Dry Needling vs Dry Needling With ES in Patients With Neck/Shoulder Pain
- Conditions
- Myofascial PainNeck PainShoulder Pain
- Interventions
- Procedure: Dry needling (DN)Procedure: Dry needling with intramuscular electrical stimulation (DNES)
- Registration Number
- NCT03638388
- Lead Sponsor
- Kindyle Brennan
- Brief Summary
First, we aim to determine if there is a difference in the rate of improvement, as measured by the Neck Disability Index (NDI) and Numerical Pain Rating Scale (NPRS), across a 6 week treatment period between those treated with DN only and those treated with DN and intramuscular electrical stimulation (IES) in subjects with upper trapezius active trigger points (aTrPs). Secondly, we want to determine if improvements in clinical outcomes (NDI and NPRS) of patients with upper trapezius active trigger points (aTrPs) treated with dry needling (DN) alone or dry needling with intramuscular electrical stimulation (DN/IES) are maintained 6 weeks post treatment without further intervention.
Research Questions:
1. Is there a difference in the rate of improvement in NDI and NPRS across a 6 week treatment period in subjects with upper trapezius active trigger points (aTrPs) between those treated with DN only and those treated with DN and intramuscular electrical stimulation (IES)?
2. Are improvements in clinical outcomes (NDI and NPRS) of patients with upper trapezius active trigger points (aTrPs) treated with dry needling (DN) maintained 6 weeks post treatment without further intervention? Tertiary exploration: If improvement is maintained, is there a difference in outcome maintenance between groups? Did improvement increase between 6 and 12 weeks?
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 45
18-59 years old have an active email account have at least one palpable active trigger point (TrP) (located in one or both upper trapezius) English speaking
current or previous history of cancer active infection neurologic deficit cognitive deficit pregnancy connective tissue disease and/or autoimmune disorder smoke tobacco received previous DN treatments within 6 weeks of the study, experienced unilateral or bilateral neck/shoulder pain continuously for 3 months or longer
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Dry Needling (DN) Dry needling (DN) Subjects will receive dry needling treatment, once a week, for 6 weeks. Outcomes will be measured at baseline (week 0), 3 weeks after initiation of study (week 3), 6 weeks after initiation of study (week 6), and 6 weeks after last treatment (week 12). Dry Needling with Intramuscular electrical stimulation (DNES) Dry needling with intramuscular electrical stimulation (DNES) Subjects will receive dry needling treatment with electrical stimulation, once a week, for 6 weeks. Outcomes will be measured at baseline (week 0), 3 weeks after initiation of study (week 3), 6 weeks after initiation of study (week 6), and 6 weeks after last treatment (week 12).
- Primary Outcome Measures
Name Time Method Rate of improvement in numerical pain rating scale between groups 6 weeks Between group difference in within group pain changes
Rate of improvement in Neck Disability Index between groups 6 weeks Between group difference of within group disability changes
- Secondary Outcome Measures
Name Time Method Maintenance of disability improvement in both groups week 6 compared to week 12 data Difference between neck disability scores in both groups between the 6th week of weekly treatment and those 6 weeks after cessation of treatment.
Maintenance of pain improvement in both groups week 6 compared to week 12 data Difference between pain scores in both groups between the 6th week of weekly treatment and those 6 weeks after cessation of treatment.
Trial Locations
- Locations (1)
University of Mary Hardin-Baylor
🇺🇸Belton, Texas, United States