Dry Needling for Myofascial Pain Syndrome
- Conditions
- Neck PainMyofascial Pain Syndromes
- Registration Number
- NCT05668728
- Lead Sponsor
- Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
- Brief Summary
Myofascial pain syndrome (MAS) is defined as a regional painful syndrome characterized by pain and tenderness in a muscle group or a muscle, a taut band within the muscle, pain reflected by pressing, and the presence of trigger points. It causes localized muscle pain in the shoulder and neck. The frequency of mas is around 12% in the normal population, and its frequency increases in those with chronic diseases. It is more common in the 30-60 age range and in the female population. Mechanical causes such as micro-macro trauma, nociceptive disorders, physical fatigue, psychological stress and genetic factors are blamed in its etiopathogenesis. Painful myofascial trigger points may occur by pressing on all muscles in the body, although it is more common in the trazius muscle, especially in those who work at a desk, who are constantly in a certain position, and who are sedentary. Myofascial trigger points are often detected by examination.
- Detailed Description
There is a difference between the pain, neck extension range of motion, neck functional status of 3 different dry needling methods used in routine treatment in patients with myofascial pain syndrome. The investigators set out by thinking which method is more appropriate to choose in our practice. When the investigators examined the literature, the investigators could not find a study comparing these methods. However, at the points where sham needling, lidocaine administration, ozone cost, kinesiotaping methods and dry needling are compared by using these methods separately, regardless of the method of dry needling, there is a significant improvement in functional status, pain score, attachments, improvement expenses in the range of motion. However, the investigators think that it will contribute to a study literature on the protection of these purposes more clearly.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 45
- Among the patients who applied to Sultan 2. Abdulhamid Han Hospital Physical Medicine and Rehabilitation Department and were diagnosed with myofascial pain syndrome
- Decided to receive dry needling treatment
- Between the ages of 18 and 65
- At least 1 painful myofascial trigger point in the m.trapezius, m.levator scapula muscles
- Patients with neck pain lasting less than 6 months
- Those with a history of cervical operation
- Those who have a history of shoulder operation
- Patients with radiculopathy as a result of the examination
- Those who have been injected into the determined area in the last 3 months
- Those diagnosed with fibromyalgia according to the 2018 fibromyalgia scale
- Those with cervical disc herniation in the MR imaging taken within the last 1 year
- Pregnant/pregnant women
- Those who are allergic to silver
- Those with a history of malignancy
- Those with positive red flags
- Those with known rheumatological disease
- Those who do not accept dry needling
- Those with cognitive impairment
- Those who have local infection in the application area
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Visuel Analog Scale one month It is used to convert some values that cannot be measured numerically into numeric. Two end definitions of the parameter to be evaluated are written at the two ends of a 100 mm line, and the patient is asked to indicate where on this line their situation is appropriate by drawing a line or by placing a dot or pointing. For example, for pain, I have no pain at one end and very severe pain at the other end, and the patient marks his/her current state on this line. The length of the distance from the point where there is no pain to the point marked by the patient indicates the patient's pain.
- Secondary Outcome Measures
Name Time Method Neck Disability Index one month It is a questionnaire consisting of 10 questions and questions how neck pain affects the patient's ability to perform daily life activities such as sleep, personal care, driving, reading, and concentration. Each question is answered between 0-5 points. The minimum score can be 0, the maximum score can be 50. 0-4 points: no disability 5-14 points: mild disability 15-24 points: moderate disability 25-34 points: severe disability A score of 35 and above means complete disability
European Quality of Life 5 Dimensions 3 Level Version One month It is a scale developed to evaluate health-related quality of life. It consists of two parts; one . The department defines the health profile in 5 dimensions (mobility, self-care, social life, pain, psychological state). Each dimension contains three statements according to the degree of difficulty (1: some problem, 2: moderate, 3: a lot of problems), the second part includes a visual analog scale (VAS) on which respondents rate their current health status from 0 to 100. It is easy to apply and is completed in a short time. 100 describes best functional stiuation, 0 describes worst developed to evaluate health-related quality of life.
Trial Locations
- Locations (1)
Sultan 2. Abdulhamid Han Training and Research Hospital
🇹🇷Istanbul, Turkey