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Combined dry-needling, advice and exercise: a randomized controlled trial in chronic whiplash

Conditions
Musculoskeletal - Other muscular and skeletal disorders
chronic whiplash associated disorders
Registration Number
ACTRN12609000470291
Lead Sponsor
A/Prof Michele Sterling
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
120
Inclusion Criteria

Whiplash associated disorder Grade II of at least 3 months duration but less than 12 months duration.

Whiplash causes at least moderate pain and disability with scores of greater or equal to 28/100 on the Neck Disability Index (NDI).

The presence of sensory hypersensitivity, defined as the presence of 2 out of a possible 3 of the following: cold pain threshold (> 15 degrees celcius, males and females); pressure pain thresholds over the cervical spine (females < 185 kPa. Males < 210 kPa); pressure pain thresholds over the median nerve (females < 210 kPa. Males < 250 kPa)

Not currently receiving care for whiplash.

Participants should be naïve to the use of dry needling in the treatment of musculoskeletal pain.

Exclusion Criteria

Known or suspected serious spinal pathology (e.g. metastatic, inflammatory or infective diseases of the spine).

Confirmed fracture or dislocation at time of injury.

Nerve root compromise (at least 2 of the following signs: weakness/reflex changes/sensory loss, associated with the same spinal nerve).

Spinal surgery in the past 12 months.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
eck Disability Index (NDI): a neck specific measure of pain and disability[6, 12, 24 and 52 weeks after randomisation]
Secondary Outcome Measures
NameTimeMethod
Average pain intensity over last week (0-10 scale)[6, 12, 24 and 52 weeks after randomisation]
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