Effects Of Dry Needling On Sternocleidomastoid Muscle For Pain And Disability In Migraine

Riphah International University60 enrolled

Overview

To determine the effects, sequel of dry needling in migraine by resolving MTrPs in sternocleidomastoid muscle. To determine the possession of dry needling technique to mitigate the frequency, intensity and duration of headache. To determine the effectiveness of dry needling in the disability hindrance in migraine patients.

This is a randomized control study of 60 volunteers with migraine induced by myofacial triggers in sternocleidomastoid muscle. The migraine will be diagnosed by the neurologist and for the evaluation of trigger points and muscle thickness ultrasound will be done. After the diagnostic procedure and complete history evaluation from the selected population 30 subjects will be subjected to dry needling group and 30 others will be kept in the placebo group. All the participants will receive six sessions at the myofascial trigger point area there should be the gap of at least 48 hours between two sessions. As for the assessment details, such as the frequency, intensity and duration of the headaches; the consumption of drugs; the thickness of SCM muscles; the pain pressure threshold and the cervical range motions will be recorded before, immediately following the response, and at the 1-month follow-up

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Migraine

Interventions

Dry NeedlingOTHER

Dry needling technique is maneuvered by different skilled health practitioners aiming to reduce central sensitization, i.e., the hypersensitivity to pain of the central nervous system. It is also apprehended to reduce the local and referred pain, and improve the muscle activation patterns leading to improved range of motion.

Placebo Dry NeedlingOTHER

Placebo Dry Needling only causes a pricking sensation

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * Submitted with a headache diagnosis by a neurologist. * Presence of active Trigger points in the Sternocleidomastoid muscle reproducing the symptoms of migraine. * Active trigger points will be identified if "there is muscle sensitivity that has been activated by pressure and reproduces the patient's referred pain and headache." * A jump sign the characteristic behavioral response to compression on a trigger point, will be produced. Exclusion Criteria: * background of neck trauma * cervical radiculopathy * History of head/shoulder surgery * Diagnosis of other unusual headaches/migraines * Phobia of pricking * pregnancy

Locations (1)

Ripah International University

Faisalabad, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Visual Analogue Scale

A Visual Analogue Scale is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms.

Time frame: 12th Week

Bubble Inclinometer

Bubble Inclinometer is a simple to use device for measuring range of motion in patients. The inclinometer can be used to measure range of motion in the neck, the hip, the elbow, the knee, the shoulder, the spine, the ankle, the wrist, and the Metacarpophalangeal joint.

Time frame: 12th Week

Sternocleidomastoid muscle Ultrasonography

An ultrasonograph scan uses high-frequency sound waves to make an image of a person's internal body structures

Time frame: 12th Week

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.