Comparative Effects of Dry Needling and Ischemic Compression Technique on Scalene Myofascial Pain Syndrome
Condition: Scalenus Syndrome
MeSH terms: Myofascial Pain Syndromes; Fibromyalgia; Syndrome
Study type: Interventional

Summary: 
      Myofascial Pain Syndrome (MPS) is a medical term used to describe chronic regional pain
      syndrome that presents with hyperirritable spots called trigger points (TPs) and/or tender
      spots (TSs) that arise from taut bands (TB) in the skeletal muscle. Scalene myofascial pain
      syndrome is a regional pain syndrome wherein pain originates over the neck area and radiates
      down to the arm. Functionally, MPS causes the muscle to become weak and stiff, leading to
      reductions in range of movement. Thus, MPS is known as a major cause of morbidity, with a
      significant impact on daily activity, function and quality of life. The aim of this study is
      to compare the effects of dry needling versus ischemic compression technique on trigger
      points of scalene in neck pain, related disability and neck active range of motion among
      patients with scalene myofascial pain syndrome.
    

Detailed description: 
      A Randomized clinical trial will be conducted at DHQ Gujranwala and Sikandar medical complex
      Gujranwala through convenience sampling technique on 24 patients. Patients with scalene
      myofascial pain syndrome between age from 18 years to 45 with positive Scalene Cramp Test
      will be included in study. Patients will be accessed for neck pain, disability and active
      range of motion. They will be allocated through simple random sampling through sealed opaque
      envelopes into group A and group B. Patients in dry needling (DN) group will receive a single
      session of DN with sterile needles insert on trigger points in scalene muscles as first
      twitch response will obtained needles will be manipulated in and out of the muscles to get 2
      or 3 more local responses. Patients in Group B will receive a single session of ischemic
      compression technique for this ischemic compression technique sustained pressure on the
      trigger points will be maintained for 30 seconds. Control treatment will be same for both
      groups. Pre and post treatment values will be identified after one month follow-up.
    

Intervention name(s): Ischemic compression; Dry needling
Intervention type(s): Other; Other
Intervention description(s): Ischemic compression technique is a massage technique that consists of moderate compression, typically applied with the fingers, to the MTrP. Application of this technique to an MTrP results in a positive effect on pain-pressure threshold.
Patients in Group B will receive a single session of ischemic compression technique for ischemic compression technique sustained pressure on the trigger points will be maintained for 30 seconds.; Trigger-point dry needling is an invasive procedure where a fine needle or acupuncture needle is inserted into the skin and muscle.
Patients in dry needling (DN) group will receive a single session of DN of 10 minutes with sterile needles insert on trigger points in scalene muscles as first twitch response will obtained needles will be manipulated in and out of the muscles to get 2 or 3 more local responses.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: dry needing; myofascial pain; pain; disability