Dry Needling and Maitland Joint Mobilization Techniques in Patients With Myofacial Chronic Neck Pain

NCT ID: NCT04568915

Last Updated: 2020-09-29

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-09-15
• Study Completion Date: 2020-06-28

Brief Summary

The purpose of my research is to compare the effects of dry needling and Maitland mobilization in chronic myofacial neck pain

Detailed Description

To distinguish which technique is most effective in pain reduction and range gain because in chronic cases there is involvement of fascia, muscles and joints due to prolonged stress on any of the component affecting the other. Hence, the study will help to design a treatment plan with more accurate intervention. After sample collection according to selection criteria treatment sessions will be given to both groups for 6 weeks. Data will be collected at baseline, then after 2 weeks, 4 weeks and at 8th week. Tools for data collection are Visual analogue scale, Neck Disability Index and Goniometer. For statistical analysis SPSS 22 will be used. Intra group difference will be calculated by repeated measurement ANOVA / Friedman test and inter group analysis will be done by Independent sample t test. Descriptive data will be expressed in terms of frequency and proportions.

Conditions

Myofacial Pain; Neck Pain

Study Design

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

Study Groups

Dry Needling-Group

Tens, Stretching, Strengthening(girdle), Neck Isometrics, DN

Group Type: EXPERIMENTAL

Dry Needling

Intervention Type: OTHER

TENS 10 minutes, Stretching, Strengthening(girdle),Neck Isometrics, DN

Maitland-Group

Tens Stretching, Strengthening(girdle), Neck Isometrics, Maitland joint mobilization

Group Type: ACTIVE_COMPARATOR

Maitland Mobilization

Intervention Type: OTHER

TENS 10 minutes, Stretching, Strengthening(girdle),Neck Isometrics, Maitland joint mobilization

Interventions

Dry Needling

TENS 10 minutes, Stretching, Strengthening(girdle),Neck Isometrics, DN

Intervention Type: OTHER

Maitland Mobilization

TENS 10 minutes, Stretching, Strengthening(girdle),Neck Isometrics, Maitland joint mobilization

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Bilateral pain involving the upper trapezius and elevator muscle of the scapula;
• Duration of pain of at least 3 months;
• A pain intensity corresponding to at least 20 mm on a 100 mm visual analogue scale (VAS)
• Neck pain with symptoms provoked by either neck postures or neck movement;
• Pain localized at least in the cervical and occipital regions but not in the orofacial region;
• Neck disability index (NDI) greater than or equal to 15 points;
• Restricted cervical range of movements (flexion, extension, rotation, and sidebending); (i) Presence of bilateral MTrPs in upper trapezius and levator scapulae muscles

Exclusion Criteria

• Any signs, symptoms, or history of the following diseases:
• Orofacial pain and temporo-mandibular disorders
• A history of traumatic injuries (e.g., contusion, fracture, and whiplash injury);
• Systemic diseases such as fibromyalgia, systemic erythematous lupus, and arthritis; (d) Neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia);
• Concomitant medical diagnosis of any primary headache (tension type or migraine);
• Unilateral neck pain;
• Cervical spine surgery;
• Clinical diagnosis of cervical radiculopathy or myelopathy;
• Needle phobia;
• History of previous physical therapy intervention for the cervical region in last 6 months.

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 45 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

Riphah IU

Lahore, , Pakistan

Countries

Pakistan

References

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Reference Type: BACKGROUND

PMID: 20091561 (View on PubMed)

Davidoff RA. Trigger points and myofascial pain: toward understanding how they affect headaches. Cephalalgia. 1998 Sep;18(7):436-48. doi: 10.1046/j.1468-2982.1998.1807436.x.

Reference Type: BACKGROUND

PMID: 9793695 (View on PubMed)

Borg-Stein J, Simons DG. Focused review: myofascial pain. Arch Phys Med Rehabil. 2002 Mar;83(3 Suppl 1):S40-7, S48-9. doi: 10.1053/apmr.2002.32155.

Reference Type: BACKGROUND

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Reference Type: BACKGROUND

PMID: 26640708 (View on PubMed)

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

PMID: 25143704 (View on PubMed)

Graff-Radford SB, Reeves JL, Jaeger B. Management of chronic head and neck pain: effectiveness of altering factors perpetuating myofascial pain. Headache. 1987 Apr;27(4):186-90. doi: 10.1111/j.1526-4610.1987.hed2704186.x. No abstract available.

Reference Type: BACKGROUND

PMID: 3597072 (View on PubMed)

Tekin L, Akarsu S, Durmus O, Cakar E, Dincer U, Kiralp MZ. The effect of dry needling in the treatment of myofascial pain syndrome: a randomized double-blinded placebo-controlled trial. Clin Rheumatol. 2013 Mar;32(3):309-15. doi: 10.1007/s10067-012-2112-3. Epub 2012 Nov 9.

Reference Type: BACKGROUND

PMID: 23138883 (View on PubMed)

Other Identifiers

Momna Ghaffar

Identifier Type: OTHER

Identifier Source: secondary_id

MS-OMPT/Spring19/030 Momna

Identifier Type: -

Identifier Source: org_study_id