial trigger point examination. Pain. 1997 Jan;69(1-2):65-73. doi: 10.1016/s0304-3959(96)03248-4.

Reference Type: BACKGROUND

PMID: 9060014 (View on PubMed)

Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Anesthesiol Clin. 2007 Dec;25(4):841-51, vii-iii. doi: 10.1016/j.anclin.2007.07.003.

Reference Type: BACKGROUND

PMID: 18054148 (View on PubMed)

Fischer AA. Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain. 1987 Jul;30(1):115-126. doi: 10.1016/0304-3959(87)90089-3.

Reference Type: BACKGROUND

PMID: 3614975 (View on PubMed)

Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. J Am Board Fam Med. 2010 Sep-Oct;23(5):640-6. doi: 10.3122/jabfm.2010.05.090296.

Reference Type: BACKGROUND

PMID: 20823359 (View on PubMed)

Tough EA, White AR, Cummings TM, Richards SH, Campbell JL. Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomised controlled trials. Eur J Pain. 2009 Jan;13(1):3-10. doi: 10.1016/j.ejpain.2008.02.006. Epub 2008 Apr 18.

Reference Type: BACKGROUND

PMID: 18395479 (View on PubMed)

avaid HMW, Ahmad A, Ajmad F, Liaqat S, Tahir S. Effects of conventional physical therapy with or without strain counterstrain in patients with trigger points of upper trapezius; a randomized controlled clinical trial. Annals of King Edward Medical University. 2016;22(3).

Reference Type: BACKGROUND

Somprasong S, Mekhora K, Vachalathiti R, Pichaiyongwongdee S. Effects of strain counter-strain and stretching techniques in active myofascial pain syndrome. Journal of physical therapy science. 2011;23(6):889-93.

Reference Type: BACKGROUND

Other Identifiers

MSOMPT/Spring19/031 Aqsa Aroob

Identifier Type: -

Identifier Source: org_study_id