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Immediate Stiffness Changes in Myofascial Trigger Points After Dry Needling

N/ACompletedNCT04832074

Camilo Jose Cela University60 enrolled

Overview

Shear-wave elastography (SWE) is considered as a useful tool for quantifying muscle stiffness. Considering that Myofascial Trigger Points (MTrP) are defined as "hyperirritable zones in contracted bands of muscle, thought to be caused by muscle overload or stress" and the effectiveness of dry needling applied to active MTrP for reducing pain and disability, the aim of this study is to assess the effects of sham and real dry needling, applied to active MTrP in the upper trapezius muscle in patients with chronic neck pain, on the muscle stiffness in two areas: 1) the most symptomatic area and 2) a control point.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Myofascial Pain Syndrome Neck Pain Trigger Point Pain, Myofascial

Interventions

Dry NeedlingOTHER

Real Dry Needling in the most active Myofascial Trigger Point

Sham Dry NeedlingOTHER

Sham Dry Needling in the same location, but not piercing the skin

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients between 18 and 65 and * Presence of mechanical neck pain for at least three months duration * Presence of at least one active MTrP in the Upper Trapezius muscle Exclusion Criteria: * Neck pain of traumatic origin (such as whiplash-associated disorder) * Current use of any kind of analgesic therapy * Presenting any condition usually considered a perpetuating factor of MTrPs, such as fibromyalgia, hypothyroidism, or iron deficiencies * Presenting any contraindication for Dry Needling application * Neuropathies (e.g., radiculopathy) * Bilateral Pain

Locations (1)

Francisco de Vitoria University

Pozuelo de Alarcón, Madrid, Spain

Outcomes

Primary Outcomes

SWE - Young modulus

KPa

Time frame: Baseline

SWE - Young modulus

KPa

Time frame: 10 minutes

SWE - Local shear wave speed

m/s

Time frame: Baseline

SWE - Local shear wave speed

m/s

Time frame: 10 minutes

Pain Pressure Thresholds

kg/cm2

Time frame: Baseline

Pain Pressure Thresholds

kg/cm2

Time frame: 10 minutes

Secondary Outcomes

Visual Analogue Scale

0-10

Time frame: Baseline

Neck Disability Index

0-100

Time frame: Baseline

Data from ClinicalTrials.gov

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