Dry Needling of Scalene Muscle Trigger Points in Mechanical Neck Pain

Not Applicable

Completed

• Conditions: Neck Pain
• Interventions: Other: Dry needling; Other: Manual Therapy

• Registration Number: NCT03762252
• Lead Sponsor: Universidad Rey Juan Carlos

Brief Summary

There is preliminary evidence suggesting that referred pain from active trigger points can play a relevant role in individuals with mechanical neck pain. Some studies have investigated the effectiveness of dry needling over the upper trapezius muscle in this population. However, other muscles, such as the scalene muscles, can be also relevant for neck pain symptoms. No study has investigated the effects of the application of dry needling over active trigger points in the scalenes muscles in a sample of patients with mechanical neck pain.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-11-30
• Study First Submitted QC: 2018-11-30
• Study First Posted: 2018-12-03
• Study Start: 2018-12-05
• Primary Completion: 2019-05-15
• Status Verified: 2019-07
• Study Completion: 2019-07-01
• Last Update Submitted: 2019-07-07
• Last Update Posted: 2019-07-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

Generalized neck-shoulder pain with symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature

Exclusion Criteria

• whiplash injury;
• previous cervical or thoracic surgery;
• cervical radiculopathy or myelopathy;
• diagnosis of fibromyalgia syndrome;
• having undergone physical therapy in the previous 6 months;
• less than 18 or greater than 45 years of age
• fear to needles
• any respiratory disease, e.g., chronic brochitis

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Dry needling	Dry needling	Patients will receive dry needling over active trigger points in the scalene muscles
Manual Therapy	Manual Therapy	Patients will receive a manual compression for 30seconds over active trigger points in the scalene muscles

Primary Outcome Measures

Name	Time	Method
Changes in neck pain intensity with a numerical pain rate scale before and after the intervention	Baseline, one day (immediately post), 7 days (one week) and 30 days (one month) after the intervention	A Numerical Pain Rate Scale (NPRS, 0-10) will be used to assess spontaneous neck pain intensity

Secondary Outcome Measures

Name	Time	Method
Changes in inspiratory vital capacity with an incentive spirometer before and after the intervention	Baseline, one day (immediately post), 7 days (one week) and 30 days (one month) after the intervention	Changes in inspiratory vital capacity will be assessed with the incentive spirometer DHD Coach 2®
Changes in oxigen saturation with a pulse oximeter before and after the intervention	Baseline, one day (immediately post), 7 days (one week) and 30 days (one month) after the intervention	Oxygen saturation will be monitored with a handheld pulse oximeter with Masimo SET® measure-through Motion and Low Perfusion™ pulse oximeter
Changes in neck-related disability with the Neck Disability Index before and after the intervention	Baseline and 7 days (one week) and 30 days (one month) after the intervention	The Neck Disability Index (NDI, 0-50), a specific neck pain related disability questionaire, will be used for assessing neck pain related-disability

Trial Locations

Locations (1)

César Fernández-de-las-Peñas; 🇪🇸 Alcorcón, Madrid, Spain