Efficacy of the Use of Dry Needling in Conventional Non-invasive Treatment of Acute and Subacute Whiplash
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Neck Disability Index. Changes from Baseline
Study Overview
Brief Summary
INTRODUCTION: Whiplash is an injury produced by an acceleration-deceleration mechanism that transmits energy to the cervical spine. According to the bibliography, the conservative treatment (motor control exercises and manual therapy) has shown benefits in approaching this lesion, but its efficacy is limited. Dry needling has already shown its usefulness in different musculoskeletal pathologies, however, its efficacy is unknown when it is included in conservative treatment.
OBJECTIVES: The objective of this study is to assess the effects of the incorporation of dry needling in the conventional treatment with manual therapy and motor control exercises, compared to the conventional non-invasive treatment in patients with acute or subacute whiplash.
HYPOTHESIS: The inclusion of dry needling in conventional non-invasive treatment is more effective than conventional non-invasive treatment in patients with acute or subacute whiplash.
METHODS: A randomized clinical trial will be conducted in which the subjects of study will be assigned to two groups, a control group (conventional treatment) and an experimental group (conventional treatment and dry needling).
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Medical Diagnosis of Whiplash Grade I-II in the QTF
- •Neck Pain
- •Whiplash in Acute or Subacute Phase
Exclusion Criteria
- •Pregnancy
- •Belonephobia
- •Cervical Fractures-Dislocations or Neurological Deficit Secondaries to Accident
- •Previous Surgery of the Cervical Spine
- •Circulatory Disease, Respiratory Disease, Neurological Disease, Rheumatologic Disease and Mental Illness
Arms & Interventions
Experimental Treatment
Motor Control + Manual Therapy + Dry Needling
Intervention: Dry Needling (Other)
Experimental Treatment
Motor Control + Manual Therapy + Dry Needling
Intervention: Manual Therapy (Other)
Conventional Treatment
Motor Control + Manual Therapy
Intervention: Motor Control (Other)
Conventional Treatment
Motor Control + Manual Therapy
Intervention: Manual Therapy (Other)
Experimental Treatment
Motor Control + Manual Therapy + Dry Needling
Intervention: Motor Control (Other)
Outcomes
Primary Outcomes
Neck Disability Index. Changes from Baseline
Time Frame: 3 weeks, 6 weeks, 3 months
0-100% (0% = No Disability; 100% = Disability (highest level of disability)
Secondary Outcomes
- Pressure pain thresholds. Changes from Baseline(3 weeks, 6 weeks, 3 months)
- Cervical Range of Movement. Changes from Baseline(3 weeks, 6 weeks, 3 months)
- Kinesophobia. Changes from Baseline(3 weeks, 6 weeks, 3 months)
- Cervical Motor Control. Changes from Baseline(3 weeks, 6 weeks, 3 months)
Investigators
Raquel Lorenzo Moreno
physiotherapist
University of Alcala