Neck Pain Clinical Trial
Official title:
The Influence of Patient Expectation in Dry Needling Induced Analgesia
NCT number | NCT03673319 |
Other study ID # | CEI18/087 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | October 4, 2018 |
Est. completion date | July 31, 2019 |
Verified date | August 2019 |
Source | University of Alcala |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study will evaluate placebo mechanisms related to dry needling(DN) trying to determinate whether an additive effect occurs when DN is provided with an instructional set known to enhance placebo analgesia. External manipulation of patient expectation for receiving DN will be performed, in a similar way as has been already done in studies investigating the influence of expectation on spinal manipulative therapy interventions. The main purpose of this study will be therefore to determine, for the first time, how subjects' expectation about the effect of DN influences the resultant hypoalgesia. Analgesic effects of DN will be assessed using the conditioned pain modulation (CPM) paradigm, which has not been previously evaluated in relation to DN.
Status | Completed |
Enrollment | 60 |
Est. completion date | July 31, 2019 |
Est. primary completion date | April 30, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility |
Inclusion Criteria: - neck pain (=3 months of duration) - VAS of 4-5 of pain. - Presence of at least one active MTrP located at the upper trapezius. Exclusion Criteria: - Patients with previous cervical spine or shoulder surgery. - Cervical spine radiculopathy or myelopathy. - Systemic disease. - Fibromyalgia. - Pregnancy. - Using sedative drugs. - Needle phobia. - Bleeding disorder. - anticoagulant medication. - Previous experience with DN for myofascial pain. - Skin lesion and infection or inflammatory oedema at the MTrPs site |
Country | Name | City | State |
---|---|---|---|
Spain | Grupo Fisioterapia y Dolor | Alcala de Henares | Madrid |
Spain | Institut Physiotherapy AND pain | Alcalá De Henares | Madrid |
Lead Sponsor | Collaborator |
---|---|
University of Alcala |
Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Pain Intensity: Visual Analog Scale (VAS) | The investigators use a Visual Analog Scale (VAS) to determine the intensity of the patient's current pain before, during DN and immediately after DN. We will follow the paradigm of Conditioned pain modulation (CPM) paradigm. CPM will be induced by inflating an occlusion cuff (conditioning stimulus) at the arm, at the opposite side from the affected upper trapezius.The VAS is a 100-mm line, oriented horizontally, with one end representing "no pain"(the best value) and the other end representing "worst pain" (the worse value). Subjects will be asked to rate their current pain with a mark on the scale. | Change from Baseline at after intervention | |
Secondary | Pain Pressure Threshold (PPT) | The PPT serves to determine the sensitivity of hiperalgesic focus. The investigators will done it with one algometer. Lower values are a worse result. Higher values are a better result. |
Change up 1 hour | |
Secondary | Dry needling pain | The investigators use a Visual Analog Scale (VAS) to determine the intensity of the patient's pain during DN intervention.The VAS is a 100-mm line, oriented horizontally, with one end representing "no pain" (the best value) and the other end representing "worst pain" (the worse value). Subjects will be asked to rate their current dry needling pain with a mark on the scale. | Change up 1 hour | |
Secondary | Dry needling anxiety | The investigators use a Visual Analog Scale (VAS) to determine the anxiety of the patient during DN.The VAS is a 100-mm line, oriented horizontally, with one end representing "no anxiety"(the best value) and the other end representing "worst anxiety"(the worse value). Subjects were asked to rate their current dry needling anxiety with a mark on the scale | Change up 1 hour |
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