Dry Needling and Exercises in Shoulder Pain

Shoulder Pain Clinical Trial

Official title:

Effectiveness of Dry Needling and Eccentric Exercises in Unspecific Shoulder Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02338908
• Other study ID #: URJC 31/2140
• Status: Completed
• Phase: N/A
• First received: January 11, 2015
• Last updated: March 14, 2016
• Start date: January 2015
• Est. completion date: March 2016

Study information

• Verified date: March 2016
• Source: Universidad Rey Juan Carlos
• Contact: n/a
• Is FDA regulated: No
• Health authority: Spain: Comité Ético de Investigación Clínica
• Study type: Interventional

Clinical Trial Summary

Shoulder pain is highly prevalent in the society. The role of muscle tissues in this pathology has received increasing interest. Some studies have proposed the role of myofascial trigger points in this population. The purpose of the current clinical trial is to compare the effects of physiotherapy treatment consisting of an eccentric exercise protocol versus the same physical therapy program plus the addition of trigger point dry needling (TrP-DN) on pain and function in patients suffering from unspecific shoulder pain.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: March 2016
• Est. primary completion date: March 2016
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Unilateral non-traumatic shoulder pain

• Shoulder pain from at least 3 months

• Shoulder pain of more than 4 points on a NPRS

Exclusion Criteria:

• bilateral shoulder symptoms

• younger than 18 or older than 65 years

• history of shoulder fractures or dislocation

• cervical radiculopathy

• previous interventions with steroid injections

• fibromyalgia syndrome

• previous history of shoulder or neck surgery

• any type of intervention for the neck-shoulder area during the previous year

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Shoulder Pain

Intervention

Other:
• exercise program
Patients will be asked to perform an eccentric loading exercise program for the shoulder musculature, particularly the supraspinatus and infraspinatus muscles, to be performed on an individual basis twice every day. The therapeutic protocol will be applied for 5 weeks.
• TrP-DN
In addition, within the second and fourth sessions, they will receive TrP-DN over active TrPs in the shoulder muscles

Locations

Country	Name	City	State
Spain	César Fernández-de-las-Peñas	Alcorcon	Madrid

Sponsors (2)

Lead Sponsor	Collaborator
Universidad Rey Juan Carlos	Hospital General Universitario Gregorio Marañon

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Changes in disability between baseline and follow-up periods	The Disabilities of the Arm, Shoulder and Hand (DASH) will be used to determine the disability induced by shoulder pain	Baseline, one week after the last intervention and 3, 6 and 12 months after the intervention	Yes
Secondary	Changes in shoulder pain between baseline and follow-up periods	A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of shoulder pain and the worst level of pain experienced in the preceding week in the shoulder area.	Baseline, one week after the last intervention and 3, 6 and 12 months after the intervention	Yes