TECAR Therapy Might be an Alternative to Dry Needling in the Treatment of Active Myofascial Trigger Points in Upper Trapezius
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 22
- 试验地点
- 2
- 主要终点
- Pain - Pressure pain threshold (PPT)
研究概览
简要总结
The aim of the study is to assess the effectiveness of dry needling (DN) and capacitive and resistive transfer of energy (TECAR) therapy in the treatment of myofascial trigger points (MTrPs) as well comparison of their efficacy.
Research hypothesis:
Capacitive and resistive energy transfer therapy is comparable to dry needling therapy for the treatment of myofascial trigger points.
It is estimated that the presence of trigger points is the main cause of pain in 30-85% of patients visiting primary health care facilities and pain management clinics. The presence of trigger points may significantly affect the patient's functional status and daily functioning. Recently, diagnostic criteria and methods of treating trigger points have evolved significantly. However, the usefulness of different imaging methods in the diagnosis of trigger points has not yet been established. Despite numerous studies, the long-term effectiveness of the dry needling method is still unknown. Furthermore, there is no available research on the short- and long-term effectiveness of capacitive and resistive energy transfer therapy in the treatment of trigger points.
Therefore, the objectives of the work were:
Determination and comparison of the short- and long-term effects of capacitive and resistive energy transfer therapy and the dry needling technique of myofascial trigger points located in the upper trapezius muscle (UT) on the strength, neck range of motion and pain intensity within this muscle.
The study is planned to include a group of 26 men aged 25 to 45 who suffer from pain caused by the presence of myofascial trigger points in the upper trapezius muscle. The subjects will be divided into two groups of equal number of people. The first group will undergo therapy using the dry needling technique, while the second group will undergo capacitive and resistive energy transfer therapy.
In order to determine the immediate effects of capacitive and resistive energy transfer therapy and dry needling techniques, measurements of muscle strength, the intensity of pain in the upper trapezius muscle and neck range of motion will be performed before and after each therapeutic session (2 session in 2 weeks are planed). In turn, to determine the long-term effects of capacitive and resistive energy transfer therapy and dry needling, the next above-mentioned measurements will be performed four weeks after the end of first therapy.
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
- None
入排标准
- 年龄范围
- 25 Years 至 45 Years（Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •age 25-45
- •manually confirmed active MTrP in the upper trapezius
排除标准
- •MTrP therapy in the upper trapezius region during the last year
- •history of neck trauma
- •history of cervical spine surgeries
- •history of humeral joint surgeries
- •cervical radiculopathy
- •chronic and acute diseases of the cardiovascular system
- •chronic and acute diseases of the respiratory system
- •chronic and acute diseases of the nervous systems
- •endocrine disturbances
- •skin lesions in upper trapezius area
- •acute inflammation
- •BMI > 30 kg/m2.
研究组 & 干预措施
TECAR
TECAR therapy is a non-invasive method for treating musculoskeletal system disorders based on the application of high-frequency current (300 kHz - 1 MHz)
干预措施: TECAR (Other)
Dry needling
Dry needling, a form of intramuscular stimulation, is a therapeutic intervention employed in physiotherapy and sports medicine. It entails the precise insertion of fine needles into specific myofascial trigger points, taut bands of skeletal muscle, or connective tissue without the administration of pharmacological agents.
干预措施: Dry needling (Other)
结局指标
主要结局
Pain - Pressure pain threshold (PPT)
时间窗: The measurements were performed three times with a 30-second break. The results are presented as the mean value of these measurements and are expressed in kg/m2.
Defined as the minimum force applied which induces pain, asses using an algometer BioFEET V3 (MusTec, Almere, Netherlands). The head of the algometer was placed on the MTrP in the upper trapezius (UT) and then pressed until the participant verbally expressed their PPT.
Pain - numerical rating scale (NRS)
时间窗: Up to 3 minutes before and up to 3 minutes after each interventions
This pain screening tool uses a 0-10 scale, with 0 indicating no pain and 10 indicating the worst imaginable pain.
次要结局
- Muscle strength(Measurements will be perform three times on both sides of the body up to 5 minutes before and up to 5 minutes after each interventions . The highest results obtained for statistical analysis and will be expressed as kG (kilogram force))
- Cervical spine range of motion (ROM)(Each movement will be perform three times up to 10 minutes before and up to 10 minutes after each interventions. The results are present as the mean value of these measurements and are express in degrees (°))
研究者
Tomasz Piętka
School of Health Sciences in Katowice, Department of Physical Medicine, Chair of Physiotherapy, Medical University of Silesia in Katowice, Poland
Medical University of Silesia