Dry Needling and Pain Education in the Treatment of Chronic Neck Pain

Universidad Rey Juan Carlos60 enrolled

Overview

to compare the effects on pain, disability and psychological factors of the combination of MTrP dry needling and pain neuroscience education to MTrPs dry needing alone and control electrotherapy usual care in patients with chronic neck pain.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Pain, Neck

Interventions

Dry needlingOTHER

Insertion of solid filament needles in the muscle

Pain neuroscience educationOTHER

Explanation of the functioning of the central nervous system, the differences between acute pain and chronic pain and the importance of thoughts and beliefs in the processing and chronification of pain

Conventional treatmentOTHER

Electrotherapy: Transcutaneous electrical nerve stimulation and microwaves

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Mechanical neck pain for at least 12 weeks * 10% or higher on the Neck Disability Index questionnaire * 20mm or higher on the Visual Analogue Scale (VAS) of neck pain * Presence of at least one active myofascial trigger point Exclusion Criteria: * Neck pain associated with whiplash injuries * Medical red flag history (i.e., tumour, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis) * Neck pain with cervical radiculopathy * Neck pain associated with externalized cervical disc herniation * Fibromyalgia syndrome * Previous neck surgery * Neck pain accompanied by vertigo caused by vertebrobasilar insufficiency or accompanied by non-cervicogenic headaches

Locations (1)

Hospital Universitario Infanta Sofia

San Sebastián de los Reyes, Madrid, Spain

Outcomes

Primary Outcomes

Pain using Visual Analogue Scale

Visual Analogue Scale: consists of a line of 100mm which represents the "no pain" on the left side of the same and the "worst pain imaginable" on the right side

Time frame: 3 months

Secondary Outcomes

Medication intake

Medication use: number of pills

Time frame: 3 months

Disability using Neck Disability Index

Neck disability index: patients ability to function in daily life activities.

Time frame: 3 months

Kinesiophobia using Tampa Scale of Kinesiophobia

Tampa Scale of Kinesiophobia: participants pain-related fear of movement and (re)injury

Time frame: 3 months

Catastrophizing using Pain Catastrophizing Scale

Pain Catastrophizing Scale: propensity to catastrophize about pain

Time frame: 3 months

Pain anxiety using Pain Anxiety Symptoms Scale

Pain Anxiety Symptoms Scale: The anxiety behaviors associated with pain

Time frame: 3 months

Beck Depression Inventory-II

Self-report measure to assess the severity of depressive symptoms

Time frame: 3 months

Data from ClinicalTrials.gov

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