Effectiveness of Dry Needling as a Treatment of Shoulder Myofascial Pain Syndrome in Spinal Cord Injury Patients: a Randomized Controlled Clinical Trial
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Disabilities of the Arm, Shoulder and Hand Spanish version (DASHe).
研究概览
简要总结
Shoulder pain in people with spinal cord injury is one of the most prevalent in acute and chronic patients because of weakness in shoulder periarticular muscles, and also because of overuse of these part of the body in assistive devices.
This study aims to evidence if dry needling (a physiotherapy technique) is also useful in patients with spinal cord injury, and how long it could hold out without or less pain.
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, Investigator)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •At least one year after Spinal Cord Injury (chronic patients).
- •Spinal Cord Injury under C5-C6 spinal level with American Spinal Injury Association (ASIA) classification.
- •Patients with shoulder pain and at least one active trigger point in infraspinatus muscle.
排除标准
- •Be apprehensive to the needles (belonephobia).
- •Immunosuppression.
- •Drug instability.
- •Other medical causes that, under medical prescription, dry needling in the shoulder are discouraged.
研究组 & 干预措施
Experimental group
Experimental group will receive dry needling treatment.
干预措施: Dry needling in infraspinatus muscle (Procedure)
Control group
Control group will receive sham dry needling treatment.
干预措施: Dry needling in infraspinatus muscle (Procedure)
结局指标
主要结局
Disabilities of the Arm, Shoulder and Hand Spanish version (DASHe).
时间窗: Change from baseline and one week later.
In upper limb pathology this test evaluates functional activities in relation to the difficulty involved in performing them with a score between 1 and 5. The DASHe questionnaire consists of a main part of 30 items, and two specific modules for people who work with musical instruments / sports or for the workplace. In this study, only the main part has been used. The 30 items have a score of 1 to 5, with 5 being the maximum of the valued symptom, and at least 27 questions of 3 must be answered. The disability / symptom score will therefore be between 0 (best possible score) and 100 (worst possible score).
次要结局
- Pressure Pain Thershold (algometry).(Change from baseline, immediately after intervention and one week later.)
- Visual Analog Scale (VAS)(Change from baseline and one week later.)
- McGill Pain Questionnaire (Spanish version).(Change from baseline and one week later.)
- Shoulder Pain And Disability Index Spanish version (SPADIe).(Change from baseline and one week later.)
- Range Of Movement (ROM)(Change from baseline, immediately after intervention and one week later.)
研究者
Sandra Palacios Alfonso
PhD Student
Universidad de León