Comparison Between Deep Dry Needling and Muscle Energy Technique on Chronic Non-specific Neck Pain Patients.

Neck Pain Clinical Trial

Official title:

Deep Dry Needling Versus Muscle Energy Technique on Chronic Non-specific Neck Pain; a Randomized Controlled Trial.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05730426
• Other study ID #: P.T.REC/012/003913
• Status: Completed
• Phase: N/A
• Start date: August 1, 2022
• Est. completion date: February 1, 2023

Study information

• Verified date: February 2023
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this clinical trial is to compare between applying deep dry needling and muscle energy technique in chronic non-specific neck pain patients. Researchers will compare between deep dry needling group, muscle energy technique group and control group to see if there are change in pain, range of motion or function.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 66
• Est. completion date: February 1, 2023
• Est. primary completion date: December 30, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 40 Years

Eligibility

Inclusion Criteria:

1. Age 18 and 40 years.

2. Current neck pain.

3. Presence of at least one or two trigger points .

4. Patients are diagnosed and referred from orthopedist complaining from chronic neck pain for at least 12 weeks.

5. No clinical treatment for neck pain within the past month.

6. lacked a history of neck and shoulder myopathy, neuropathy, myelopathy and neck, torso and shoulder surgery.

7. Patients with body mass index less than 30 kg/m2.

Exclusion Criteria:

1. Patients outside the target range.

2. Neck pain associated with vertigo.

3. Osteoporosis.

4. Diagnosed psychological disorders.

5. Fibromyalgia syndrome.

6. Vertebral fractures.

7. Spinal stenosis.

8. Tumors.

9. Previous neck surgery.

10. Red flags (night pain, severe muscle spasm, loss of involuntary weight, symptom mismatch).

11. Physiotherapeutic treatment continued in the last 3 months. Any contraindications for deep dry needling such as anticoagulants, infections and bleeding.

Related Conditions & MeSH terms

• Neck Pain

Intervention

Procedure:
• Deep dry needling
Method to decrease pain and improve function in musculoskeletal disorders.
• Muscle energy technique
Method to decrease pain and improve function in musculoskeletal disorders.
• Neck stability exercise
Method to decrease pain and improve function in musculoskeletal disorders.

Locations

Country	Name	City	State
Egypt	Delta University for science and technology.	Mansoura

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in pain intensity from baseline to 4 weeks after.	Visual Analogue scale (VAS); A value of 0 denotes no pain, whereas a value of 1 to 3 indicates mild pain.; 4 to 6 denotes moderate pain.; 7 to 10 denotes intense pain.	at baseline and after 4 weeks from the baseline.
Primary	Change in function from baseline to 4 weeks after.	The Neck Disability Index (NDI) The NDI questionnaire (scored out of 50) was used to measure the patient's perceived disability resulting from their neck pain. The score for each section was from 0 to 5, with 0 represented the highest level of function and 5 represented the lowest level of function. Total NDI scores were shown as a percentage. A high score corresponded to a higher degree of disability.; 0-4points (0-8%) no disability.; 5-14points (10 - 28%) mild disability.; 15-24points (30-48%) moderate disability.; 25-34points (50- 64%) severe disability.; 35-50points (70-100%) complete disability.	at baseline and after 4 weeks from the baseline.
Primary	Change in cervical range of motion (ROM) in sagittal, coronal and transverse planes from baseline to 4 weeks after.	AcuAngle® Inclinometer: (Baseline® AcuAngle Inclinometer; Elmsford, NY, U.S. PAT 2194335, 2-D Functions)	at baseline and after 4 weeks from the baseline.
Primary	Change in pain threshold from baseline to 4 weeks after.	Pain Pressure Algometer: (BASELINE 22-POUND DOLORIMETER).	at baseline and after 4 weeks from the baseline.