Dry Needling for Shoulder Pain and Presence of Post-needling Induced-Pain in PAtients Who Had Suffered a Stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 16
- 试验地点
- 2
- 主要终点
- Changes in post-dry needling pain intensity with a numerical pain rate scale before and after the intervention
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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.
结局指标
主要结局
Changes in post-dry needling pain intensity with a numerical pain rate scale before and after the intervention
时间窗: 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
次要结局
- 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)
研究者
César Fernández-de-las-Peñas
Director of Department
Universidad Rey Juan Carlos