Neurophysiological Effects of Dry Needling in Patients With Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 65
- 试验地点
- 1
- 主要终点
- Efficacy of Deep Dry Needling applied on Active Myofascial Trigger Points (MTP) vs. latent MTP versus outside MTP, on pain reduction in patients with chronic neck pain.
研究概览
简要总结
The present study aims to evaluate the differences that may be experienced in pain and cervical disability, before, during and just after the intervention of the Deep Dry Needling in the upper trapezius muscle in active, passive myofascial trigger points (MTP) or non-MTP in Patients with neck pain, assessing, in turn, the neurophysiological effects on the Autonomic Nervous System.
Hypothesis: Deep Dry Needling of active myofascial trigger points produces a greater decrease of pain and cervical disability index and increase of pressure pain threshold; Than the Deep Dry Needling of Myofascial Trigger Points latent or out of Myofascial Trigger Points in patients with chronic neck pain.
Objective: To determine the efficacy of Deep Dry Needling applied on Active Myofascial Triggers (MTP) vs. latent MTP versus MTP, on pain reduction and cervical disability, in patients with chronic neck pain attributable to Myofascial Pain Syndrome.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Non-specific neck pain, unilateral or bilateral.
- •Neck pain ≥ 3 months of duration.
- •Presence of active and latent MTP in the upper, left, right or bilateral trapezius muscle, in relation to the patient's neck pain.
- •Clinical criteria recommended to identify active and latent MTP:
- •Tensile band palpable.
- •Exquisite local pain at the pressure of a taut band node.
- •Recognition by the patient of their usual pain when pressing on the sensitive nodule (to identify an active MTP).
- •Painful limitation of range of mobility to complete stretching. It is considered positive when 3 of the 4 clinical criteria are found.
排除标准
- •Unsurpassed fear of needles.
- •Coagulation disorders.
- •Specific alterations of the cervical region in the clinical history.
- •Infiltration of corticosteroids or local anesthetics during a year before the study.
- •Surgical intervention of the cervical region or previous shoulder.
- •Skin lesions in the area, as well as infection or inflammation.
- •Taking analgesic, anti-inflammatory or anticoagulant medication the week before the study.
- •Treatment of MTP or Deep Dry Needling in the neck region in the 6 months prior to the intervention.
- •Cognitive deficit in the medical history.
结局指标
主要结局
Efficacy of Deep Dry Needling applied on Active Myofascial Trigger Points (MTP) vs. latent MTP versus outside MTP, on pain reduction in patients with chronic neck pain.
时间窗: Baseline, during intervention, immediately after intervention, 1, 6, 12, 24, 48 and 72 hours after intervention, a week after intervention and one month after the intervention
Checkin the Intensity of pain with the Visual Analogic Scale. It is a 100 mm line that measures the intensity of pain.The left end of the line represents the absence of pain, while the far right represents the worst pain imaginable. The numerical scale of intensity of pain adds a numerical ranking where 1 is no pain and 10 the worst pain imaginable.
次要结局
- Threshold of pain to pressure(Baseline and immediately after intervention)
- Cervical pain and dysfunction(Baseline, a week after intervention and one month after the intervention)
- Changes related to the Autonomic Nervous System(Baseline, during intervention and after intervention (1 and 10 minutes after intervention))
研究者
Josue Fernandez Carnero
Tesis Director
Universidad Rey Juan Carlos