Neck Pain, Posterior Clinical Trial
Official title:
Central Pain Modulatory Effects of Dry-Needling in Patients With Non-Specific Neck Pain: a Randomized Controlled Experimental Study
NCT number | NCT04725825 |
Other study ID # | BC-05419 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | February 1, 2021 |
Est. completion date | July 15, 2021 |
Verified date | February 2022 |
Source | University Ghent |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
An experimental study will be conducted to evaluate the effect of a single dry needling session, compared to a sham needling session, on pain intensity, local and peripheral hyperalgesia, and conditioned pain modulation in patients with chronic idiopathic neck pain.
Status | Completed |
Enrollment | 54 |
Est. completion date | July 15, 2021 |
Est. primary completion date | July 15, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - Chronic neck pain (symptom duration >3 months) - Mean NRS score >3/10 - The presentation of a clinically relevant myofascial triggerpoint in the upper trapezius muscle. Exclusion Criteria: - Specific neck pain (eg.structural pathology like a cervical discus hernia, cervical nerve root compression, factures...) - Major depression or psychiatric illness - Cardiovascular, neurological, life threatening, systemic and metabolic diseases - Other transferable diseases (HIV, hepatitis...) - Coagulation disorders or use of coagulation medication - Pregnancy or given birth the last year - Traumatic injuries/surgery to neck and upper limb region - Diagnosis of fibromyalgia/chronic fatigue syndrome - BMI > 30 kg/m2. |
Country | Name | City | State |
---|---|---|---|
Belgium | Ghent University | Ghent | Oost-Vlaanderen |
Lead Sponsor | Collaborator |
---|---|
University Ghent |
Belgium,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in distant Pressure Pain Threshold | A distant standardised PPT will be assessed using a digital handheld pressure algometer (FDX; Wagner Instruments) at the quadriceps muscle of the dominant painful side to measure distant hyperalgesia.
To measure the PPT, the researcher will apply the digital algometer to each of the indicated points with a round rubber end of 1 cm² and an increasing pressure of circa 1 N/s. As soon as the sensation of the subject shifts from a comfortable pressure to an altered, unpleasant feeling, the participant reports this and the test will be finished. Each point will be measured twice with a 30-second interval in between and all measurements will be performed by one researcher in the same standardised position for each point and will be executed in a randomised order per patient. |
Baseline and immediately after the intervention | |
Secondary | Numeric Rating Scale (NRS) | The neck pain of the patients will be rated on an 11-point NRS at the beginning of the trial. After the hot water immersion (CPM; at baseline and post-intervention), patients will also be asked to score the pain caused by the hot water on a NRS. Minimum value is zero; a score of zero means no pain (= better outcome) and maximum score is 10, which indicates the worst pain possible (=worse outcome). | Baseline and immediately after the intervention | |
Secondary | Change in Conditioned Pain Modulation | Participants will be asked to put their (non-dominant) hand (up to a marked line on the wrist) in a bath (VersaCool, Thermo Fisher Scientific, Waltham, Massachusetts) with demineralised circulating water maintained at 46,5°C for one minute. To maximise the CPM effect, the non-dominant hand will be used.
During this minute, participants will be encouraged to persevere after 30 and after 45 seconds by one of the investigators. The PPTs will be used as the test stimulus.These will be measured pre- and post immersion.The difference between the pre- and post immersion PPTs will be used to assess the effectiveness of the CPM. |
baseline and immediately after the intervention | |
Secondary | Change in local Pressure Pain Threshold | Two local standardised PPTs will be assessed using a digital handheld pressure algometer (FDX; Wagner Instruments) at the dominant painful and non-dominant painful upper trapezius muscle to measure local hyperalgesia.
To measure the PPT, the researcher will apply the digital algometer to each of the indicated points with a round rubber end of 1 cm² and an increasing pressure of circa 1 N/s. As soon as the sensation of the subject shifts from a comfortable pressure to an altered, unpleasant feeling, the participant reports this and the test will be finished. Each point will be measured twice with a 30-second interval in between and all measurements will be performed by one researcher in the same standardised position for each point and will be executed in a randomised order per patient. |
Baseline and immediately after the intervention |
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