Dry Needling Versus Intramuscular Stimulation in the Management of the Myofascial Trigger Points

Myofascial Pain Syndrome Clinical Trial

Official title:

Effectiveness of Dry Needling and Intramuscular Electrostimulation in the Treatment of Myofascial Trigger Points in Patients With Neck Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03025230
• Other study ID #: M2012119/20130409
• Status: Completed
• Phase: N/A
• Start date: December 2016
• Est. completion date: July 2017

Study information

• Verified date: May 2024
• Source: University of Alcala
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Hypothesis The application of intramuscular electrostimulation will be more effectiveness than the dry needling in myofascial trigger points treatment.

Objetives:

To determine the effectiveness of intramuscular electrostimulation in the treatment of trigger points of the levator scapula muscle for the improvement of pain in mechanical cervicalgia.

Participants: Subjects with diagnosed of myofascial pain syndrome in cervical region and active trigger points in levator scapulae muscle, randomly assigned to experimental or control group.

Intervention: Control group: one session of dry needling in active trigger points; experimental group: one session of intramuscular stimulation in active trigger points.

Main Outcomes Measures: Pain, pressure pain threshold (PPT), active cervical range of motion and strength muscle . The measures will be taken before, after and one week after the interventions.

Description:

The muscle pain is one of the most common forms of musculoskeletal pain. Within muscular pain, the presence of myofascial trigger points (PG) in the musculature is a important and prevalent problem.

Currently one the techniques most used in the treatment of PG is dry needling. Dry needling has been shown effective in the treatment of neck pain associated with PGs.

To our knowledge, there are no studies that they have compared the effectiveness of dry needling and intramuscular stimulation by applying an electric current.

This study is a randomized clinical trial that aims to demonstrate that the application of an electric current associated with dry needling in the treatment of PG.

In this study we will treat subjects with cervical pain who they have active PGs in the levator scapulae muscle.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 80
• Est. completion date: July 2017
• Est. primary completion date: March 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Cervical pain.

• Active trigger points in levator scapulae muscle

Exclusion Criteria:

• Pain Irradiation toward upper limb

• Psychological disorders

• Whiplash.

• Neuropathic symptoms

• Cervical and / or Shoulder Spine Surgery

Related Conditions & MeSH terms

• Fibromyalgia
• Muscle Pain
• Myalgia
• Myofascial Pain Syndrome
• Myofascial Pain Syndromes
• Trigger Point Pain, Myofascial

Intervention

Other:
• Dry needling and electric stimulation
Dry needling technique and the application of electric stimulation of levator scapulae PG
• Dry needling
Treatment of PG with a filiform needle in levator scapulae muscle

Locations

Country	Name	City	State
Spain	Patricia Martínez Merinero	Alcala de Henares	Madrid

Sponsors (1)

Lead Sponsor	Collaborator
University of Alcala

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pressure Pain Threshold (PPT)	An algometer Wagner FPI 10-WA will be used to determine the PPT in levator scapulae trigger points	Change from baseline at one week
Secondary	Pain Visual Analogue Scale	The pain VAS is a unidimensional measure of pain intensity, which has been widely used in diverse adult populations. The VAS is a straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the parameter to be measured from 0 (no pain) to 10 (maximum pain). All the subjects will showed their pain level.	Change from baseline at one week
Secondary	Strength in cervical latero-flexion	Dynamic dynamometry with MicroFet-2 will be used while patients will positioned in seated. From this position, patients will performed lateral - flexion	Change from baseline at one week