Benefits and Harms of Dry Needling vs Transcutaneous Nerve Stimulation and Dry Needling in Patients With Chronic Myofascial Neck Pain and Relationship With Psychological Influences
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 68
- 试验地点
- 2
- 主要终点
- Visual Analogue Scale
研究概览
简要总结
The purpose of this estudy was to dertermine if the application of Transcutaneous Nerve Stimiulation (TENS) current have an hypoalgesic effect on pattientes suffering from miofascial neck pain, compared with a only dry needling treatment. Psicological varaibles were also mesured in order to determine how they change after each treatment.
详细描述
All patients suffered from mechanical neck pain and were randomized into three groups of treatment. A doible blinded control was carryed out. The main outcome messures were Visual Analogue Scale (VAS). The scondary outcome messures were Pressure Pain hreshold (PPT) and Active Range of Movement (ROM). Also psicologicla messures were taken, like Neck Dissability Index, Level of stress and ansiety, Fear Pain and Pain Avoidance Strategies.
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 (Participant, 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
- •Mechanical Neck pain of at least 6 months.
- •VAS 2 or greather.
- •Existance of miofascial trigger point in trapezius muscle assesed by an expert PT.
排除标准
- •Neck pain due secondary to ostheoporosis, metastasis, neoplasias, fractures, infections, cervical stenosis or infexious procces.
- •Headache secondary to medular compression presenting one o the following signs: abnormal sensitivity, hiperreflexia, clonus, spread weakness, cervical hernia.
- •Neck pain with radiculopathy.
- •Whiplash.
- •Vertebrobasilar syndrome.
- •Dizzyness.
- •Pregnancy.
- •Having received dry needling treatment before.
研究组 & 干预措施
dry needling and TENS
A dry needling treatment was performed on trapezius trigger point number 2, and just after thar, a TENS curretn was applied. Patients will be reassed on fourth day after treatment.
干预措施: Transcutaneous Nerve Stimulation. (Procedure)
Placebo
A placebo dry needling was performed on trapezius trigger point number 2. Patients will be reassed on fourth day after treatment.
干预措施: Placebo needling (Procedure)
dry needling
A dry needling treatment was performed on trapezius trigger point number 2. Patients will be reassed on fourth day after treatment.
干预措施: Dry needling (Procedure)
结局指标
主要结局
Visual Analogue Scale
时间窗: Patients will be reassed in four days.
Visual Analogue Scale (VAS) is a subjective evaluation. There are previous studies that demonstrate its reliability and its sensitivity, wich give validity to VAS messures. The messure is made using a two sides 10 centimeters scale. The patient´s face shows an increasing slope that allows the patient to mark his pain level. That mark has his equivalent number on the scale, so 0 is no pain and 10 is maximum pain. A differece of 2 points on the scale means the minimum clinically significant change.
次要结局
- Active Cervical Range of Movement(Patient will be reassed in four days.)
- Pressure Pain Threshold(Patients will be reassed in four days.)
研究者
Josue Fernandez Carnero
PhD
Universidad Rey Juan Carlos