The Importance of Muscle Position in the Effectiveness of Dry Needling Technique
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 80
- 试验地点
- 2
研究概览
简要总结
Currently, no previous studies have investigated how the position of a muscle before dry needling may influence the outcome and effectiveness of the treatment.
This study aims to demonstrate whether the position of the upper trapezius muscle during dry needling treatment influences the outcome of that treatment in subjects with neck pain.
A total of 46 participants with chronic neck pain will be recruited and randomly assigned to two groups: a dry needling group with the muscle in a stretched position and a dry needling group with the muscle in a shortened position. A total of two treatment sessions will be performed, separated by a 7-day interval. The primary outcome measure will be the intensity of neck and head pain, measured using the visual analog scale (VAS). Other variables to be measured include the cervical disability index, kinesiophobia, and catastrophizing (using a self-completion questionnaire), as well as participants' expectations and post-needling 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 (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 18 and 65 years
- •Neck pain lasting more than 3 months
- •Current neck pain greater than 3/10 on the VAS (Visual Analog Scale)
- •Presence of active trigger points in the upper trapezius muscle, meeting the following criteria: Painful point within a taut band whose palpation reproduces the patient's symptoms.
排除标准
- •Neck pain with a medical diagnosis (fractures, arthritis, fibromyalgia, etc.)
- •Radicular pain (paresthesia, burning, electric shocks)
- •Whiplash or any recent trauma
- •Previous surgery
- •Treatment by another physiotherapist within the last 3 months
- •Infections
- •Needle phobia
- •Use of anticoagulant medications
- •Pregnancy
- •Fibromyalgia
- •Metal allergies
- •Cognitive deficits or communication problems
研究组 & 干预措施
Upper trapezius dry needling with adduction shoulder
The dry needling technique will be applied to the trapezius muscle while the subject lies prone, with the upper limb at the side of the body, shoulder lowered, in adduction and cervical region in a neutral position.
The dry needling technique will be applied using a pincer grasp, inserting the needle from the posterior to the anterior portion of the upper trapezius muscle.
干预措施: Dry needling technique with the shoulder in full adduction. (Other)
Upper trapezius dry needling with 90º abduction shoulder
The dry needling technique will be applied to the trapezius muscle while the subject lies prone, with the upper limb separated from the body, shoulder at 90 degrees of abduction and cervical region in a neutral position.
The dry needling technique will be applied using a pincer grasp, inserting the needle from the posterior to the anterior portion of the upper trapezius muscle.
干预措施: Dry needling technique with the shoulder in 90° abduction. (Other)
研究者
Prof. Dr. Daniel Pecos Martín
Profesor
University of Alcala