Immediate Stiffness Changes in Myofascial Trigger Points After Dry Needling

Neck Pain Clinical Trial

— ELECTROP  

Official title:

Immediate Stiffness Changes in Upper Trapezius Active Myofascial Trigger Points After Dry Needling in Patients With Neck Pain: A Randomized, Double-Blinded, Placebo-Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04832074
• Other study ID #: CamiloJcU21
• Status: Completed
• Phase: N/A
• Start date: May 5, 2021
• Est. completion date: May 19, 2021

Study information

• Verified date: May 2021
• Source: Camilo Jose Cela University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Shear-wave elastography (SWE) is considered as a useful tool for quantifying muscle stiffness. Considering that Myofascial Trigger Points (MTrP) are defined as "hyperirritable zones in contracted bands of muscle, thought to be caused by muscle overload or stress" and the effectiveness of dry needling applied to active MTrP for reducing pain and disability, the aim of this study is to assess the effects of sham and real dry needling, applied to active MTrP in the upper trapezius muscle in patients with chronic neck pain, on the muscle stiffness in two areas: 1) the most symptomatic area and 2) a control point.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: May 19, 2021
• Est. primary completion date: May 18, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Patients between 18 and 65 and
• Presence of mechanical neck pain for at least three months duration
• Presence of at least one active MTrP in the Upper Trapezius muscle

Exclusion Criteria:

• Neck pain of traumatic origin (such as whiplash-associated disorder)
• Current use of any kind of analgesic therapy
• Presenting any condition usually considered a perpetuating factor of MTrPs, such as fibromyalgia, hypothyroidism, or iron deficiencies
• Presenting any contraindication for Dry Needling application
• Neuropathies (e.g., radiculopathy)
• Bilateral Pain

Related Conditions & MeSH terms

• Fibromyalgia
• Myofascial Pain Syndrome
• Myofascial Pain Syndromes
• Neck Pain
• Trigger Point Pain, Myofascial

Intervention

Other:
• Dry Needling
Real Dry Needling in the most active Myofascial Trigger Point
• Sham Dry Needling
Sham Dry Needling in the same location, but not piercing the skin

Locations

Country	Name	City	State
Spain	Francisco de Vitoria University	Pozuelo De Alarcón	Madrid

Sponsors (1)

Lead Sponsor	Collaborator
Camilo Jose Cela University

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	SWE - Young modulus	KPa	Baseline
Primary	SWE - Young modulus	KPa	10 minutes
Primary	SWE - Local shear wave speed	m/s	Baseline
Primary	SWE - Local shear wave speed	m/s	10 minutes
Primary	Pain Pressure Thresholds	kg/cm2	Baseline
Primary	Pain Pressure Thresholds	kg/cm2	10 minutes
Secondary	Visual Analogue Scale	0-10	Baseline
Secondary	Neck Disability Index	0-100	Baseline