Effects of Dry Needling With a Standard Exercise Programme on Pain and Quality of Life in Patients With Chronic Mechanical Neck Pain
Condition: Neck Pain
MeSH terms: Neck Pain
Study type: Interventional
Phase: Phase 3

Summary: 
      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.
    

Detailed description: 
      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.
    

Intervention name(s): Dry needling with exercise; Exercise
Intervention type(s): Combination Product; Other
Intervention description(s): 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.
Cranio-cervical spine flexion is the exercise.
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.
Cranio-cervical spine flexion is the exercise.
Extension of the cranio-cervical spine Exercice 3 Shoulder Elevation 4-Retraining of the scapular muscles Every exercise should be done for 30 se
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: RTC single-blind
Masking: Single (Participant)
Primary purpose: Treatment