Comparative Effects of Dry Needling and Ischemic Compression Technique on Scalene Myofascial Pain Syndrome

NCT ID: NCT05356416

Last Updated: 2022-11-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 28 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-05-06
• Study Completion Date: 2022-10-18

Brief Summary

Myofascial Pain Syndrome (MPS) is a medical term used to describe chronic regional pain syndrome that presents with hyperirritable spots called trigger points (TPs) and/or tender spots (TSs) that arise from taut bands (TB) in the skeletal muscle. Scalene myofascial pain syndrome is a regional pain syndrome wherein pain originates over the neck area and radiates down to the arm. Functionally, MPS causes the muscle to become weak and stiff, leading to reductions in range of movement. Thus, MPS is known as a major cause of morbidity, with a significant impact on daily activity, function and quality of life. The aim of this study is to compare the effects of dry needling versus ischemic compression technique on trigger points of scalene in neck pain, related disability and neck active range of motion among patients with scalene myofascial pain syndrome.

Detailed Description

A Randomized clinical trial will be conducted at DHQ Gujranwala and Sikandar medical complex Gujranwala through convenience sampling technique on 24 patients. Patients with scalene myofascial pain syndrome between age from 18 years to 45 with positive Scalene Cramp Test will be included in study. Patients will be accessed for neck pain, disability and active range of motion. They will be allocated through simple random sampling through sealed opaque envelopes into group A and group B. Patients in dry needling (DN) group will receive a single session of DN with sterile needles insert on trigger points in scalene muscles as first twitch response will obtained needles will be manipulated in and out of the muscles to get 2 or 3 more local responses. Patients in Group B will receive a single session of ischemic compression technique for this ischemic compression technique sustained pressure on the trigger points will be maintained for 30 seconds. Control treatment will be same for both groups. Pre and post treatment values will be identified after one month follow-up.

Conditions

Scalenus Syndrome

Study Design

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

Study Groups

Ischemic compression

Patients in Group B will receive a single session of ischemic compression technique for ischemic compression technique sustained pressure on the trigger points will be maintained for 30 seconds.

Group Type: EXPERIMENTAL

Ischemic compression

Intervention Type: OTHER

Ischemic compression technique is a massage technique that consists of moderate compression, typically applied with the fingers, to the MTrP. Application of this technique to an MTrP results in a positive effect on pain-pressure threshold.

Patients in Group B will receive a single session of ischemic compression technique for ischemic compression technique sustained pressure on the trigger points will be maintained for 30 seconds.

Dry Needling

Patients in dry needling (DN) group will receive a single session of DN of 10 minutes with sterile needles insert on trigger points in scalene muscles as first twitch response will obtained needles will be manipulated in and out of the muscles to get 2 or 3 more local responses.

Group Type: ACTIVE_COMPARATOR

Dry needling

Intervention Type: OTHER

Trigger-point dry needling is an invasive procedure where a fine needle or acupuncture needle is inserted into the skin and muscle.

Patients in dry needling (DN) group will receive a single session of DN of 10 minutes with sterile needles insert on trigger points in scalene muscles as first twitch response will obtained needles will be manipulated in and out of the muscles to get 2 or 3 more local responses.

Interventions

Ischemic compression

Ischemic compression technique is a massage technique that consists of moderate compression, typically applied with the fingers, to the MTrP. Application of this technique to an MTrP results in a positive effect on pain-pressure threshold.

Patients in Group B will receive a single session of ischemic compression technique for ischemic compression technique sustained pressure on the trigger points will be maintained for 30 seconds.

Intervention Type: OTHER

Dry needling

Trigger-point dry needling is an invasive procedure where a fine needle or acupuncture needle is inserted into the skin and muscle.

Patients in dry needling (DN) group will receive a single session of DN of 10 minutes with sterile needles insert on trigger points in scalene muscles as first twitch response will obtained needles will be manipulated in and out of the muscles to get 2 or 3 more local responses.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients with scalene myofascial pain syndrome
• Age from 18 years to 45
• Patients with positive Scalene Cramp Test

Exclusion Criteria

• Whiplash injury
• Thoracic dysfunction any cervical radiculopathy
• Age below 18 and more than 45 years
• Any psychiatry disorder or
• Any contraindication to Dry Needling

• Minimum Eligible Age: 18 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

samrood Akram, MPhil

Role: PRINCIPAL_INVESTIGATOR

Riphah International University,Lahore

Locations

Sikandar Medical Complex

Gujranwala, Punjab Province, Pakistan

Countries

Pakistan

References

Gohil D, Vaishy S, Baxi G, Samson A, Palekar T. Effectiveness of strain-counterstrain technique versus digital ischemic compression on myofascial trigger points. Archives of Medicine and Health Sciences. 2020;8(2):191.

Reference Type: BACKGROUND

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Reference Type: BACKGROUND

PMID: 30429897 (View on PubMed)

Ortega-Santiago R, Maestre-Lerga M, Fernandez-de-Las-Penas C, Cleland JA, Plaza-Manzano G. Widespread Pressure Pain Sensitivity and Referred Pain from Trigger Points in Patients with Upper Thoracic Spine Pain. Pain Med. 2019 Jul 1;20(7):1379-1386. doi: 10.1093/pm/pnz020.

Reference Type: BACKGROUND

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Reference Type: BACKGROUND

PMID: 33219086 (View on PubMed)

Boyce D, Wempe H, Campbell C, Fuehne S, Zylstra E, Smith G, Wingard C, Jones R. ADVERSE EVENTS ASSOCIATED WITH THERAPEUTIC DRY NEEDLING. Int J Sports Phys Ther. 2020 Feb;15(1):103-113.

Reference Type: BACKGROUND

PMID: 32089962 (View on PubMed)

Nasb M, Qun X, Ruckmal Withanage C, Lingfeng X, Hong C. Dry Cupping, Ischemic Compression, or Their Combination for the Treatment of Trigger Points: A Pilot Randomized Trial. J Altern Complement Med. 2020 Jan;26(1):44-50. doi: 10.1089/acm.2019.0231. Epub 2019 Oct 3.

Reference Type: BACKGROUND

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Maayah MF, Khabour OF, Gaowgzeh RA, Neamatallah Z, Alfawaz SS. Effects of acupressure versus physical therapy on Enkephalin and Endorphin levels in Scalene Myofascial Pain Syndrome patients: A randomized controlled trial. Advances in Mechanics. 2021;9(3):1141-53.

Reference Type: BACKGROUND

Yasar MF, Yaksi E, Kurul R, Alisik T, Seker Z. Comparison of dry needling and kinesio taping methods in the treatment of myofascial pain syndrome: A single blinded randomised controlled study. Int J Clin Pract. 2021 Oct;75(10):e14561. doi: 10.1111/ijcp.14561. Epub 2021 Jul 12.

Reference Type: BACKGROUND

PMID: 34159691 (View on PubMed)

Toghtamesh M, Tajali SB, Jalaei S. Comparing Between the Effects of Dry Needling and Shock Wave in the Treatment of Trapezius Myofascial Pain. Journal of Modern Rehabilitation. 2020;14(4):225-32.

Reference Type: BACKGROUND

Lamba D. Comparison of two different photobiostimulation on pain and functional ability in patients with myofascial trigger points (levator scapulae muscle). International Journal of Medical Research & Health Sciences. 2019;8(7):22-9.

Reference Type: BACKGROUND

Other Identifiers

REC/Lhr/22/0113 Arooj

Identifier Type: -

Identifier Source: org_study_id