Comparison Between Deep Dry Needling and Muscle Energy Technique on Chronic Non-specific Neck Pain Patients.

Cairo University66 enrolled

Overview

The goal of this clinical trial is to compare between applying deep dry needling and muscle energy technique in chronic non-specific neck pain patients. Researchers will compare between deep dry needling group, muscle energy technique group and control group to see if there are change in pain, range of motion or function.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Neck Pain

Interventions

Deep dry needlingPROCEDURE

Method to decrease pain and improve function in musculoskeletal disorders.

Muscle energy techniquePROCEDURE

Method to decrease pain and improve function in musculoskeletal disorders.

Neck stability exercisePROCEDURE

Method to decrease pain and improve function in musculoskeletal disorders.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age 18 and 40 years. 2. Current neck pain. 3. Presence of at least one or two trigger points . 4. Patients are diagnosed and referred from orthopedist complaining from chronic neck pain for at least 12 weeks. 5. No clinical treatment for neck pain within the past month. 6. lacked a history of neck and shoulder myopathy, neuropathy, myelopathy and neck, torso and shoulder surgery. 7. Patients with body mass index less than 30 kg/m2. Exclusion Criteria: 1. Patients outside the target range. 2. Neck pain associated with vertigo. 3. Osteoporosis. 4. Diagnosed psychological disorders. 5. Fibromyalgia syndrome. 6. Vertebral fractures. 7. Spinal stenosis. 8. Tumors. 9. Previous neck surgery. 10. Red flags (night pain, severe muscle spasm, loss of involuntary weight, symptom mismatch). 11. Physiotherapeutic treatment continued in the last 3 months. Any contraindications for deep dry needling such as anticoagulants, infections and bleeding.

Locations (1)

Delta University for science and technology.

Al Mansurah, Egypt

Outcomes

Primary Outcomes

Change in pain intensity from baseline to 4 weeks after.

Visual Analogue scale (VAS) * A value of 0 denotes no pain, whereas a value of 1 to 3 indicates mild pain. * 4 to 6 denotes moderate pain. * 7 to 10 denotes intense pain.

Time frame: at baseline and after 4 weeks from the baseline.

Change in function from baseline to 4 weeks after.

The Neck Disability Index (NDI) The NDI questionnaire (scored out of 50) was used to measure the patient's perceived disability resulting from their neck pain. The score for each section was from 0 to 5, with 0 represented the highest level of function and 5 represented the lowest level of function. Total NDI scores were shown as a percentage. A high score corresponded to a higher degree of disability. * 0-4points (0-8%) no disability. * 5-14points (10 - 28%) mild disability. * 15-24points (30-48%) moderate disability. * 25-34points (50- 64%) severe disability. * 35-50points (70-100%) complete disability.

Time frame: at baseline and after 4 weeks from the baseline.

Change in cervical range of motion (ROM) in sagittal, coronal and transverse planes from baseline to 4 weeks after.

AcuAngle® Inclinometer: (Baseline® AcuAngle Inclinometer; Elmsford, NY, U.S. PAT 2194335, 2-D Functions)

Time frame: at baseline and after 4 weeks from the baseline.

Change in pain threshold from baseline to 4 weeks after.

Pain Pressure Algometer: (BASELINE 22-POUND DOLORIMETER).

Time frame: at baseline and after 4 weeks from the baseline.

Data from ClinicalTrials.gov

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