The Effect of Dry Needling Treatment Combined With Physical Therapy in Patients With Cervical Spondylosis: A Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Pain severity
研究概览
简要总结
In this study, it was aimed to determine whether dry needling treatment applied to the trigger points in the trapezius muscle in patients with chronic neck pain due to cervical spondylosis makes an additional contribution to the treatment results of the physical therapy and rehabilitation program.
详细描述
Among the evaluated patients, the patients meeting the inclusion and exclusion criteria will be randomized into 2 groups using the random numbers table.
While physical therapy and rehabilitation program will be applied to one group, dry needling treatment will be applied to the trigger points in the upper trapezius region with the same program to the other group. Patients will be evaluated before treatment (day 0) and at the end of treatment (day 21).
The randomization and evaluation of the patients will be done by Gül Tuğba Bulut, while the injection of the patients will be done by Alper Mengi.
Gender, age, education level, occupation, neck pain duration, body mass index of the patients included in the study will be recorded.
The patients will be evaluated in terms of pain intensity, number of active trigger points in the upper trapezius muscle, functional status, quality of life, anxiety and depression at before (day 0) and after treatment (day 21).
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having neck pain for at least 3 months
- •Restriction of neck movements and/or pain during movement
- •Tenderness in neck paravertebral muscles and neural foramen with compression
- •Detection of narrowing of intervertebral disc spaces, subchondral sclerosis, osteophyte on cervical radiograph
- •Active trigger point in the upper trapezius muscle during the examination.
排除标准
- •Having motor, sensory or reflex abnormalities due to spinal root compression
- •Whiplash injuries
- •Cervical spinal stenosis
- •Having undergone cervical vertebra surgery
- •History of interventional procedure on the cervical region in the last 6 months
- •Central or peripheral nervous system disorders
- •Spondylolisthesis
- •Inflammatory neck pain
- •History of infectious, chronic inflammatory disease, malignancy
- •Not being cooperative
- •Having open wounds, infections or sensory defects on the skin where the application will be made
- •Fibromyalgia
- •Advanced osteoporosis or osteomalacia
- •Active psychiatric illness.
结局指标
主要结局
Pain severity
时间窗: 1 day
Pain intensity will be questioned by visual analog scale (VAS) as pain intensity at movement, rest, and night. A horizontal straight line 10 cm long will be used in the VAS assessment. 0 will be considered as no pain, 10 will be considered as the most severe pain. Movement pain will be questioned as the average of the pain felt while the patients are doing their daily routine, rest pain will be the average of the pain felt when the patients are not doing any activity during the day, and night pain will be the average of the neck pain when they wake up or wake up from sleep.
次要结局
- Life quality(1 day)
- Anxiety and depression(1 day)
- Functional status(1 day)
- Number of active trigger points(1 day)
研究者
Alper mengi
Medical Doctor
Istanbul University - Cerrahpasa (IUC)