Dry Needling for Shoulder Pain and Presence of Post-needling Induced-Pain in PAtients Who Had Suffered a Stroke
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Universidad Rey Juan Carlos
- Enrollment
- 16
- Locations
- 1
- Primary Endpoint
- Changes in post-dry needling pain intensity with a numerical pain rate scale before and after the intervention
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Spasticity and pain, particularly int he shoulder region, are the most common impairments experienced by subjects who had experienced a stroke. There is preliminary evidence supporting the role of dry needling for spasticity in patients who had suffered from a stroke. Few data exists on the effects on shoulder pain. In addition, it has been shown that application of dry needling induces post-needling soreness in individuals with musculoskeletal pain. No previous study has investigated the presence and the duration of post-needling soreness in individuals who had experienced a stroke.
Investigators
César Fernández-de-las-Peñas
Director of Department
Universidad Rey Juan Carlos
Eligibility Criteria
Inclusion Criteria
- •first-ever unilateral stroke;
- •hemiplegia resulting from stroke;
- •age between 30 and 60 years old;
- •presence of hypertonicity in the upper extremity;
- •pain symptoms in the shoulder
- •active trigger points in the shoulder muscles reproducing the shoulder pain symptoms
Exclusion Criteria
- •recurrent stroke;
- •absence of active trigger points in the shoulder muscles reproducing shoulder symptoms
- •previous treatment with nerve blocks, motor point injections with neurolytic agents for spasticity at any time;
- •previous treatment with botulinum toxin-A in the 6 months prior the study;
- •severe cognitive deficits;
- •other neurologic diseases,
- •underlying complex medical conditions, e.g., heart conditions, unstable hypertension, fracture
- •fear to needles;
- •any contraindication for deep dry needling, e.g., anticoagulants, infections, bleeding, or psychotic.
Outcomes
Primary Outcomes
Changes in post-dry needling pain intensity with a numerical pain rate scale before and after the intervention
Time Frame: Baseline, 24 hours (1 day) after and 72 hours (3 days) after treatment the intervention
A Numerical Pain Rate Scale (NPRS, 0-10) will be used to record post-dry needling soreness in the targeted area
Secondary Outcomes
- Presence of active trigger points in the shoulder musculature(Baseline, 72 hours (3 days) and 168 hours (7 days) after treatment the intervention)
- Changes in spontaneous shoulder pain with a numerical pain rate scale before and after the intervention(Baseline, 72 hours (3 days) and 168 hours (7 days) after treatment the intervention)