The Effect of Dry Needling Treatment Combined With Physical Therapy in Patients With Cervical Spondylosis

NCT ID: NCT05744778

Last Updated: 2023-09-28

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 70 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-02-01
• Study Completion Date: 2023-06-01

Brief Summary

In this study, it was aimed to determine whether dry needling treatment applied to the trigger points in the trapezius muscle in patients with chronic neck pain due to cervical spondylosis makes an additional contribution to the treatment results of the physical therapy and rehabilitation program.

Detailed Description

Among the evaluated patients, the patients meeting the inclusion and exclusion criteria will be randomized into 2 groups using the random numbers table.

While physical therapy and rehabilitation program will be applied to one group, dry needling treatment will be applied to the trigger points in the upper trapezius region with the same program to the other group. Patients will be evaluated before treatment (day 0) and at the end of treatment (day 21).

The randomization and evaluation of the patients will be done by Gül Tuğba Bulut, while the injection of the patients will be done by Alper Mengi.

Gender, age, education level, occupation, neck pain duration, body mass index of the patients included in the study will be recorded.

The patients will be evaluated in terms of pain intensity, number of active trigger points in the upper trapezius muscle, functional status, quality of life, anxiety and depression at before (day 0) and after treatment (day 21).

Conditions

Dry Needling; Cervical Spondylosis; Physical Therapy

Study Design

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

Study Groups

Physical therapy and rehabilitation

The patient group who underwent physical therapy and rehabilitation.

Group Type: EXPERIMENTAL

Physical therapy and rehabilitation

Intervention Type: OTHER

The physical therapy and rehabilitation group will consist of patients who will be applied the same exercise program together with the same physical therapy applications (superficial heat (infrared lamp), transcutaneous electrical nerve stimulation (TENS) and therapeutic ultrasound (TUS)) 5 sessions per week for 3 weeks.

Dry needling

The patient group who underwent dry needling for trigger points in the upper trapezius muscle along with physical therapy and rehabilitation.

Group Type: EXPERIMENTAL

Dry needling

Intervention Type: OTHER

In addition to the physical therapy and exercise program, the dry needling group will consist of patients who have had 3 sessions of dry needling applied to the trigger points in the trapezius muscle, 5 days apart.

Physical therapy and rehabilitation

Intervention Type: OTHER

The physical therapy and rehabilitation group will consist of patients who will be applied the same exercise program together with the same physical therapy applications (superficial heat (infrared lamp), transcutaneous electrical nerve stimulation (TENS) and therapeutic ultrasound (TUS)) 5 sessions per week for 3 weeks.

Interventions

Dry needling

In addition to the physical therapy and exercise program, the dry needling group will consist of patients who have had 3 sessions of dry needling applied to the trigger points in the trapezius muscle, 5 days apart.

Intervention Type: OTHER

Physical therapy and rehabilitation

The physical therapy and rehabilitation group will consist of patients who will be applied the same exercise program together with the same physical therapy applications (superficial heat (infrared lamp), transcutaneous electrical nerve stimulation (TENS) and therapeutic ultrasound (TUS)) 5 sessions per week for 3 weeks.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Having neck pain for at least 3 months
• Restriction of neck movements and/or pain during movement
• Tenderness in neck paravertebral muscles and neural foramen with compression
• Detection of narrowing of intervertebral disc spaces, subchondral sclerosis, osteophyte on cervical radiograph
• Active trigger point in the upper trapezius muscle during the examination.

Exclusion Criteria

• Having motor, sensory or reflex abnormalities due to spinal root compression
• Whiplash injuries
• Cervical spinal stenosis
• Having undergone cervical vertebra surgery
• History of interventional procedure on the cervical region in the last 6 months
• Central or peripheral nervous system disorders
• Spondylolisthesis
• Inflammatory neck pain
• History of infectious, chronic inflammatory disease, malignancy
• Not being cooperative
• Having open wounds, infections or sensory defects on the skin where the application will be made
• Fibromyalgia
• Advanced osteoporosis or osteomalacia
• Active psychiatric illness.

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Istanbul Training and Research Hospital

OTHER_GOV

Sponsor Role: collaborator

Istanbul University - Cerrahpasa

OTHER

Sponsor Role: lead

Responsible Party

Alper mengi

Medical Doctor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Istanbul Training and Research Hospital

Istanbul, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

27.01.2023/15

Identifier Type: -

Identifier Source: org_study_id