Comparison of Dry Needling and Graston Technique in Active Myofascial Trigger Points on Upper Trapezius
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Numeric Pain Rating Scale (NPRS)
研究概览
简要总结
This study will compare the effects dry needling and Graston technique in active myofascial trigger points on upper trapezius. Half of the study participants will receive dry needling whereas other half will receive Graston technique.
详细描述
This is a single blinded randomized controlled trial, will be conducted at Rawal General & Dental Hospital, Islamabad. Both dry needling and Graston Techniques are used to release active Myofascial Trigger points with different mechanism.
Dry needling is technique in which without any medication or injection, dry needles are inserted into hyper irritable points in muscle. Graston technique is done with specially designed tools to locate knots within muscle by running the tools over the skin.
This study is planned with objectives to compare both treatment techniques on active myofascial trigger points in patients with neck pain. Effects of these will be measured on Neck Pain, Range of Motion, functional status and trigger points.
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
- Single (Participant)
盲法说明
This is a single blinded randomized controlled trial in which patients will be randomized into groups by sealed envelope method.
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patient with non-specific pain in neck (acute and sub-acute)
- •Age: 20-40 years
- •Patient agrees to use the dry needling or Graston exclusively
排除标准
- •Patients that were using any medication to reduce the pain and/or have any effect in the skeleton muscle.
- •Patient taking other treatment in the same period of research.
- •Patients having malignancy, tuberculosis, spinal cord injury, neurodegenerative diseases radiculopathies and hematoma.
- •Patients on anticoagulants.
- •Patient with chronic neck pain.
研究组 & 干预措施
Dry needling
Dry needling will be applied on active myofascial trigger points in upper trapezius along with conservative physical therapy management.
干预措施: Dry Needling Group (Other)
Graston
Graston Technique will be applied on active myofascial trigger points in upper trapezius along with conservative physical therapy management.
干预措施: Graston Technique Group (Other)
结局指标
主要结局
Numeric Pain Rating Scale (NPRS)
时间窗: Post 2nd week
Numeric Pain Rating Scale (NPRS) is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.
cervical range of motion (CROM)
时间窗: Post 2nd week
A cervical range of motion (CROM) inclinometer will be use to assess cervical range of motion in flexion, extension, left right lateral flexion and left-right rotation. Participants will be seated upright and asked to actively move their neck in each direction.
Myofascial Diagnostic Scale (MDS)
时间窗: Post 2nd Week
It is a scale using the signs of a Myofascial trigger point as indicators to assess the extent to which the patient suffers from Myofascial Pain Syndrome. The signs include: referred pain in the zone of reference, local twitch response, palpable taut band, and focal or spot tenderness. Spot tenderness or soft tissue tenderness consisted of five grades or indicators: grade 0 - no tenderness = 0, grade 1 - tenderness to palpation without grimace or flinch = 1, grade 2 - tenderness with grimace and/or flinch to palpation = 2, grade 3 - tenderness with withdrawal = 3, grade 4 - withdrawal to non-noxious stimuli = 4. The presence of a local twitch response and the presence of a palpable taut band were indicated by a score of 4 on the scale. The presence of referred pain was indicated by a score of 5. A total score of 9 or more was indicative of active trigger points.
次要结局
- Neck Disability Index (NDI)(Post 2nd week)