Immediate Stiffness Changes in Myofascial Trigger Points After Dry Needling

NCT ID: NCT04832074

Last Updated: 2022-02-22

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-05

Study Completion Date

2021-05-19

Brief Summary

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Shear-wave elastography (SWE) is considered as a useful tool for quantifying muscle stiffness. Considering that Myofascial Trigger Points (MTrP) are defined as "hyperirritable zones in contracted bands of muscle, thought to be caused by muscle overload or stress" and the effectiveness of dry needling applied to active MTrP for reducing pain and disability, the aim of this study is to assess the effects of sham and real dry needling, applied to active MTrP in the upper trapezius muscle in patients with chronic neck pain, on the muscle stiffness in two areas: 1) the most symptomatic area and 2) a control point.

Detailed Description

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Conditions

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Myofascial Pain Syndrome Neck Pain Trigger Point Pain, Myofascial

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, Double-Blinded, Placebo-Controlled Trial
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Dry Needling

Dry needling will be performed with 'solid filiform needles'. The procedure is as follows: The participant will lie in the prone position. The overlying skin will be cleaned with antiseptic spray. The taut band and MTrP, will be localized manually.

After measuring the Pain Pressure Thresholds in this location and the control (located 3 cm lateral to the MTrP), the needle within its plastic guide tube will be placed over the MTrP. After a tapping movement to insert the needle, the needle will be moved to the muscle around the bundle and moved forward and backward to the tissue to elicit a small muscle twitch. After eliciting LTR, needling will be stopped. If no twitch were elicited, needling will stopped after two or three stellate movements

Group Type EXPERIMENTAL

Dry Needling

Intervention Type OTHER

Real Dry Needling in the most active Myofascial Trigger Point

Sham Dry Needling

The same approach will be used with the exception of piercing the skin. The guide tube will press against the tissue and the sham needle will be allowed to drop against the skin. The handle will be tapped briskly but not breaking the skin. The sham needle will stay within the guide tube and will be pressed against the skin twice so as to mimic the quick "in and out" technique.

Group Type SHAM_COMPARATOR

Sham Dry Needling

Intervention Type OTHER

Sham Dry Needling in the same location, but not piercing the skin

Interventions

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Dry Needling

Real Dry Needling in the most active Myofascial Trigger Point

Intervention Type OTHER

Sham Dry Needling

Sham Dry Needling in the same location, but not piercing the skin

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients between 18 and 65 and
* Presence of mechanical neck pain for at least three months duration
* Presence of at least one active MTrP in the Upper Trapezius muscle

Exclusion Criteria

* Neck pain of traumatic origin (such as whiplash-associated disorder)
* Current use of any kind of analgesic therapy
* Presenting any condition usually considered a perpetuating factor of MTrPs, such as fibromyalgia, hypothyroidism, or iron deficiencies
* Presenting any contraindication for Dry Needling application
* Neuropathies (e.g., radiculopathy)
* Bilateral Pain
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Camilo Jose Cela University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Juan Antonio Valera-Calero, PhD

Role: PRINCIPAL_INVESTIGATOR

Camilo José Cela University

Locations

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Francisco de Vitoria University

Pozuelo de Alarcón, Madrid, Spain

Site Status

Countries

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Spain

References

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Valera-Calero JA, Sanchez-Jorge S, Buffet-Garcia J, Varol U, Fernandez-de-Las-Penas C, Alvarez-Gonzalez J. Changes in stiffness at active myofascial trigger points of the upper trapezius after dry needling in patients with chronic neck pain: a randomized controlled trial. Acupunct Med. 2023 Jun;41(3):121-129. doi: 10.1177/09645284221104831. Epub 2022 Jun 28.

Reference Type DERIVED
PMID: 35765779 (View on PubMed)

Other Identifiers

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CamiloJcU21

Identifier Type: -

Identifier Source: org_study_id

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