Effects of Dry Needling on Stiffness in Latent Trigger Points

Not Applicable

Completed

• Conditions: Trigger Points
• Interventions: Device: Intervention-Dry Needling; Device: Control-Dry Needling

• Registration Number: NCT04394741
• Lead Sponsor: University of Castilla-La Mancha

Brief Summary

The purpose of this study is to determine whether application of Dry Needling (DN) is effective for reduced on Stiffness in Latent trigger point (LTrP) of upper trapezius. The secondary purposes are to determine the correlation on two elastography for stiffness measure (Shear-wave elastography and Strain elastography). Randomized controlled trial, in parallel with cross-control design. Two groups with LTrP in upper trapezius, and will be randomly selected to DN group or Sham-Dn group.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-05-10
• Study First Submitted QC: 2020-05-14
• Study First Posted: 2020-05-19
• Study Start: 2020-06-01
• Primary Completion: 2020-07-31
• Study Completion: 2020-08-31
• Status Verified: 2020-09
• Last Update Submitted: 2020-09-30
• Last Update Posted: 2020-10-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 51

Inclusion Criteria

• Age between 18 and 30 years
• The presence of LTrP in the middle third of the upper trapezius muscle on the dominant side
• Being able to provide written informed consent
• Being able to follow instructions and realize clinical tests

Exclusion Criteria

• Any pharmacological therapeutic
• Any medical treatment or physical therapies at cervical region during the 6-month before this study - Any diagnosed health problem
• Any history of head and upper extremity surgery or trauma
• Any red flags to DN, (ie: metabolic diseases, pregnancy, kinesiophobia, Infection, cancer)
• Absence of recurrent history of neck pain
• No neck pain symptomatology the previous 6 months
• Cervical disk herniation

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Deep Dry Needling	Intervention-Dry Needling	Intervention-Dry Needling: Deep Dry Needing into the latent trigger point of the upper trapezius muscle
Sham Dry Needling	Intervention-Dry Needling	Control-Dry Needling: Sham Dry Needling into the latent trigger point of the upper trapezius muscle
Sham Dry Needling	Control-Dry Needling	Control-Dry Needling: Sham Dry Needling into the latent trigger point of the upper trapezius muscle

Primary Outcome Measures

Name	Time	Method
Change on Stiffness (Shear wave elastography and Strain Elastography)	Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment	Shear-wave Elastography (SWE) as assessed using an Logiq S8 US system (GE Healthcare).; The stiffness was determined with measuring velocity of shear waves in trapezius muscle on SWE exam.; Strain elastography (SEL) as assessed using an Logiq S8 US system (GE Healthcare).; The stiffness was determined by applying light repetitive compression with the hand-held transducer

Secondary Outcome Measures

Name	Time	Method
Change in Thickness of muscle	Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment	The muscle was scanned in the longitudinal and axial planes, taking care to avoid anisotropy. B-Mode gray scale was employed to measure muscle thickness
Change in Post-needling soreness	Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment	The procedure performed was the subject had to characterize the level of pain using a visual analog scale (VAS), ranging from 0mm (no pain) to 10mm (worst imaginable pain)
Change in Pain Pressure Threshold (PPT)	Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment	Pressure-Pain Threshold as assessed by an manual mechanical algometer. PPT is the minimal amount of pressure that produces pain and is used to assess abnormalities in nociceptive processing or hyperalgesia.

Trial Locations

Locations (1)

Performance and Sport Rehabilitation Laboratory; 🇪🇸 Toledo, Spain