Superficial Dry Needling Versus Deep Dry Needling on the Upper Trapezius

Neck Pain Clinical Trial

Official title:

Analysis, Comparison and Evaluation of Cervical Range of Motion and Neck Pain After Deep Dry Needling and Superficial Dry Needling in the Upper Trapezius: A Randomised Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03719352
• Other study ID #: CEU UCH 205
• Status: Completed
• Phase: N/A
• Start date: October 24, 2018
• Est. completion date: November 8, 2018

Study information

• Verified date: November 2018
• Source: Cardenal Herrera University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study investigates the effect of two different techniques (deep dry needling and superficial dry needling) on the latent myofascial trigger point in the upper trapezius. Subjects with latent Myofascial trigger point in this location of the muscle will be identified and will be randomly assigned to one out of the three groups: deep dry needling, superficial dry needling or sham dry needling in gastrocnemius muscle. cervical range of motion and pain pressure threshold in the upper trapezius will be registered before, immediately after the intervention, at 24 hours after the intervention, at 72 hours after the intervention and a week after the intervention

Recruitment information / eligibility

• Status: Completed
• Enrollment: 180
• Est. completion date: November 8, 2018
• Est. primary completion date: October 25, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 55 Years

Eligibility

Inclusion Criteria:

• Present the latent Myofascial trigger Point (MTP) 1 in upper trapezius.

• Accept participation in the study (signature of informed consent).

• Be in an age range between 18 and 55 years.

• Do not present any exclusion criteria.

Exclusion Criteria:

• Do not present MTP 1 latent in the upper trapezius.

• Suffering and / or having suffered from upper limb pathologies, deformities or orthopedic injuries that could alter the static and biomechanics of the shoulder and neck.

• Not clearly identify the MTP 1 in the upper trapezius.

• Have been diagnosed with fibromyalgia, myelopathy or radiculopathy.

• Having contraindicated the technique of dry needling for suffering, for example, coagulation problems.

• Having suffered a whiplash.

• Be pregnant.

• Have used analgesics 24 hours before participating in the study.

• Having belonephobia.

• Know the study techniques.

• Be in physiotherapy treatment and / or have been treated with needle techniques at some time.

• Having had cervical surgery.

Related Conditions & MeSH terms

• Neck Pain

Intervention

Procedure:
• Experimental: Deep dry needling
Deep dry needling until achieving twitch response of the muscle
• Experimental: Superficial dry needling
Superficial dry needling to achieve sensitive pain with needle rotation
• Placebo Comparator: Placebo Gastrocnemius dry needling
Simulate pain with de plastic needle guard in the gastrocnemius muscle

Locations

Country	Name	City	State
Spain	Universidad CEU Cardenal Herrera	Valencia	Moncada

Sponsors (1)

Lead Sponsor	Collaborator
Cardenal Herrera University

Country where clinical trial is conducted

Spain, 

References & Publications (6)

Abbaszadeh-Amirdehi M, Ansari NN, Naghdi S, Olyaei G, Nourbakhsh MR. Therapeutic effects of dry needling in patients with upper trapezius myofascial trigger points. Acupunct Med. 2017 Apr;35(2):85-92. doi: 10.1136/acupmed-2016-011082. Epub 2016 Oct 3. — View Citation

Llamas-Ramos R, Pecos-Martín D, Gallego-Izquierdo T, Llamas-Ramos I, Plaza-Manzano G, Ortega-Santiago R, Cleland J, Fernández-de-Las-Peñas C. Comparison of the short-term outcomes between trigger point dry needling and trigger point manual therapy for the management of chronic mechanical neck pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2014 Nov;44(11):852-61. doi: 10.2519/jospt.2014.5229. Epub 2014 Sep 30. Erratum in: J Orthop Sports Phys Ther. 2015 Feb;45(2):147. — View Citation

Martín-Pintado-Zugasti A, Pecos-Martin D, Rodríguez-Fernández ÁL, Alguacil-Diego IM, Portillo-Aceituno A, Gallego-Izquierdo T, Fernandez-Carnero J. Ischemic Compression After Dry Needling of a Latent Myofascial Trigger Point Reduces Postneedling Soreness Intensity and Duration. PM R. 2015 Oct;7(10):1026-34. doi: 10.1016/j.pmrj.2015.03.021. Epub 2015 Mar 31. — View Citation

Mejuto-Vázquez MJ, Salom-Moreno J, Ortega-Santiago R, Truyols-Domínguez S, Fernández-de-Las-Peñas C. Short-term changes in neck pain, widespread pressure pain sensitivity, and cervical range of motion after the application of trigger point dry needling in patients with acute mechanical neck pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2014 Apr;44(4):252-60. doi: 10.2519/jospt.2014.5108. Epub 2014 Feb 25. Erratum in: J Orthop Sports Phys Ther. 2015 Apr;45(4):329. — View Citation

Segura-Ortí E, Prades-Vergara S, Manzaneda-Piña L, Valero-Martínez R, Polo-Traverso JA. Trigger point dry needling versus strain-counterstrain technique for upper trapezius myofascial trigger points: a randomised controlled trial. Acupunct Med. 2016 Jun;34(3):171-7. doi: 10.1136/acupmed-2015-010868. Epub 2016 Jan 8. — View Citation

Ziaeifar M, Arab AM, Karimi N, Nourbakhsh MR. The effect of dry needling on pain, pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle. J Bodyw Mov Ther. 2014 Apr;18(2):298-305. doi: 10.1016/j.jbmt.2013.11.004. Epub 2013 Nov 9. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain pressure threshold	Amount of pressure (Kg/cm2) applied at the upper trapezius myofascial trigger point site that elicit pain for the patient will be reported	a week
Secondary	Cervical range of motion	cervical movement in flexion and extension, left and right rotation and side bending left and right	a week

External Links

•   The University CEU-Cardenal Herrera is th first private university in the Valencian Community. It belongs to the Foundation San Pablo - CEU and is the leading educational organization in Spain with three Universities all over Spain