Effects of Dry Needling on Stiffness in Latent Trigger Points

Trigger Points Clinical Trial

Official title:

Effects of Dry Needling on Stiffness in Latent Myofascial Trigger Points: a Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04394741
• Other study ID #: DNStiffness
• Status: Completed
• Phase: N/A
• Start date: June 1, 2020
• Est. completion date: August 31, 2020

Study information

• Verified date: September 2020
• Source: University of Castilla-La Mancha
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine whether application of Dry Needling (DN) is effective for reduced on Stiffness in Latent trigger point (LTrP) of upper trapezius. The secondary purposes are to determine the correlation on two elastography for stiffness measure (Shear-wave elastography and Strain elastography). Randomized controlled trial, in parallel with cross-control design. Two groups with LTrP in upper trapezius, and will be randomly selected to DN group or Sham-Dn group.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 51
• Est. completion date: August 31, 2020
• Est. primary completion date: July 31, 2020
• 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 on the 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

Related Conditions & MeSH terms

• Trigger Points

Intervention

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

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, 

References & Publications (4)

Grabowski PJ, Slane LC, Thelen DG, Obermire T, Lee KS. Evidence of Generalized Muscle Stiffness in the Presence of Latent Trigger Points Within Infraspinatus. Arch Phys Med Rehabil. 2018 Nov;99(11):2257-2262. doi: 10.1016/j.apmr.2018.03.024. Epub 2018 Apr 28. — View Citation

Luan S, Zhu ZM, Ruan JL, Lin CN, Ke SJ, Xin WJ, Liu CC, Wu SL, Ma C. Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. Am J Phys Med Rehabil. 2019 Aug;98(8):677-684. doi: 10.1097/PHM.0000000000001173. — View Citation

Maher RM, Hayes DM, Shinohara M. Quantification of dry needling and posture effects on myofascial trigger points using ultrasound shear-wave elastography. Arch Phys Med Rehabil. 2013 Nov;94(11):2146-50. doi: 10.1016/j.apmr.2013.04.021. Epub 2013 May 14. — View Citation

Ruiz-Sáez M, Fernández-de-las-Peñas C, Blanco CR, Martínez-Segura R, García-León R. Changes in pressure pain sensitivity in latent myofascial trigger points in the upper trapezius muscle after a cervical spine manipulation in pain-free subjects. J Manipulative Physiol Ther. 2007 Oct;30(8):578-83. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change on Stiffness (Shear wave elastography and Strain Elastography)	Shear-wave Elastography (SWE) as assessed using an Logiq S8 US system (GE Healthcare).; The stiffness was determined with measuring velocity of shear waves in trapezius muscle on SWE exam.; Strain elastography (SEL) as assessed using an Logiq S8 US system (GE Healthcare).; The stiffness was determined by applying light repetitive compression with the hand-held transducer	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
Secondary	Change in Thickness of muscle	The muscle was scanned in the longitudinal and axial planes, taking care to avoid anisotropy. B-Mode gray scale was employed to measure muscle thickness	Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
Secondary	Change in Post-needling soreness	The procedure performed was the subject had to characterize the level of pain using a visual analog scale (VAS), ranging from 0mm (no pain) to 10mm (worst imaginable pain)	Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment