Efficacy of Dry Needling in Cervical Pain

Cervical Pain Clinical Trial

Official title:

Efficacy of Dry Needling and Ischaemic Compression of the Scapula Angularis Muscle in Patients With Cervicalgia. Randomised Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05624515
• Other study ID #: 14/11/2022
• Status: Completed
• Phase: N/A
• Start date: December 1, 2022
• Est. completion date: January 15, 2023

Study information

• Verified date: March 2023
• Source: Universidad Católica de Ávila
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The presence of latent myofascial trigger points (MTrPs) in the angular muscle of the scapula is one of the possible causes of non-specific neck pain. Dry needling (DN) and ischaemic compression (IC) techniques may be useful for the treatment of these MTrPs. Methods: 80 participants were divided into two groups: the dry needling group, which received a single session of DN on the angular muscle plus hyperalgesia (n=40), and the IC group, which received a single session of IC on the angular muscle plus hyperalgesia (n=40). Pain intensity, pain pressure threshold (PPT), range of motion (ROM) and quality of life were assessed at baseline, immediately after, 48 hours and one week after treatment.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 80
• Est. completion date: January 15, 2023
• Est. primary completion date: January 1, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Patients presenting with neck pain

• Patients presenting with trigger point activation of the angularis scapulae muscle

Exclusion Criteria:

• Patients who have an absolute fear of needles (belonephobia).

• Patients presenting with cervical pain with radiculopathy or irradiation of pain to the upper limb.

Related Conditions & MeSH terms

• Cervical Pain
• Neck Pain

Intervention

Device:
• dry needling
Active trigger point puncture of the angularis scapulae muscle

Other:
• Ischaemic compression
Ischaemic compression at the active trigger point of the angularis scapulae muscle

Locations

Country	Name	City	State
Spain	Universidad Católica de Ávila	Ávila	Completado

Sponsors (1)

Lead Sponsor	Collaborator
Universidad Católica de Ávila

Country where clinical trial is conducted

Spain, 

References & Publications (6)

Ballyns JJ, Shah JP, Hammond J, Gebreab T, Gerber LH, Sikdar S. Objective sonographic measures for characterizing myofascial trigger points associated with cervical pain. J Ultrasound Med. 2011 Oct;30(10):1331-40. doi: 10.7863/jum.2011.30.10.1331. — View Citation

Kietrys DM, Palombaro KM, Azzaretto E, Hubler R, Schaller B, Schlussel JM, Tucker M. Effectiveness of dry needling for upper-quarter myofascial pain: a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2013 Sep;43(9):620-34. doi: 10.2519/jos — View Citation

Lew J, Kim J, Nair P. Comparison of dry needling and trigger point manual therapy in patients with neck and upper back myofascial pain syndrome: a systematic review and meta-analysis. J Man Manip Ther. 2021 Jun;29(3):136-146. doi: 10.1080/10669817.2020.18 — View Citation

Lluch E, Arguisuelas MD, Coloma PS, Palma F, Rey A, Falla D. Effects of deep cervical flexor training on pressure pain thresholds over myofascial trigger points in patients with chronic neck pain. J Manipulative Physiol Ther. 2013 Nov-Dec;36(9):604-11. do — View Citation

Navarro-Santana MJ, Sanchez-Infante J, Fernandez-de-Las-Penas C, Cleland JA, Martin-Casas P, Plaza-Manzano G. Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis. J Clin Med. 2020 Oct 14;9(10):3300. doi: 10.3390/jcm9103300. — View Citation

Stieven FF, Ferreira GE, de Araujo FX, Angellos RF, Silva MF, da Rosa LHT. Immediate Effects of Dry Needling and Myofascial Release on Local and Widespread Pressure Pain Threshold in Individuals With Active Upper Trapezius Trigger Points: A Randomized Cli — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain intensity	Pain intensity measured on the VAS scale with a minimum score of 0 (no pain) and a maximum score of 10 (highest possible pain endured).	3 months
Secondary	pressure pain threshold	pressure on the sore spot measured by algometer and the unit is Newtons.	3 months
Secondary	range of motion	Joint movement in the cervical spine measured in degrees using a goniometer	3 months
Secondary	quality life	Measured by physical activity questionnaire. Scoring is based on patients' responses. Minimum of 0, maximum of 100 points.	3 months