Effectiveness of Dry Needling and Eccentric Exercises in Unspecific Shoulder Pain
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Universidad Rey Juan Carlos
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Changes in disability between baseline and follow-up periods
Study Overview
Brief Summary
Shoulder pain is highly prevalent in the society. The role of muscle tissues in this pathology has received increasing interest. Some studies have proposed the role of myofascial trigger points in this population. The purpose of the current clinical trial is to compare the effects of physiotherapy treatment consisting of an eccentric exercise protocol versus the same physical therapy program plus the addition of trigger point dry needling (TrP-DN) on pain and function in patients suffering from unspecific shoulder pain.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Unilateral non-traumatic shoulder pain
- •Shoulder pain from at least 3 months
- •Shoulder pain of more than 4 points on a NPRS
Exclusion Criteria
- •bilateral shoulder symptoms
- •younger than 18 or older than 65 years
- •history of shoulder fractures or dislocation
- •cervical radiculopathy
- •previous interventions with steroid injections
- •fibromyalgia syndrome
- •previous history of shoulder or neck surgery
- •any type of intervention for the neck-shoulder area during the previous year
Arms & Interventions
Experimental group
Patients will be asked to perform an eccentric loading exercise program for the shoulder musculature, particularly the supraspinatus and infraspinatus muscles, to be performed on an individual basis twice every day. The therapeutic protocol will be applied for 5 weeks. In addition, within the second and fourth sessions, they will receive TrP-DN over active TrPs in the shoulder muscles
Intervention: exercise program (Other)
Experimental group
Patients will be asked to perform an eccentric loading exercise program for the shoulder musculature, particularly the supraspinatus and infraspinatus muscles, to be performed on an individual basis twice every day. The therapeutic protocol will be applied for 5 weeks. In addition, within the second and fourth sessions, they will receive TrP-DN over active TrPs in the shoulder muscles
Intervention: TrP-DN (Other)
Control group
Patients will be asked to perform an eccentric loading exercise program for the shoulder musculature, particularly the supraspinatus and infraspinatus muscles, to be performed on an individual basis twice every day. The therapeutic protocol will be applied for 5 weeks.
Intervention: exercise program (Other)
Outcomes
Primary Outcomes
Changes in disability between baseline and follow-up periods
Time Frame: Baseline, one week after the last intervention and 3, 6 and 12 months after the intervention
The Disabilities of the Arm, Shoulder and Hand (DASH) will be used to determine the disability induced by shoulder pain
Secondary Outcomes
- Changes in shoulder pain between baseline and follow-up periods(Baseline, one week after the last intervention and 3, 6 and 12 months after the intervention)
Investigators
César Fernández-de-las-Peñas
Proffesor
Universidad Rey Juan Carlos