Effects of Dry Needling With a Standard Exercise Programme on Pain and Quality of Life in Patients With Chronic Mechanical Neck Pain
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 31
- 试验地点
- 1
- 主要终点
- "Short Form-36 Quality of Life Scale (SF-36 QOLS)
研究概览
简要总结
Abstract\sBackground
Physical therapists frequently utilize dry needling (DN), which focuses on trigger points and non-trigger point structures, to treat mechanical neck pain (MNP). It is an invasive procedure that involves inserting solid fiber needles into myofascial trigger points or hyperirritable nodules that are painful to the touch. This procedure can affect the motor and autonomic neurons and relieve pain.
Objectives
examining the short-term effects of dry needling in combination with a standardized exercise program on pain and quality of life in chronic mechanical neck pain
Methods
The allocation of 18 participants to the DN or Exercise intervention groups will be done at random. Before the exam, the Beck Depression Inventory (BDI), Neck Disability Index (NDI), Short Form-36 Quality of Life Scale, and Numerical Rating Scale (NPS-11) will be evaluated.
Analytical Statistics
For the statistical analysis of the data, SPSS 23.0 will be employed. The "Kolmogorov-Smirnov test" will be used to determine whether the data are distributed normally. The effectiveness of each intervention will be determined using a paired t test, and between-group comparisons will be made using an independent t test. The distribution of categorical variables will be compared using a chi-square test. A 95% confidence interval and p0.05 will be used to determine significance.
Key words: mechanical neck pain, dry needling, neck exercises, and quality of life.
详细描述
Procedure
The lead investigator screened the participants to ensure that they met the requirements for participation in the study.
The participants were randomly divided into the "control group" and the "experimental group."
Intervention
Needling dry
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
- Single (Participant)
盲法说明
all the research subjects were masked and enrolled by picking up one of two sealed envelope to take place in one of the groups
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants who have been given a primary care doctor's or an orthopaedic consultant's medical diagnosis of chronic mechanical neck discomfort will be screened by the lead investigator.
- •2- Participants who were diagnosed with chronic neck discomfort that was brought on by neck movements, postures, and cervical palpation
- •Neck ache that has persisted for longer than a month. 4- Participants must not be receiving any treatment for their persistent neck discomfort at the time they are recruited for the study.
排除标准
- •Neurologic impairments are symptoms of radiculopathy, according to participants.
- •Medical diagnosis of cervical myelopathy or radiculopathy
- •. Aversion to needles
- •A history of shoulder, whiplash, or cervical spine injuries that was reported. Any "red flags" (malignancy, inflammatory arthritis, fracture, osteoporosis, and others).
- •patient with a congenital condition
- •Any treatment that research participants may have been receiving at the time of recruitment.
研究组 & 干预措施
Dry needling and exercise
Subjects in this group will undergo one session of dry needling in their upper trapezius muscles to address any overactive trigger points, and they will subsequently continue with neck exercises for a minimum of two weeks, three times per week.
干预措施: Dry needling with exercise (Combination Product)
Exercise
subjects in this group will have neck exercise only for 2 weeks minimum 3 times a week.
干预措施: Exercise (Other)
结局指标
主要结局
"Short Form-36 Quality of Life Scale (SF-36 QOLS)
时间窗: 2 times From admission to discharge, up to 2 week (pre first intervention and post last intervention)
for assessing the physical functions of the body through analysis of body pain, physical role difficulties (PRD), vitality/energy, the general perception of health, social functions and mental health. The sub-scores will be calculated separately between 0 and 100 (0: the worst, 100: the best health status)
Beck Depression Inventory (BDI)
时间窗: 2 times From admission to discharge, up to 2 week (pre first intervention and post last intervention)
To assess patient depression,The total score of BDI were evaluated between 0 and 63. BDI scores near to high range or above than that indicate more severe forms of depression
The functional disability, Neck Disability Index (NDI)
时间窗: 2 times From admission to discharge, up to 2 week (pre first intervention and post last intervention)
has been designed to assess the pain intensity of the neck and how it affects the quality of life by affecting daily activities. The total NDI score is 0 and 54 and consists of 10 questions.(less score less disability)
Numeric pain rating scale
时间窗: 2 times From admission to discharge, up to 2 week (pre first intervention and post last intervention)
used to assess the intensity of the pain , the NPS ranges between 0 and 10 (0: minimum pain, 10: maximum pain).
次要结局
未报告次要终点
研究者
Muhannad Abdulrahman Almushahhim
Principal Investigato
Imam Abdulrahman Bin Faisal University