Effects of Dry Needling on Stiffness in Latent Trigger Points

NCT ID: NCT04394741

Last Updated: 2020-10-05

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

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-01

Study Completion Date

2020-08-31

Brief Summary

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The purpose of this study is to determine whether application of Dry Needling (DN) is effective for reduced on Stiffness in Latent trigger point (LTrP) of upper trapezius. The secondary purposes are to determine the correlation on two elastography for stiffness measure (Shear-wave elastography and Strain elastography). Randomized controlled trial, in parallel with cross-control design. Two groups with LTrP in upper trapezius, and will be randomly selected to DN group or Sham-Dn group.

Detailed Description

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Conditions

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Trigger Points

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Deep Dry Needling

Intervention-Dry Needling: Deep Dry Needing into the latent trigger point of the upper trapezius muscle

Group Type EXPERIMENTAL

Intervention-Dry Needling

Intervention Type DEVICE

Deep Dry Needling into the site of the latent Trigger Point of the upper trapezius muscle.

1 session in upper trapezius muscle moving the needle up and down ten times.

Sham Dry Needling

Control-Dry Needling: Sham Dry Needling into the latent trigger point of the upper trapezius muscle

Group Type SHAM_COMPARATOR

Intervention-Dry Needling

Intervention Type DEVICE

Deep Dry Needling into the site of the latent Trigger Point of the upper trapezius muscle.

1 session in upper trapezius muscle moving the needle up and down ten times.

Control-Dry Needling

Intervention Type DEVICE

Sham Dry Needling into the site of the latent Trigger Point of the upper trapezius muscle with non-penetrating needles

1 session in upper trapezius muscle moving the needle up and down ten times.

Interventions

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Intervention-Dry Needling

Deep Dry Needling into the site of the latent Trigger Point of the upper trapezius muscle.

1 session in upper trapezius muscle moving the needle up and down ten times.

Intervention Type DEVICE

Control-Dry Needling

Sham Dry Needling into the site of the latent Trigger Point of the upper trapezius muscle with non-penetrating needles

1 session in upper trapezius muscle moving the needle up and down ten times.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age between 18 and 30 years
* The presence of LTrP in the middle third of the upper trapezius muscle on the dominant side
* Being able to provide written informed consent
* Being able to follow instructions and realize clinical tests

Exclusion Criteria

* Any pharmacological therapeutic
* Any medical treatment or physical therapies at cervical region during the 6-month before this study - Any diagnosed health problem
* Any history of head and upper extremity surgery or trauma
* Any red flags to DN, (ie: metabolic diseases, pregnancy, kinesiophobia, Infection, cancer)
* Absence of recurrent history of neck pain
* No neck pain symptomatology the previous 6 months
* Cervical disk herniation
Minimum Eligible Age

18 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Castilla-La Mancha

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Javier Abián-Vicén, PhD

Role: STUDY_DIRECTOR

Castilla-La Mancha University

Locations

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Performance and Sport Rehabilitation Laboratory

Toledo, , Spain

Site Status

Countries

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Spain

References

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Ruiz-Saez M, Fernandez-de-las-Penas C, Blanco CR, Martinez-Segura R, Garcia-Leon R. Changes in pressure pain sensitivity in latent myofascial trigger points in the upper trapezius muscle after a cervical spine manipulation in pain-free subjects. J Manipulative Physiol Ther. 2007 Oct;30(8):578-83. doi: 10.1016/j.jmpt.2007.07.014.

Reference Type BACKGROUND
PMID: 17996549 (View on PubMed)

Grabowski PJ, Slane LC, Thelen DG, Obermire T, Lee KS. Evidence of Generalized Muscle Stiffness in the Presence of Latent Trigger Points Within Infraspinatus. Arch Phys Med Rehabil. 2018 Nov;99(11):2257-2262. doi: 10.1016/j.apmr.2018.03.024. Epub 2018 Apr 28.

Reference Type BACKGROUND
PMID: 29709524 (View on PubMed)

Maher RM, Hayes DM, Shinohara M. Quantification of dry needling and posture effects on myofascial trigger points using ultrasound shear-wave elastography. Arch Phys Med Rehabil. 2013 Nov;94(11):2146-50. doi: 10.1016/j.apmr.2013.04.021. Epub 2013 May 14.

Reference Type BACKGROUND
PMID: 23684553 (View on PubMed)

Luan S, Zhu ZM, Ruan JL, Lin CN, Ke SJ, Xin WJ, Liu CC, Wu SL, Ma C. Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. Am J Phys Med Rehabil. 2019 Aug;98(8):677-684. doi: 10.1097/PHM.0000000000001173.

Reference Type BACKGROUND
PMID: 31318748 (View on PubMed)

Sanchez-Infante J, Bravo-Sanchez A, Jimenez F, Abian-Vicen J. Effects of Dry Needling on Muscle Stiffness in Latent Myofascial Trigger Points: A Randomized Controlled Trial. J Pain. 2021 Jul;22(7):817-825. doi: 10.1016/j.jpain.2021.02.004. Epub 2021 Feb 23.

Reference Type DERIVED
PMID: 33636373 (View on PubMed)

Other Identifiers

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DNStiffness

Identifier Type: -

Identifier Source: org_study_id

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