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NCT04684784 Clinical Trial

Effect of Dry Needling on Surface Electromyographic Activity in Latent Trigger Points

Trigger Point Pain, Myofascial Clinical Trial

Official title:
Effect of Dry Needling on Surface Electromyographic Activity in Latent Trigger Points

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT04684784
Other study ID # DNEMG
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date January 4, 2021
Est. completion date February 18, 2021

Study information
Verified date December 2020
Source University of Castilla-La Mancha
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Brief summary: The purpose of this study is to determine the effect of Dry Needling (DN) on electromyographic activity in different situations at the latent trigger point (LTrP) point of the upper trapezius. Randomized controlled trial, in parallel with the crossover control design. Two groups with LTrP in the upper trapezius, and the DN group or the Sham-Dn group will be randomly selected.

Recruitment information / eligibility
Status Completed
Enrollment 46
Est. completion date February 18, 2021
Est. primary completion date February 4, 2021
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years to 30 Years
Eligibility Inclusion Criteria: - Age between 18 and 30 years - The presence of LTrP in the middle third of the upper trapezius muscle onthe dominant side - Being able to provide written informed consent - Being able to follow instructions and realize clinical tests Exclusion Criteria: - Any pharmacological therapeutic - Any medical treatment or physical therapies at cervical region during the 6-month before this study - Any diagnosed health problem - Any history of head and upper extremity surgery or trauma - Any red flags to DN, (ie: metabolic diseases, pregnancy, kinesiophobia,Infection, cancer)• Absence of recurrent history of neck pain - No neck pain symptomatology the previous 6 months - Cervical disk herniation

Study Design

Related Conditions & MeSH terms

Intervention

Device:
• Intervention-Dry Needling
Deep Dry Needling into the site of the latent TriggerPoint of the upper trapezius muscle. 1 session in upper trapezius muscle moving the needle up and down ten times.
• Control-Dry Needling
Sham Dry Needling into the site of the latent Trigger Point of the upper trapezius muscle with non-penetrating needles

Locations
Country Name City State
Spain Performance and Sport Rehabilitation Laboratory Toledo

Sponsors (1)
Lead Sponsor Collaborator
University of Castilla-La Mancha

Country where clinical trial is conducted

Spain, 

Outcome
Type Measure Description Time frame Safety issue
Primary Changes in resting surface EMG activity (amplitude, RMS) EMG activity (RMS) of the upper trapezius after dry needling or sham needling as assessed by the EMG ME 6000 TE(Mega Electronics, Kuopio, Finland). Resting EMG activity will be expressed as a percentage of maximal reference contractions of the upper trapezius (% reference contractions). Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
Secondary Changes in resting surface EMG activity (Median frequency, MF) EMG activity (RMS) of the upper trapezius after dry needling or sham needling as assessed by the EMG ME 6000 TE(Mega Electronics, Kuopio, Finland).
EMG median frequency will be used to determine the endurance of the upper trapezius. The EMG median frequency will be measured in Hertz (Hz).		 Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
Secondary Changes in submaximal contrations surface EMG activity of upper trapezius (amplitude, RMS) EMG activity (RMS) of the upper trapezius after dry needling or sham needling as assessed by the EMG ME 6000 TE(Mega Electronics, Kuopio, Finland).
EMG activity of submaximal contractions will be expressed as a percentage of submaximal reference contractions of the upper trapezius (% reference contractions).		 Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 7submaximal contractions EMG activity will be expressed as a percentage of maximal reference contractions of the upper trapezius (% reference contractions).2 hours after treatment
Secondary Changes in submaximal contrations surface EMG activity of upper trapezius (Median frequency, MF) EMG activity (RMS) of the upper trapezius after dry needling or sham needling as assessed by the EMG ME 6000 TE(Mega Electronics, Kuopio, Finland).
EMG median frequency will be used to determine the endurance of the upper trapezius. The EMG median frequency will be measured in Hertz (Hz).		 Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
Secondary Change in Pain Pressure Threshold (PPT) Pressure-Pain Threshold as assessed by an manual mechanical algometer. PPT is the minimal amount of pressure that produces pain and is used to assess abnormalities in nociceptive processing or hyperalgesia. Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
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