Dry Needling and Maitland Joint Mobilization Techniques in Patients With Myofacial Chronic Neck Pain

Neck Pain Clinical Trial

Official title:

Comparison Between Dry Needling and Maitland Joint Mobilization Techniques in Patients With Myofacial Chronic Neck Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04568915
• Other study ID #: MS-OMPT/Spring19/030 Momna
• Secondary ID: Momna Ghaffar
• Status: Completed
• Phase: N/A
• Start date: September 15, 2019
• Est. completion date: June 28, 2020

Study information

• Verified date: September 2020
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of my research is to compare the effects of dry needling and Maitland mobilization in chronic myofacial neck pain

Description:

To distinguish which technique is most effective in pain reduction and range gain because in chronic cases there is involvement of fascia, muscles and joints due to prolonged stress on any of the component affecting the other. Hence, the study will help to design a treatment plan with more accurate intervention. After sample collection according to selection criteria treatment sessions will be given to both groups for 6 weeks. Data will be collected at baseline, then after 2 weeks, 4 weeks and at 8th week. Tools for data collection are Visual analogue scale, Neck Disability Index and Goniometer. For statistical analysis SPSS 22 will be used. Intra group difference will be calculated by repeated measurement ANOVA / Friedman test and inter group analysis will be done by Independent sample t test. Descriptive data will be expressed in terms of frequency and proportions.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: June 28, 2020
• Est. primary completion date: June 20, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 25 Years to 45 Years

Eligibility

Inclusion Criteria:

• Bilateral pain involving the upper trapezius and elevator muscle of the scapula;

• Duration of pain of at least 3 months;

• A pain intensity corresponding to at least 20 mm on a 100 mm visual analogue scale (VAS)

• Neck pain with symptoms provoked by either neck postures or neck movement;

• Pain localized at least in the cervical and occipital regions but not in the orofacial region;

• Neck disability index (NDI) greater than or equal to 15 points;

• Restricted cervical range of movements (flexion, extension, rotation, and sidebending); (i) Presence of bilateral MTrPs in upper trapezius and levator scapulae muscles

Exclusion Criteria:

• Any signs, symptoms, or history of the following diseases:

• Orofacial pain and temporo-mandibular disorders

• A history of traumatic injuries (e.g., contusion, fracture, and whiplash injury);

• Systemic diseases such as fibromyalgia, systemic erythematous lupus, and arthritis; (d) Neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia);

• Concomitant medical diagnosis of any primary headache (tension type or migraine);

• Unilateral neck pain;

• Cervical spine surgery;

• Clinical diagnosis of cervical radiculopathy or myelopathy;

• Needle phobia;

• History of previous physical therapy intervention for the cervical region in last 6 months.

Related Conditions & MeSH terms

• Facial Pain
• Myofacial Pain
• Neck Pain

Intervention

Other:
• Dry Needling
TENS 10 minutes, Stretching, Strengthening(girdle),Neck Isometrics, DN
• Maitland Mobilization
TENS 10 minutes, Stretching, Strengthening(girdle),Neck Isometrics, Maitland joint mobilization

Locations

Country	Name	City	State
Pakistan	Riphah IU	Lahore

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (8)

Blanpied PR, Gross AR, Elliott JM, Devaney LL, Clewley D, Walton DM, Sparks C, Robertson EK. Neck Pain: Revision 2017. J Orthop Sports Phys Ther. 2017 Jul;47(7):A1-A83. doi: 10.2519/jospt.2017.0302. — View Citation

Borg-Stein J, Simons DG. Focused review: myofascial pain. Arch Phys Med Rehabil. 2002 Mar;83(3 Suppl 1):S40-7, S48-9. Review. — View Citation

Campa-Moran I, Rey-Gudin E, Fernández-Carnero J, Paris-Alemany A, Gil-Martinez A, Lerma Lara S, Prieto-Baquero A, Alonso-Perez JL, La Touche R. Comparison of Dry Needling versus Orthopedic Manual Therapy in Patients with Myofascial Chronic Neck Pain: A Single-Blind, Randomized Pilot Study. Pain Res Treat. 2015;2015:327307. doi: 10.1155/2015/327307. Epub 2015 Nov 10. — View Citation

Davidoff RA. Trigger points and myofascial pain: toward understanding how they affect headaches. Cephalalgia. 1998 Sep;18(7):436-48. Review. — View Citation

Dunning J, Butts R, Mourad F, Young I, Flannagan S, Perreault T. Dry needling: a literature review with implications for clinical practice guidelines. Phys Ther Rev. 2014 Aug;19(4):252-265. Review. — View Citation

Graff-Radford SB, Reeves JL, Jaeger B. Management of chronic head and neck pain: effectiveness of altering factors perpetuating myofascial pain. Headache. 1987 Apr;27(4):186-90. — View Citation

Gross A, Miller J, D'Sylva J, Burnie SJ, Goldsmith CH, Graham N, Haines T, Brønfort G, Hoving JL. Manipulation or mobilisation for neck pain. Cochrane Database Syst Rev. 2010 Jan 20;(1):CD004249. doi: 10.1002/14651858.CD004249.pub3. Review. Update in: Cochrane Database Syst Rev. 2015;9:CD004249. — View Citation

Tekin L, Akarsu S, Durmus O, Cakar E, Dinçer U, Kiralp MZ. The effect of dry needling in the treatment of myofascial pain syndrome: a randomized double-blinded placebo-controlled trial. Clin Rheumatol. 2013 Mar;32(3):309-15. doi: 10.1007/s10067-012-2112-3. Epub 2012 Nov 9. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Numeric Pain Rating Scale NPRS	The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).	4 months
Primary	Range of Motion	Standard Goniometer will be used.Higher score shows improvement.	4 months
Primary	Disability	Scoring: For each section the total possible score is 5: if the first statement is marked the section score = 0, if the last statement is marked it = 5. If all ten sections are completed the score is calculated as follows: Example:16 (total scored) 50 (total possible score) x 100 = 32% If one section is missed or not applicable the score is calculated: 16 (total scored) 45 (total possible score) x 100 = 35.5% Minimum Detectable Change (90% confidence): 5 points or 10 %points	4 months