Comparison Between Deep Dry Needling and Muscle Energy Technique on Chronic Non-specific Neck Pain Patients.

Not Applicable

Completed

• Conditions: Neck Pain
• Interventions: Procedure: Deep dry needling; Procedure: Muscle energy technique; Procedure: Neck stability exercise

• Registration Number: NCT05730426
• Lead Sponsor: Cairo University

Brief Summary

The goal of this clinical trial is to compare between applying deep dry needling and muscle energy technique in chronic non-specific neck pain patients. Researchers will compare between deep dry needling group, muscle energy technique group and control group to see if there are change in pain, range of motion or function.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-08-01
• Primary Completion: 2022-12-30
• Status Verified: 2023-02
• Study Completion: 2023-02-01
• Study First Submitted: 2023-02-05
• Study First Submitted QC: 2023-02-13
• Last Update Submitted: 2023-02-13
• Study First Posted: 2023-02-15
• Last Update Posted: 2023-02-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 66

Inclusion Criteria

1. Age 18 and 40 years.
2. Current neck pain.
3. Presence of at least one or two trigger points .
4. Patients are diagnosed and referred from orthopedist complaining from chronic neck pain for at least 12 weeks.
5. No clinical treatment for neck pain within the past month.
6. lacked a history of neck and shoulder myopathy, neuropathy, myelopathy and neck, torso and shoulder surgery.
7. Patients with body mass index less than 30 kg/m2.

Exclusion Criteria

1. Patients outside the target range.
2. Neck pain associated with vertigo.
3. Osteoporosis.
4. Diagnosed psychological disorders.
5. Fibromyalgia syndrome.
6. Vertebral fractures.
7. Spinal stenosis.
8. Tumors.
9. Previous neck surgery.
10. Red flags (night pain, severe muscle spasm, loss of involuntary weight, symptom mismatch).
11. Physiotherapeutic treatment continued in the last 3 months. Any contraindications for deep dry needling such as anticoagulants, infections and bleeding.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group A	Deep dry needling	In addition to Transcutaneous Electrical Nerve Stimulation (TENS) (typical,100 Hz, 20 mins), Infrared (7 mins), and Exercises (Cervical Stability Exercises through activation of deep neck flexors), patients received deep dry needling on active trigger points in selected muscles (upper trapezius, levator scapulae, and sternocleidomastoid ), 3 sessions/week, for 4 weeks period.
Group B	Muscle energy technique	In addition to Transcutaneous Electrical Nerve Stimulation (TENS) (typical,100 Hz, 20 mins), Infrared (7 mins), and Exercises (Cervical Stability Exercises through activation of deep neck flexors), patients received muscle energy technique (post isometric relaxation) in selected muscles (upper trapezius, levator scapulae, and sternocleidomastoid ), 3 sessions/week, for 4 weeks period.
Group C	Neck stability exercise	Patients receive Transcutaneous Electrical Nerve Stimulation (TENS) (typical,100 Hz, 20 mins), Infrared (7 mins), and Exercises (Cervical Stability Exercises through activation of deep neck flexors) , 3 sessions/week, for 4 weeks period.

Primary Outcome Measures

Name	Time	Method
Change in function from baseline to 4 weeks after.	at baseline and after 4 weeks from the baseline.	The Neck Disability Index (NDI) The NDI questionnaire (scored out of 50) was used to measure the patient's perceived disability resulting from their neck pain. The score for each section was from 0 to 5, with 0 represented the highest level of function and 5 represented the lowest level of function. Total NDI scores were shown as a percentage. A high score corresponded to a higher degree of disability.; * 0-4points (0-8%) no disability.; * 5-14points (10 - 28%) mild disability.; * 15-24points (30-48%) moderate disability.; * 25-34points (50- 64%) severe disability.; * 35-50points (70-100%) complete disability.
Change in cervical range of motion (ROM) in sagittal, coronal and transverse planes from baseline to 4 weeks after.	at baseline and after 4 weeks from the baseline.	AcuAngle® Inclinometer: (Baseline® AcuAngle Inclinometer; Elmsford, NY, U.S. PAT 2194335, 2-D Functions)
Change in pain threshold from baseline to 4 weeks after.	at baseline and after 4 weeks from the baseline.	Pain Pressure Algometer: (BASELINE 22-POUND DOLORIMETER).
Change in pain intensity from baseline to 4 weeks after.	at baseline and after 4 weeks from the baseline.	Visual Analogue scale (VAS); * A value of 0 denotes no pain, whereas a value of 1 to 3 indicates mild pain.; * 4 to 6 denotes moderate pain.; * 7 to 10 denotes intense pain.

Trial Locations

Locations (1)

Delta University for science and technology.; 🇪🇬 Mansoura, Egypt