Effectiveness of Dry Needling as a Treatment of Shoulder Myofascial Pain Syndrome in Spinal Cord Injury Patients: a Randomized Controlled Clinical Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Spinal Cord Injuries
- Sponsor
- Universidad de León
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Disabilities of the Arm, Shoulder and Hand Spanish version (DASHe).
- Last Updated
- 7 years ago
Overview
Brief Summary
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.
Investigators
Sandra Palacios Alfonso
PhD Student
Universidad de León
Eligibility Criteria
Inclusion Criteria
- •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.
Exclusion Criteria
- •Be apprehensive to the needles (belonephobia).
- •Immunosuppression.
- •Drug instability.
- •Other medical causes that, under medical prescription, dry needling in the shoulder are discouraged.
Outcomes
Primary Outcomes
Disabilities of the Arm, Shoulder and Hand Spanish version (DASHe).
Time Frame: 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).
Secondary Outcomes
- 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.)