Analgesic Effects of Ultrasound-guided Dry-Needling Therapy for Neck and Head Pain

Study Overview
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Brief Summary
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The analgesic effects of ultrasound-guided dry-needling therapy will be evaluated in the management of head and neck pain.

Detailed Description
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The analgesic effects of ultrasound-guided dry-needling therapy will be evaluated in the management of head and neck pain by myofascial active and latent trigger point. The myofascial pain control will be assessed for the superficial and deep posterolateral muscle complex of neck. The analgesic request, Range Of Motion (ROM), Motion Related Pain (MRP) and the quality of life, will be also assessed.

Official Title
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Analgesic Effects of Ultrasound-guided Dry-Needling Therapy for Neck and Head Pain by Active and Latent Myofascial Trigger Points.

Conditions
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Neck Pain, Head Pain

Intervention / Treatment
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* Device: Ultrasound-guided Dry-Needling Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Chronic neck pain Chronic head pain Exclusion Criteria: previous surgery of neck and head Body Mass Index > 39,99 politrauma patients pregnancy neck and head infections

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Dry-Needling<br>Ultrasound-Guided Dry-Needling Therapy focused on the active and latent myofascial trigger points. | Device: Ultrasound-guided Dry-Needling Therapy<br>* The needle will be insert under ultrasound guidance to elicit the myofascial response on the neck of the patients<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Trigger Point | The number of the elicited myofascial trigger points assessed during dry-needling treatment | The first hour of the treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Analgesic request | The analgesic request will be assessed in mg of equianalgesic morphine | 3 months trom treatment | 
| Karnofsky Performance Status | The quality of life assessed by Karnofsky Performance Status (a 0-100 steps scale, from 0 [Dead] to 100 [Normal no complaints; no evidence of disease]). | 3 months from treatment | 
| Range Of Motion (ROM) | The alpha angle expressed in degrees and assessed during | 3 months after treatment | 
| Motion Related Pain | Pain assessed by Numeric Rating Scale (a 10-steps scale, from 0 [no pain] to 10 [worse pain]), during flexion, extension and rotation of neck and head | 3 months after treatment | 
| Perception | Pain assessed by Numeric Rating Scale (a 10-steps scale, from 0 [no pain] to 10 [worse pain]) | 3 months after treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pain