Dry Needling Effectiveness and Post-punction Pain

Not Applicable

Completed

• Conditions: Neck Pain
• Interventions: Procedure: Placebo needling; Procedure: Dry needling; Procedure: Transcutaneous Nerve Stimulation.

• Registration Number: NCT04148469
• Lead Sponsor: Universidad Rey Juan Carlos

Brief Summary

The purpose of this estudy was to dertermine if the application of Transcutaneous Nerve Stimiulation (TENS) current have an hypoalgesic effect on pattientes suffering from miofascial neck pain, compared with a only dry needling treatment. Psicological varaibles were also mesured in order to determine how they change after each treatment.

Detailed Description

All patients suffered from mechanical neck pain and were randomized into three groups of treatment. A doible blinded control was carryed out. The main outcome messures were Visual Analogue Scale (VAS). The scondary outcome messures were Pressure Pain hreshold (PPT) and Active Range of Movement (ROM). Also psicologicla messures were taken, like Neck Dissability Index, Level of stress and ansiety, Fear Pain and Pain Avoidance Strategies.

Study Timeline

• Study Start: 2012-11
• Primary Completion: 2013-06-12
• Study Completion: 2013-12-10
• Status Verified: 2019-10
• Study First Submitted: 2019-10-30
• Study First Submitted QC: 2019-10-30
• Last Update Submitted: 2019-10-30
• Study First Posted: 2019-11-01
• Last Update Posted: 2019-11-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 68

Inclusion Criteria

• Mechanical Neck pain of at least 6 months.
• VAS 2 or greather.
• Existance of miofascial trigger point in trapezius muscle assesed by an expert PT.

Exclusion Criteria

• Neck pain due secondary to ostheoporosis, metastasis, neoplasias, fractures, infections, cervical stenosis or infexious procces.
• Headache secondary to medular compression presenting one o the following signs: abnormal sensitivity, hiperreflexia, clonus, spread weakness, cervical hernia.
• Neck pain with radiculopathy.
• Whiplash.
• Vertebrobasilar syndrome.
• Dizzyness.
• Pregnancy.
• Having received dry needling treatment before.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Placebo	Placebo needling	A placebo dry needling was performed on trapezius trigger point number 2. Patients will be reassed on fourth day after treatment.
dry needling	Dry needling	A dry needling treatment was performed on trapezius trigger point number 2. Patients will be reassed on fourth day after treatment.
dry needling and TENS	Transcutaneous Nerve Stimulation.	A dry needling treatment was performed on trapezius trigger point number 2, and just after thar, a TENS curretn was applied. Patients will be reassed on fourth day after treatment.

Primary Outcome Measures

Name	Time	Method
Visual Analogue Scale	Patients will be reassed in four days.	Visual Analogue Scale (VAS) is a subjective evaluation. There are previous studies that demonstrate its reliability and its sensitivity, wich give validity to VAS messures. The messure is made using a two sides 10 centimeters scale. The patient´s face shows an increasing slope that allows the patient to mark his pain level. That mark has his equivalent number on the scale, so 0 is no pain and 10 is maximum pain. A differece of 2 points on the scale means the minimum clinically significant change.

Secondary Outcome Measures

Name	Time	Method
Active Cervical Range of Movement	Patient will be reassed in four days.	To messure the cervical range of movement, a CROM will be used. The CROM is a special goniometer that allows therapists to messure cervical movements. It conists on trhee pairs of inclinometers that allow reserchers to messure range of flexion-extension, lateral flexion and rotation. The CROM has a porved reliability, providing a inter-meter reliability from 0,7 to 0,9 and an intra-meter reliability from 0,8 to 0,87. The patient will be seated on a cheir, and he´ll perform cervical movements actively, just untill he starts to feel his pain. Each movement will be messure three times, and the average will be taken.
Pressure Pain Threshold	Patients will be reassed in four days.	Pressure Pain Threshold (PPT) is the minimun pressure needed to araise pain. To messure PPT, an digital algometer will be used. An algometer consists on a 1 square centimeter rubber piece inserted on a pressure gauge. Previous studies have shown the reliability of this method (ICC=0,91) and also inter meter (ICC from 0,82 to 0,97) and intra meter (ICC=0,78). The minimun detectable change on the cervical area goes from 0,44 Kg/cm2 to 1,11 Kg/cm2. We will apply the algometer over trapezius trigger point number 2, and the patient will tell the therapist when he start to feel hgis pain. We´ll do the messure 3 times and the average will be taken.

Trial Locations

Locations (1)

Universidad Rey Juan Carlos; 🇪🇸 Alcorcón, Madrid, Spain