Influence of Patient Expectations on Dry Needling Effects on Pain Outcomes in 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
- 1
- 主要终点
- Changes in Neck Pain Intensity between baseline and follow-up periods
研究概览
简要总结
Dry needling (DN) is a treatment technique used for treating musculoskeletal pain conditions. DN has shown to be effective on pain and function in patients with mechanical neck pain. Potential effects of DN can be related to several mechanisms, including physical, cognitive and emotional factors. This study will evaluate the role of the patient expectances related to the evolution (progress) of the condition, in this case, mechanical neck pain, in the effects of real or sham dry needling in sensitivity outcomes such as pain intensity or pressure pain sensitivity. Expectation of each patient in both groups will be considered positive, neutral or negative based on the outcomes of the Patient Shoulder Expectancies (PSOE) questionnaire which was adapted to the cervical spine.
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
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Months 至 65 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Non-specific mechanical neck pain of at least 3 months of duration
- •At least one active trigger point in the upper trapezius muscle which referred pain reproduces the neck pain symptoms
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;
- •fear to needles
研究组 & 干预措施
Dry Needling
The intervention group will receive real dry needling (fast in and fast out needling technique) in an active MTrP within upper trapezius muscle.
干预措施: Dry Needling (Device)
Sham Needling
The placebo group will receive sham needling in an active MTrP within the upper trapezius muscle. A sham needle will be used as placebo. This needle has a blunt tip and retractable handle that created the illusion of a needle penetrating the skin.
干预措施: Sham Needling (Device)
结局指标
主要结局
Changes in Neck Pain Intensity between baseline and follow-up periods
时间窗: Baseline, immediately after and 1 week after intervention
The intensity of neck pain at rest and during active movement of the cervical spine in rotation will be assessed with a visual analogue scale (VAS).
次要结局
- Changes in Pressure pain sensitivity between baseline and follow-up periods(Baseline, immediately after and 1 week after intervention)
- Changes in patients self-perceived improvement between baseline and follow-up periods(Baseline and 1 week after intervention)
研究者
César Fernández-de-las-Peñas
Full Proffessor
Universidad Rey Juan Carlos