Dry Needling Latent Myofascial Trigger Points and the Immediate Effect on Motor Performance: a Randomized Controlled Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 36
- 试验地点
- 2
- 主要终点
- Fitts' Head Turning Task
研究概览
简要总结
The goal of this clinical trial is to compare the immediate effects of stimulating shoulder muscles with an acupuncture needle (dry needling) on people from thirty to forty-five years old with recurrent neck pain. The main questions this trial aims to answer are does dry needling tight shoulder muscles have an effect on:
- the ability to turn your head with speed and accuracy,
- your neck mobility,
- pain,
- the tenderness in the muscles,
- change in your everyday function.
Participants will be asked to undergo a dry needling intervention, then participants will be asked to complete measurements before and after the including a pain scale, neck mobility, a functional questionnaire, pressure sensitivity and movement time for a repetitive head turning task. Researchers will compare the dry needling to the sham needling to see if there is a change in the measurements pre- and post-intervention.
详细描述
Study Design:
This is a prospective, single blind, randomized control trial with two groups. This intervention effectiveness study will utilize a pre-post clinical trial design to measure the immediate effects of the treatment of dry needling on motor performance. Specifically, dry needling bilateral upper trapezius myofascial trigger points with the primary outcome of motor performance measured by a discrete aiming head movement task called the Fitts' head turning task. Empirical evidence supports Fitts' head turning task to quantitatively measure neuromuscular functional impairments related to restricted cervical range of movement. Approval from the University of Manitoba (HS25717) ethics committee has been attained.
Purpose:
The aim of this randomized clinical trial is to measure the immediate effects of dry needling on motor function. Specifically, the effect of a single session of dry needling to shoulder/neck muscles on the performance of a repetitive head turning task.
Objectives:
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
- Double (Participant, Outcomes Assessor)
盲法说明
Only the physiotherapist administering the intervention of dry needling is aware of the group allocation
入排标准
- 年龄范围
- 30 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Recurrent neck pain (with a minimum of one episode of acute neck pain corresponding to the area covered by the UT muscle in the last three months)
- •a minimum of one palpable tender, taut band of muscle in the upper trapezius
- •dry needling naïve
- •have normal/corrected vision required for the Fitts' task
- •fluent in English.
排除标准
- •Currently experiencing an acute episode of neck pain,
- •treatment to the UT or cervical spine in the last 60 days
- •currently taking pain/nerve medications
- •presence of upper limb neurological signs or symptoms
- •any history of pathology, surgery to the cervical spine
- •trauma or accident involving the cervical spine
- •having general contraindications to needling (including pregnancy, acute trauma, fever or systemic infection and needle phobia)
- •local contraindications at the site of the needle insertion (including local infection, open wounds, burns, inflammation, cellulitis, and undiagnosed lumps)
- •precautions to needling (including history of bacterial endocarditis, heart valve replacement, pace-maker and near joint replacements).
结局指标
主要结局
Fitts' Head Turning Task
时间窗: 15 minutes
The Fitts' head turning task, measures motor performance through the analysis of movement time. Fitts task experiments explore the relationship between speed and accuracy with tasks of varying degrees of difficulty- the goal of the Fitts' task is to move as quickly and accurately as possible to acquire a target. This head turning task employs a head mouse to track left and right movements with varying degrees of challenge (low, moderate, high).
次要结局
- Pressure algometry(5 minutes)
- Visual Analogue Scale (VAS)(1 minute)
- Neck Disability Index (NDI)(5 minutes)
- Cervical Range of Motion (CROM)(5-10 minutes)
研究者
Robin Bone
Principal Investigator
University of Manitoba