Comparison of Dry Needling and Deep Friction Massage in Patients With Subacromial Pain Syndrome: 1-year Follow-up of a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 43
- 试验地点
- 1
- 主要终点
- Pain Intensity
研究概览
简要总结
This study was planned to investigate the effects of Trigger Point-Dry Needling Therapy (TP-DNT) on night pain and Shoulder Internal Rotation (SIR) in individuals with Subacromial Pain Syndrome (SPS).
详细描述
Shoulder pain seen intensely in the general population, many methods has been used for the treatment which has not been fully proven to be superior to each other. Before considering surgical approaches, trying conservative approaches is emphasized. While literature showed us that nighttime pain is an important musculoskeletal symptom, may be associated with local inflammation, it is an important feature during the treatment planning. TP-DNT had positive effects on night pain and SIR in SPS. It was seen that the treatment satisfaction level of participants was high. Despite these positive findings, there is need for further studies in which sample size is increased, control group is added, and long-term follow-up is planned.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •To be able to read and speak Turkish well enough to give informed consent and follow the working instructions.
- •Having complaints of unilateral shoulder pain for at least 6 months and being diagnosed with subacromial impingement syndrome.
- •Having night pain
- •Having active trigger point.
排除标准
- •Bilateral shoulder pain
- •If there is a contraindicated condition for needles such as fear of needles or infection
- •History of bleeding disorder
- •Shoulder fracture and / or dislocation history
- •Symptoms of cervical radiculopathy and / or neuropathy
- •The use of antiaggregants, anticoagulants, analgesics or antiinflammatory drugs or drug-like substances (1 week before or during treatment)
- •Fibromyalgia syndrome
- •Any neurological, motor, or sensory disorder in the upper extremity
- •History of surgery on shoulder or neck
- •Conservative or invasive physical therapy or infiltration for the shoulder region during the last 6 months
- •Pregnancy
研究组 & 干预措施
Dry Needling
Participants were administered trigger point dry kneedling technique 6 times for 1 month, once every 5 days. The subject was positioned prone and the arm position was slightly changed related with the muscle. After the skin inspection it was cleaned with the alcohol. .
干预措施: Trigger Point Dry Needling Technique (Device)
Deep Friction Massage
Deep friction massage was applied transversely unlike the superficial massage and sufficiently deep to the fiber direction of affected connective tissue to maintain the mobility. Totally 6 sessions were administered twice a week for 3 weeks.
干预措施: Deep Friction Massage Technique (Other)
结局指标
主要结局
Pain Intensity
时间窗: 1 month
The VAS was used to measure the mean pain intensity of rest time activity and night time over the previous 3 days . The 10-cm scale was marked with "0" (no pain) and "10" (worst imaginable pain), and the patients were instructed on how to use the scale.
次要结局
- Range of Motion(1 month)
- Shoulder Pain and Disability Index (SPADI)(1 month)
- Hospital Anxiety and Depression Scale (HADS)(1 month)
- Nothingham Health Profile(1 month)
研究者
Başar Öztürk
Assistant Professor
Biruni University