The Importance of the Number of Incisions in the Effectiveness of Dry Needling

NCT ID: NCT06149442

Last Updated: 2024-10-16

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 90 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-12-04
• Study Completion Date: 2025-09-20

Brief Summary

The dry needling technique is a procedure increasingly used by health professionals.

Dry needling consists of the use of a filiform needle to treat musculoskeletal pain. Currently, the mechanisms by which it is an effective technique are not well understood. One of the aspects not yet evaluated is the best dose in terms of the number of times it is necessary to insert the needle into the patient to achieve the best result.

This research work aims to assess which treatment obtains the best results in the management of patients with chronic neck pain.

Detailed Description

With the objective of demonstrating how the dose used during the application of the dry needling technique is related to the effectiveness of the treatment, we have designed a study where three different doses of the dry needling technique for the treatment of myofascial trigger points will be compared in the upper trapezius muscle in participants with neck pain.

Randomly, the participants will be distributed to each of the treatment groups and we will measure how the effectiveness of each of the applied doses determines the result of the application of the dry needling technique in the treatment of neck pain.

Conditions

Neck Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: TRIPLE

Study Groups

Dose of five muscle incisions

Subjects treated in this group will receive an in-out technique with a dosage of five incisions in the myofascial trigger point of the levator scapulae muscle.

Group Type: EXPERIMENTAL

Dose of five-incisions dry needling technique

Intervention Type: OTHER

Once we have assessed the existence of a myofascial trigger point in the levator scapulae muscle, and while the subject is in lateral decubitus on the same side, with a forceps palpation, we apply a rapid in /out dry needling technique (five incisions).

Dose of ten muscle incisions

Subjects treated in this group will receive an in-out technique with a dosage of ten incisions in the myofascial trigger point of the levator scapulae muscle.

Group Type: EXPERIMENTAL

Dose of ten-incisions dry needling technique

Intervention Type: OTHER

Once we have assessed the existence of a myofascial trigger point in the levator scapulae muscle, and while the subject is in lateral decubitus on the same side, with a forceps palpation, we apply a rapid in /out dry needling technique (ten incisions).

Dose of fifteen muscle incisions

Subjects treated in this group will receive an in-out technique with a dosage of fifteen incisions in the myofascial trigger point of the levator scapulae muscle.

Group Type: EXPERIMENTAL

Dose of fifteen-incisions dry needling technique

Intervention Type: OTHER

Once we have assessed the existence of a myofascial trigger point in the levator scapulae muscle, and while the subject is in lateral decubitus on the same side, with a forceps palpation, we apply a rapid in /out dry needling technique (fifteen incisions).

Interventions

Dose of five-incisions dry needling technique

Once we have assessed the existence of a myofascial trigger point in the levator scapulae muscle, and while the subject is in lateral decubitus on the same side, with a forceps palpation, we apply a rapid in /out dry needling technique (five incisions).

Intervention Type: OTHER

Dose of ten-incisions dry needling technique

Once we have assessed the existence of a myofascial trigger point in the levator scapulae muscle, and while the subject is in lateral decubitus on the same side, with a forceps palpation, we apply a rapid in /out dry needling technique (ten incisions).

Intervention Type: OTHER

Dose of fifteen-incisions dry needling technique

Once we have assessed the existence of a myofascial trigger point in the levator scapulae muscle, and while the subject is in lateral decubitus on the same side, with a forceps palpation, we apply a rapid in /out dry needling technique (fifteen incisions).

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Nonspecific mechanical neck pain for more than 3 months.
• Neck pain of at least VAS 5/10.
• Reproduction of pain and symptoms subjects on palpation.
• Pain on passive stretching of the muscle.

Exclusion Criteria

• Subjects with previous surgical intervention.
• Subjects undergoing other intervention (rehabilitation/medication).
• Positive findings that raise suspicion of cervical radiculopathy:
• Subjects diagnosed: degenerative arthropathies, inflammatory, systemic conditions (fibromyalgia).
• Cardiovascular diseases.
• Whiplash or whiplash.
• Belenophobia.
• Dizziness and vertigo.
• Pregnant.
• Thyroid disorders.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Alcala

OTHER

Sponsor Role: lead

Responsible Party

Prof. Dr. Daniel Pecos Martín

Principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Daniel Pecos-Martin, PhD

Role: STUDY_DIRECTOR

Alcalá University

Locations

Centro Investigación Fisioterapia y Dolor

Alcalá de Henares, Madrid, Spain

Site Status: RECRUITING

Physiotherapy and Pain Institute

Alcalá de Henares, Madrid, Spain

Site Status: RECRUITING

Countries

Spain

Central Contacts

Grupo Fisioterapia y dolor

Role: CONTACT

gifyd@uah.es

+34 918855142

Facility Contacts

Patricia Martinez-Merinero, PhD

Role: primary

info@institutofisioterapiaydolor.es

683378391

Laura Cabellos

Role: backup

l.cabellos@uah.es

683378391

Patricia Martínez-Merinero, PhD

Role: primary

info@institutofisioterapiaydolor.es

(+34) 683 378 391

Other Identifiers

CEIM/2022/1/008

Identifier Type: -

Identifier Source: org_study_id