Effects of Dry Needling on Stiffness in Latent Myofascial Trigger Points: a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Trigger Points
- Sponsor
- University of Castilla-La Mancha
- Enrollment
- 51
- Locations
- 1
- Primary Endpoint
- Change on Stiffness (Shear wave elastography and Strain Elastography)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
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.
Investigators
Eligibility Criteria
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
Outcomes
Primary Outcomes
Change on Stiffness (Shear wave elastography and Strain Elastography)
Time Frame: 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 Outcomes
- Change in Thickness of muscle(Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment)
- Change in Post-needling soreness(Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment)
- Change in Pain Pressure Threshold (PPT)(Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment)