Comparison of Dry Needling and Deep Friction Massage in Patients With Subacromial Pain Syndrome

Not Applicable

Completed

• Conditions: Subacromial Impingement Syndrome; Trigger Point Pain, Myofascial
• Interventions: Device: Trigger Point Dry Needling Technique; Other: Deep Friction Massage Technique

• Registration Number: NCT03888586
• Lead Sponsor: Biruni University

Brief Summary

This study was planned to investigate the effects of Trigger Point-Dry Needling Therapy (TP-DNT) on night pain and Shoulder Internal Rotation (SIR) in individuals with Subacromial Pain Syndrome (SPS).

Detailed Description

Shoulder pain seen intensely in the general population, many methods has been used for the treatment which has not been fully proven to be superior to each other. Before considering surgical approaches, trying conservative approaches is emphasized. While literature showed us that nighttime pain is an important musculoskeletal symptom, may be associated with local inflammation, it is an important feature during the treatment planning. TP-DNT had positive effects on night pain and SIR in SPS. It was seen that the treatment satisfaction level of participants was high. Despite these positive findings, there is need for further studies in which sample size is increased, control group is added, and long-term follow-up is planned.

Study Timeline

• Study Start: 2017-10-02
• Primary Completion: 2018-02-11
• Study Completion: 2018-10-10
• Status Verified: 2019-03
• Study First Submitted: 2019-03-22
• Study First Submitted QC: 2019-03-22
• Last Update Submitted: 2019-03-22
• Study First Posted: 2019-03-25
• Last Update Posted: 2019-03-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 43

Inclusion Criteria

• To be able to read and speak Turkish well enough to give informed consent and follow the working instructions.
• Having complaints of unilateral shoulder pain for at least 6 months and being diagnosed with subacromial impingement syndrome.
• Having night pain
• Having active trigger point.

Exclusion Criteria

• Bilateral shoulder pain
• If there is a contraindicated condition for needles such as fear of needles or infection
• History of bleeding disorder
• Shoulder fracture and / or dislocation history
• Symptoms of cervical radiculopathy and / or neuropathy
• The use of antiaggregants, anticoagulants, analgesics or antiinflammatory drugs or drug-like substances (1 week before or during treatment)
• Fibromyalgia syndrome
• Any neurological, motor, or sensory disorder in the upper extremity
• History of surgery on shoulder or neck
• Conservative or invasive physical therapy or infiltration for the shoulder region during the last 6 months
• Pregnancy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Dry Needling	Trigger Point Dry Needling Technique	Participants were administered trigger point dry kneedling technique 6 times for 1 month, once every 5 days. The subject was positioned prone and the arm position was slightly changed related with the muscle. After the skin inspection it was cleaned with the alcohol. .
Deep Friction Massage	Deep Friction Massage Technique	Deep friction massage was applied transversely unlike the superficial massage and sufficiently deep to the fiber direction of affected connective tissue to maintain the mobility. Totally 6 sessions were administered twice a week for 3 weeks.

Primary Outcome Measures

Name	Time	Method
Pain Intensity	1 month	The VAS was used to measure the mean pain intensity of rest time activity and night time over the previous 3 days . The 10-cm scale was marked with "0" (no pain) and "10" (worst imaginable pain), and the patients were instructed on how to use the scale.

Secondary Outcome Measures

Name	Time	Method
Range of Motion	1 month	The goniometric measurement method measures the range of active internal movements of the internal rotation with pre-treatment and after 8 sessions. The movement is repeated 3 times and recorded with the average.
Shoulder Pain and Disability Index (SPADI)	1 month	The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain.
Hospital Anxiety and Depression Scale (HADS)	1 month	The HADS aims to measure symptoms of anxiety and depression and consists of 14 items, seven items for the anxiety subscale (HADS Anxiety) and seven for the depression subscale (HADS Depression). HADS Anxiety focus mainly on symptoms of generalized anxiety disorder and HADS Depression is focused on anhedonia, the main symptom of depression. Each item is scored on a response-scale with four alternatives ranging between 0 and 3. After adjusting for six items that are reversed scored, all responses are summed to obtain the two subscales.
Nothingham Health Profile	1 month	NHP is a general quality-of-life questionnaire that measures health problems that a person perceives and how these problems affect normal daily activities. The questionnaire consists of 38 items and evaluates six dimensions of health status: energy (3 items), pain (8 items), emotional reactions (9 items), sleep (5 items), social isolation (5 items) and physical activity (8 matter). Questions are answered yes or no. Each section is scored from 0 to 100 points. 0 indicates the best health status, 100 worst health status. NHP score and total NHP score were evaluated. Total NHP score was obtained from the sum of the sub-scores

Trial Locations

Locations (1)

Başar Öztürk; 🇹🇷 Istanbul, Turkey