Effects Of Dry Needling On Sternocleidomastoid Muscle For Pain And Disability In Migraine

Migraine Clinical Trial

Official title:

The Effects of Triggering Points Dry Needling on Sternocleidomastoid Muscle for Pain and Disability in Migraine

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05285852
• Other study ID #: REC-FSD-00258
• Status: Completed
• Phase: N/A
• Start date: March 1, 2021
• Est. completion date: May 15, 2022

Study information

• Verified date: May 2022
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To determine the effects, sequel of dry needling in migraine by resolving MTrPs in sternocleidomastoid muscle. To determine the possession of dry needling technique to mitigate the frequency, intensity and duration of headache. To determine the effectiveness of dry needling in the disability hindrance in migraine patients.

Description:

This is a randomized control study of 60 volunteers with migraine induced by myofacial triggers in sternocleidomastoid muscle. The migraine will be diagnosed by the neurologist and for the evaluation of trigger points and muscle thickness ultrasound will be done. After the diagnostic procedure and complete history evaluation from the selected population 30 subjects will be subjected to dry needling group and 30 others will be kept in the placebo group. All the participants will receive six sessions at the myofascial trigger point area there should be the gap of at least 48 hours between two sessions. As for the assessment details, such as the frequency, intensity and duration of the headaches; the consumption of drugs; the thickness of SCM muscles; the pain pressure threshold and the cervical range motions will be recorded before, immediately following the response, and at the 1-month follow-up

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: May 15, 2022
• Est. primary completion date: May 15, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Submitted with a headache diagnosis by a neurologist.
• Presence of active Trigger points in the Sternocleidomastoid muscle reproducing the symptoms of migraine.
• Active trigger points will be identified if "there is muscle sensitivity that has been activated by pressure and reproduces the patient's referred pain and headache."
• A jump sign the characteristic behavioral response to compression on a trigger point, will be produced.

Exclusion Criteria:

• background of neck trauma
• cervical radiculopathy
• History of head/shoulder surgery
• Diagnosis of other unusual headaches/migraines
• Phobia of pricking
• pregnancy

Related Conditions & MeSH terms

• Migraine
• Migraine Disorders

Intervention

Other:
• Dry Needling
Dry needling technique is maneuvered by different skilled health practitioners aiming to reduce central sensitization, i.e., the hypersensitivity to pain of the central nervous system. It is also apprehended to reduce the local and referred pain, and improve the muscle activation patterns leading to improved range of motion.
• Placebo Dry Needling
Placebo Dry Needling only causes a pricking sensation

Locations

Country	Name	City	State
Pakistan	Ripah International University	Faisalabad	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Visual Analogue Scale	A Visual Analogue Scale is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms.	12th Week
Primary	Bubble Inclinometer	Bubble Inclinometer is a simple to use device for measuring range of motion in patients. The inclinometer can be used to measure range of motion in the neck, the hip, the elbow, the knee, the shoulder, the spine, the ankle, the wrist, and the Metacarpophalangeal joint.	12th Week
Primary	Sternocleidomastoid muscle Ultrasonography	An ultrasonograph scan uses high-frequency sound waves to make an image of a person's internal body structures	12th Week