Efficacy of Dry Needling Treatment in Myofascial Pain Syndrome

Not Applicable

Completed

• Conditions: Trigger Point Pain, Myofascial
• Interventions: Procedure: dry-needling

• Registration Number: NCT05066529
• Lead Sponsor: Kanuni Sultan Suleyman Training and Research Hospital

Brief Summary

The aim of this study is to investigate the short and long-term effects of dry-needling of participants with trigger points in the upper trapezius muscle.

64 participants who diagnosed with myofascial pain syndrome will be included in the study. All participants will have trigger points in the upper trapezius muscles. They are randomised into two groups: dry needling (n=32) and exercise group (n=32). Ultrasonographic evaluation of trigger points (diameter, circumference and area), pain intensity and neck disability will be evaluated as primary outcome. Active cervical range of motion will be evaluated as secondary outcome.

Detailed Description

Objective: The aim of this study is to investigate the short and long-term effects of dry-needling of participants with trigger points in the upper trapezius muscle.

Methods: 64 participants who diagnosed with myofascial pain syndrome will be included in the study. All participants will have trigger points in the upper trapezius muscles. They are randomised into two groups: dry needling (n=32) and exercise group (n=32). Ultrasonographic evaluation of trigger points (diameter, circumference and area), pain intensity and neck disability will be evaluated as primary outcome. Active cervical range of motion will be evaluated as secondary outcome.

All treatments will be applied by an investigator and a different blinded investigator will evaluated all participants. Numerical Rating Scale will be used for evaluating pain intensity and Neck Disability Index will be used for evaluating neck disability.

Dry-needling treatment will be applied once a week for three weeks. Servical stretching exercises are given to all participants. (20 repetitions in one session and 2 sessions in a day, three days a week.)

All participants will be evaluated before treatment, after treatment (at 3rd week) and at 3 month follow-ups.

Study Timeline

• Study Start: 2021-04-01
• Study First Submitted: 2021-08-28
• Study First Submitted QC: 2021-09-24
• Primary Completion: 2021-09-30
• Status Verified: 2021-10
• Study First Posted: 2021-10-04
• Last Update Submitted: 2021-10-29
• Study Completion: 2021-10-30
• Last Update Posted: 2021-11-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 62

Inclusion Criteria

• trigger points in the upper trapezius muscle
• 18-45 years old
• no treatment in three months for myofascial pain syndrome (MPS)
• accept to participate treatment program

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Exclusion Criteria

• already treated in 3 months for MPS
• below 18 years and above 45 years old
• no acceptance to participate the trial

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
dry-needling group	dry-needling	32 participants in this group Dry-needling treatment will be applied once a week for three weeks. Servical stretching exercises are given to all participants. (20 repetitions in one session and 2 sessions in a day, three days a week.) All participants will be evaluated before treatment, after treatment (at 3rd week) and at 3 month follow-ups.
exercise group	dry-needling	32 participants in this group Servical stretching exercises are given to all participants. (20 repetitions in one session and 2 sessions in a day, three days a week.) All participants will be evaluated before treatment, after treatment (at 3rd week) and at 3 month follow-ups.

Primary Outcome Measures

Name	Time	Method
Neck Disability index	3 month follow-ups	a questionnaire to evaluate neck disability
area of trigger point	3 month follow-ups	an ultrasonographic evaluation
Numerical Rating Scale	3 month follow-ups	a questionnaire to evaluate pain intensity
diameter of trigger point	3 month follow-ups	an ultrasonographic evaluation
circumference of trigger point	3 month follow-ups	an ultrasonographic evaluation

Secondary Outcome Measures

Name	Time	Method
active servical range of motion	3 month follow-ups	active servical range of motion

Trial Locations

Locations (1)

Kanuni Sultan Suleyman Training and Research Hospital; 🇹🇷 Istanbul, Turkey