Effects of Virtual Reality on Post-Needling Soreness After Dry Needling of Trigger Points in the Extensor Carpi Radialis Brevis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Changes in post-dry needling pain assessed with a numerical pain rate scale before and after the intervention
研究概览
简要总结
Application of trigger point dry needling can induce post-dry needling soreness. This is not a negative experience, but sometimes some patients want to reduce it as much as possible. Different therapeutic strategies targeting to decrease post-dry needling soreness need to be investigated. Previous studies have investigated spray and stretch, ischemic compression or low-load eccentric exercise as post-needling intervention procedures. There is increasing evidence supporting the role of descending pain inhibition mechanisms for paon control. The application of virtual reality as a distraction technique could active brain mechanisms during dry needling. Therefore, the objective of this study will be to investigate the effects of playing virtual reality during the application of dry needling on post-needling soreness over trigger points in the extensor carpi radialis brevis muscle. A secondary aim will be to determine the prognostic role of baseline scores of pressure pain sensitivity, related-disability, anxiety and catastrophizing levels.
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
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •for pain-free participants:
- •no history of upper quadrant pain symptoms the year preceding the study
- •no history of upper quadrant surgery
- •presence of a latent trigger point in the extensor carpi radialis brevis muscle
- •Inclusion criteria for patients with elbow pain:
- •pain over the lateral side of the elbow;
- •pain on palpation over the lateral epicondyle or the associated common wrist extensor tendon;
- •elbow pain with either resisted static contraction or stretching of the wrist extensor muscles.
- •presence of an active trigger point in the extensor carpi radialis brevis muscle
排除标准
- •bilateral symptoms;
- •older than 50 years of age;
- •previous surgery or steroid injections;
- •other diagnoses of upper extremity (shoulder pathology, cervical radiculopathy, cervical whiplash);
- •history of cervical or upper extremity trauma;
- •history of musculoskeletal medical conditions (rheumatoid arthritis, fibromyalgia);
研究组 & 干预措施
Real Virtual Reality
Participants will receive a distraction by playing a game of virtual reality with a 3D application
干预措施: Real Virtual Reality (Other)
Placebo Virtual Reality
Participants will receive a placebo distraction with a game of virtual reality with a 3D application without functioning
干预措施: Placebo Virtual Reality (Other)
结局指标
主要结局
Changes in post-dry needling pain assessed with a numerical pain rate scale before and after the intervention
时间窗: Baseline, 5 minutes after, 12 hours after, 24 hours after, 36 hours after, 48 hours after, and 72 hours after treatment
A numerical Pain Rate Scale (NPRS, 0-10) will be used to record post-dry needling soreness and pain
次要结局
- Catastrophizing belief as assessed with the Pain Catastrophizing Scale(Baseline)
- Baseline score of upper extremity related-disability assessed with the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire(Baseline)
- Baseline data on pressure pain sensitivity assessed with a pressure algometer(Baseline)
- Baseline anxiety levels as assessed with the State-Trait Anxiety Inventory (STAI) questionnaire(Baseline)
研究者
César Fernández-de-las-Peñas
Director of Department
Universidad Rey Juan Carlos