Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Not Applicable

Completed

• Conditions: Trigger Point Pain, Myofascial
• Interventions: Other: Dry Needling; Other: Strain counter strain

• Registration Number: NCT04285216
• Lead Sponsor: Riphah International University

Brief Summary

To determine the effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Detailed Description

It is Randomized Controlled trail will be conduct in Mayo Hospital Lahore and Alnoor Hospital Awan town Lahore. Non probability consecutive sampling technique will be used to collect the data. Each group contain the 14 patients, Patient will be divided into two groups. Group A will be experimental group treated by Dry needling and strain counter strain with baseline treatment and Group B will be control group treated by Strain counter strain with baseline treatment(Hot pack 10 mints,stretching,Neck isometrics). Neck Disability index (NDI) ,visual analogue scale(VAS) and goniometer will be used as data collecting tools.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2019-09-15
• Study First Submitted: 2020-02-11
• Study First Submitted QC: 2020-02-25
• Study First Posted: 2020-02-26
• Primary Completion: 2020-06-20
• Study Completion: 2020-08-28
• Status Verified: 2020-09
• Last Update Submitted: 2020-09-18
• Last Update Posted: 2020-09-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 28

Inclusion Criteria

• Patients with non-specific neck pain, having active myofascial trigger points in upper trapezius muscle.
• Patient of both gender under the age of 20-40 year
• bilateral pain involving the upper trapezius
• a duration of pain of at least 3 months
• pain localized in the cervical and occipital regions but not in the orofacial region.
• restricted cervical range of motion(side flexion)

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Exclusion Criteria

• history of traumatic injuries (e.g., contusion, fracture, and whiplash injury)
• needle phobia patients.
• systemic diseases such as blood coagula tion disorders, chronic pain syndrome, cancer,allergies fibromyalgia, systemic lupus erythematous, and psoriatic arthritis.
• cervical spine surgery patients.
• orofacial pain and temporomandibular disorders
• neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia)
• medical diagnosis of any primary headache (tension type or migraine) clinical diagnosis of cervical radiculopathy or myelopathy
• history of previous physical therapy intervention for the cervical region in last 6 month
• use of anticoagulants, opioids or antiepileptic medications

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Dry needling	Dry Needling	Hot pack 10 mints,stretching,Neck isometrics, dry needling(DN) and Strain counterstrain(SCS)
Strain counter strain	Strain counter strain	Hot pack 10 minutes, stretching,Neck isometrics, Strain counter strain (S C S)

Primary Outcome Measures

Name	Time	Method
Numeric Pain Rating Scale (NPRS)	4 months	The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Range of Motion	4 months	Standard Goniometer will be used.Higher score shows improvement.

Secondary Outcome Measures

Name	Time	Method
Disability	4 months	Scoring: For each section the total possible score is 5: if the first statement is marked the section score = 0, if the last statement is marked it = 5. If all ten sections are completed the score is calculated as follows: Example:16 (total scored) 50 (total possible score) x 100 = 32% If one section is missed or not applicable the score is calculated: 16 (total scored) 45 (total possible score) x 100 = 35.5% Minimum Detectable Change (90% confidence): 5 points or 10 %points

Trial Locations

Locations (1)

Mayo Hospital; 🇵🇰 Lahore, Pakistan