Electromyographic Changes in the Cranio-Cervical Flexion Test After Dry Needling of the Upper Trapezius Muscle in Patients With Mechanical Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Changes in electromyographic activity of the neck superficial flexor muscles before and after the intervention
研究概览
简要总结
There is evidence suggesting that patients with mechanical neck pain exhibit higher activity of the superficial neck flexor muscles during the execution of the cranio-cervical flexion test. In addition, some studies have reported the presence of active trigger points in the neck flexor and extensor muscles. Since preliminary evidence suggests that trigger points can affect motor control behaviour, it is possible that management of these trigger points with dry needling could be effective for improving muscle activity during low-load activities, such as the cranio-cervical flexion test. Therefore, the aim of this study will be to investigate the effects on electromyographical activity, pressure pain thresholds and cervical range of motion after the application of dry needling over active TrPs in the upper trapezius muscle in patients with mechanical neck 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 (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Generalized neck-shoulder pain with symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature.
排除标准
- •whiplash injury;
- •previous cervical or thoracic surgery;
- •cervical radiculopathy or myelopathy;
- •diagnosis of fibromyalgia syndrome;
- •having undergone physical therapy in the previous 6 months;
- •less than 18 or greater than 55 years of age
- •fear to needles
结局指标
主要结局
Changes in electromyographic activity of the neck superficial flexor muscles before and after the intervention
时间窗: Baseline and 5 minutes after treatment
Bipolar surface EMG will be recorded with pairs of electrodes positioned 20mm apart and fixed firmly with an adhesive tape bilaterally over the sternocleidomastoid, the anterior scalene, the upper trapezius and the splenius capitis muscles.
次要结局
- Changes in cervical range of motion before and after the intervention(Baseline and 5 minutes after treatment)
- Changes in neck pain intensity with a numerical pain rate scale before and after the intervention(Baseline and 5 minutes after treatment)
- Changes in widespread pressure pain sensitivity before and after the intervention(Baseline and 5 minutes after treatment)
研究者
César Fernández-de-las-Peñas
Director of Department
Universidad Rey Juan Carlos