Dry Needling in Post-operative Shoulder Pain

Not Applicable

Completed

• Conditions: Rotator Cuff Tear Surgical Repair; Proximal Humeral Fracture Fixated With PHILOS© Plate
• Interventions: Other: Physical therapy plus dry needling; Other: Physical therapy

• Registration Number: NCT02122315
• Lead Sponsor: César Fernández-de-las-Peñas

Brief Summary

Fractures of the proximal humerus account for between 5% and 8% off all reported fractures. Post-operative shoulder pain is highly frequent. Due to either surgical procedure, soft tissues surrounding the shoulder area can be damaged. The purpose of the current clinical trial was to compare the effects of physiotherapy versus physiotherapy plus TrP-DN on pain and function in patients who exhibit post-operative shoulder pain after a PHILOS procedure for proximal humeral fixation or rotator cuff tear repair.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-02
• Primary Completion: 2013-04
• Study Completion: 2013-04
• Status Verified: 2014-04
• Study First Submitted: 2014-04-19
• Study First Submitted QC: 2014-04-22
• Last Update Submitted: 2014-04-22
• Study First Posted: 2014-04-24
• Last Update Posted: 2014-04-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• proximal humeral fracture
• rotator cuff tear
• open reduction and internal fixation with PHILOS© plate (Synthes, Switzerland)
• rotator cuff tear repair
• post-operative shoulder pain
• active TrPs in the neck-shoulder muscles

Exclusion Criteria

• no active TrPs
• multiple fracture
• previous surgery
• cervical radiculopathy or myelopathy
• diagnosis of fibromialgia
• having undergone any physical therapy intervention in the year before the surgery
• fear of needles
• any contraindication for dry needling

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Physical therapy plus dry needling	Physical therapy plus dry needling	Best-evidence physical therapy intervention in addition to a single session of TrP-DN targeted to active TrPs in the neck-shoulder muscles.
Physical therapy	Physical therapy	Best-evidence physical therapy intervention

Primary Outcome Measures

Name	Time	Method
Changes in Constant-Murley score before and after the intervention	Baseline and one week after the intervention	The Constant-Murley score is a 100-point scoring system that is divided into 4 main sub-scales: pain (15 points); activities of daily living (20 points); range of motion (40 points); and strength (25 points). Higher score represents better function

Trial Locations

Locations (1)

Jose Luis Arias Buría; 🇪🇸 Madrid, Spain