Comparison of Vibration and Dry Needle in Trigger Point Therapy

Not Applicable

Completed

• Conditions: Myofascial Pain Syndrome; Trigger Point Pain, Myofascial

• Registration Number: NCT04900857
• Lead Sponsor: Istanbul Physical Medicine Rehabilitation Training and Research Hospital

Brief Summary

The aim of this study is to compare the effects of localized vibration and dry needling applied to the trigger point in the individuals with acute myofascial pain syndrome.Pressure pain threshold (PPT) was used for the primary outcome measure of the study, and pain intensity, pain tolerance and short form (SF-36) were used for secondary outcome measures.

Detailed Description

The patients were divided into two groups as dry needling and localized vibration using the permuted block randomization method. The study was completed with 20 (17 women, 3 men) in the dry needling group and 20 in localized vibration (15 women, 5 men). In both applications, a total of 3 sessions were made to the patients at 1-day intervals.Patients' age, gender, duration of pain, localization, presence of additional disease, drug use were questioned and recorded. Pressure pain threshold (PPT) was used for the primary outcome measure of the study, and pain intensity, pain tolerance and short form (SF-36) were used for secondary outcome measures. All evaluation criteria except SF-36 were made before, immediately after and 1 day after each session, 1 week after the last session. SF-36 was evaluated before the 1st session treatment, after the 3rd session treatment and 1 week after the 3rd session treatment.

Study Timeline

• Study Start: 2020-12-07
• Primary Completion: 2021-02-25
• Study Completion: 2021-02-25
• Status Verified: 2021-05
• Study First Submitted: 2021-05-20
• Study First Submitted QC: 2021-05-20
• Last Update Submitted: 2021-05-24
• Study First Posted: 2021-05-25
• Last Update Posted: 2021-05-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• At least one active myofascial trigger point in the upper trapezius muscle
• Symptoms lasting 1 day to 2 weeks
• Cases who did not receive any physical therapy or medication to relieve pain

Exclusion Criteria

• Sensory defect in the area to be treated with vibration
• Active inflammatory, rheumatological or infectious disease
• Peripheral nerve lesions such as polyneuropathy, radiculopathy
• Having a cardiac disorder (rhythm / conduction disorder, cardiac pacemaker, ischemic heart disease)
• Diagnosis of fibromyalgia or other common musculoskeletal pain syndromes with an intact skin surface in the area to be vibrated
• Patients with a history of panic attacks

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Pressure pain threshold	Change from baseline pressure pain threshold score at immediately after, 1 day after and 1 week after the last session	The test determines the amount of pressure over a given area in which a steadily increasing nonpainful pressure stimulus turns into a painful pressure sensation

Secondary Outcome Measures

Name	Time	Method
Pain tolerance	Change from baseline Pain tolerance score at immediately after, 1 day after and 1 week after the last session	Using an algometer (WAGNER-FPK20), a pressure of 2.5 kg /cm2 will be applied to the trigger point and patients will be asked to measure their pain with VAS after pressure application. The severity of the pain felt by the patients after the application of pressure will be measured by VAS. The patients were asked to score between 0 and 10 for the severity of their pain. It was said that 0 on the scale means no pain, 10 means unbearable pain.
Visual analog scale	Change from baseline VAS score at immediately after, 1 day after and 1 week after the last session	A Visual Analogue Scale (VAS) is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured.; The patients were asked to score between 0 and 10 for the severity of their pain. It was said that 0 on the scale means no pain, 10 means unbearable pain.
Short Form 36 (SF-36)	Change from baseline Short Form 36 score at immediately after the 3rd session and 1 week after the treatment	The scale consists of 36 items and these provide the measurement of 8 dimensions; physical function (10 items), social function (2 items), role limitations due to physical functions (4 items), role limitations due to emotional problems (3 items), mental health (5 items), energy / vitality (4 items), pain (2 items) and general perception of health (5 items).

Trial Locations

Locations (1)

Istanbul Physical Medicine Rehabilitation Training & Research Hospital; 🇹🇷 Istanbul, Turkey