Dry Needling Versus Magnesium Sulphate Iontophoresis in Subjects With Chronic Mechanical Neck Pain
Condition: Chronic Pain
MeSH terms: Chronic Pain; Neck Pain
Study type: Interventional

Summary: 
      the aim of this trial is to compare dry needling and magnesium sulphate iontophoresis in
      subjects with mechanical neck pain
    

Detailed description: 
      Mechanical neck pain is a prevalent condition in various populations. Neck pain occurrence is
      affected by several factors, involving environmental, psychological, and social aspects. Neck
      pain represents the fourth major disorder responsible for a person's year lived with
      disability and ranked eleventh as disability-adjusted life years of a person. The neck pain
      incidence ranges from 10.4 to 23.3% in 1-year time, while the range of prevalence was 0.4 to
      86.8%. It has a high prevalence among computer users, office workers, and females, especially
      females aged 35 to 49 years old. Myofascial trigger point (MTrP) might play an important role
      in the formation of mechanical neck pain and is known as a hyperirritable spot in skeletal
      muscle that is accompanied with a hypersensitive palpable nodule in a taut band.

      dry needling and iontophoresis play a major role in the treatment of mechanical neck pain so
      this trial was conducted to determine which one has superiority. this trial has three groups.
      two experimental and one control group.pain, function, pressure pain threshold and emg will
      be measured
    

Intervention name(s): dry needling; magnesium sulphate iontophoresis; stretching exercise
Intervention type(s): Other; Other; Other
Intervention description(s): Patient will be placed in a comfortable prone position and encouraged to maintain complete relaxation. The selected active MTrPs was prepared by wiping the area with alcohol pad, and a gauge needle with its plastic guide tube in place will be palced over the active MTrPs .a tapping motion will be used to advance the needle to a depth of 5 to 10 mm for 30 seconds; The subjects in the iontophoresis group received MgSO4 iontophoresis using an iontophoretic drug delivery system (Phoresor_IIAuto,ModelPM850,IOMED. MTrPs were examined using pincer palpation and marked by pin. MgSO4 was applied to the active positive electrode using a syringe with a concentration of 100 mg/cm2. The active electrode was placed directly over the marked area where the sensitive MTrPs were located. The dispersive electrode was applied to the skin 6 inches distal from the active electrode.; The patient will be placed in a comfortable and relaxed sitting position with his back supported ; one hand was placed on the side of the head applying the stretching force, while the other hand was placed on the patients shoulder applying shoulder stablization . The direction of stretched force was in flexion , side bending to the opposite side and rotation to the same side . The stretched position will be sustained for 30 seconds , then a relaxation period of 30 seconds . This procedure was repeated 3 times .
Intervention MeSH terms: Magnesium Sulfate
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: this trial has three group; two experimental and one control
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: dry needling, iontophoresis, neck pain