Abstract\\sBackground Physical therapists frequently utilize dry needling (DN), which focuses on trigger points and non-trigger point structures, to treat mechanical neck pain (MNP). It is an invasive procedure that involves inserting solid fiber needles into myofascial trigger points or hyperirritable nodules that are painful to the touch. This procedure can affect the motor and autonomic neurons and relieve pain. Objectives examining the short-term effects of dry needling in combination with a standardized exercise program on pain and quality of life in chronic mechanical neck pain Methods The allocation of 18 participants to the DN or Exercise intervention groups will be done at random. Before the exam, the Beck Depression Inventory (BDI), Neck Disability Index (NDI), Short Form-36 Quality of Life Scale, and Numerical Rating Scale (NPS-11) will be evaluated. Analytical Statistics For the statistical analysis of the data, SPSS 23.0 will be employed. The "Kolmogorov-Smirnov test" will be used to determine whether the data are distributed normally. The effectiveness of each intervention will be determined using a paired t test, and between-group comparisons will be made using an independent t test. The distribution of categorical variables will be compared using a chi-square test. A 95% confidence interval and p0.05 will be used to determine significance. Key words: mechanical neck pain, dry needling, neck exercises, and quality of life.
Procedure The lead investigator screened the participants to ensure that they met the requirements for participation in the study. The participants were randomly divided into the "control group" and the "experimental group." Intervention Needling dry The experimental group will receive dry needling in addition to the exercise routine, while the control group will just receive the exercise protocol. The trigger point (TrP) DN will be used, and a TrP location will be palpated and designated for needle insertion in the upper trapezius muscle. Stainless-steel disposable needles 0.3 30 mm; Novasan, S.A. The needle will be placed into the skin for up to 10 to 15 mm, until a local twitch reaction is felt, and the person will be monitored for two weeks after that. For two weeks, the participant will begin the workouts once daily. Protocol for neck exercise: Both the experimental and control groups will get a standardized workout regimen that included neck and upper back muscular stretching and strengthening. Confidentiality: Data will be collected collectively and maintained confidentially in a computer protected by a password; no individual's name will be revealed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
31
At the initial session, dry needling will be given to their upper trapezius muscles' hyperactive trigger sites, and EX will continue for a minimum of three times per week. 1. Cranio-cervical spine flexion is the exercise. 2. Extension of the cranio-cervical spine Exercice 3 Shoulder Elevation 4-Retraining of the scapular muscles Every exercise should be done for 30 se
patients in this group are going to have onley neck exercise for 2 weeks minimum 3 times a week. 1. Cranio-cervical spine flexion is the exercise. 2. Extension of the cranio-cervical spine Exercice 3 Shoulder Elevation 4-Retraining of the scapular muscles Every exercise should be done for 30 se
Imam Abdulrahman Bin Faisal University
Dammam, Eastern Province, Saudi Arabia
Numeric pain rating scale
used to assess the intensity of the pain , the NPS ranges between 0 and 10 (0: minimum pain, 10: maximum pain).
Time frame: 2 times From admission to discharge, up to 2 week (pre first intervention and post last intervention)
"Short Form-36 Quality of Life Scale (SF-36 QOLS)
for assessing the physical functions of the body through analysis of body pain, physical role difficulties (PRD), vitality/energy, the general perception of health, social functions and mental health. The sub-scores will be calculated separately between 0 and 100 (0: the worst, 100: the best health status)
Time frame: 2 times From admission to discharge, up to 2 week (pre first intervention and post last intervention)
Beck Depression Inventory (BDI)
To assess patient depression,The total score of BDI were evaluated between 0 and 63. BDI scores near to high range or above than that indicate more severe forms of depression
Time frame: 2 times From admission to discharge, up to 2 week (pre first intervention and post last intervention)
The functional disability, Neck Disability Index (NDI)
has been designed to assess the pain intensity of the neck and how it affects the quality of life by affecting daily activities. The total NDI score is 0 and 54 and consists of 10 questions.(less score less disability)
Time frame: 2 times From admission to discharge, up to 2 week (pre first intervention and post last intervention)
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