Exercise and Post-dry Needling Soreness

Study Overview
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Brief Summary
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Application of trigger point dry needling can induce post-dry needling soreness. This is not a negative experience, but sometimes some patients want to reduce it as much as possible. Manual therapies and exercise strategies targeting to decrease post-dry needling soreness need to be investigated.

Official Title
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Effects of Eccentric Exercise, Sham or Placebo on Post-Needling Soreness by Dry Needling on Active Trigger Points

Conditions
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Shoulder Pain

Intervention / Treatment
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* Other: Eccentric Exercise
* Other: Detuned Ultrasound
* Other: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Unilateral non-traumatic shoulder pain Shoulder pain from at least 6 months Shoulder pain of more than 3 points on a NPRS Presence of active trigger point in the infraspinatus muscle Exclusion Criteria: bilateral shoulder pain younger than 18 or older than 65 years shoulder injury upper extremity surgery fibromyalgia syndrome neck or shoulder surgery cervical radiculopathy whiplash any type of intervention for the neck-shoulder the previous year

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Eccentric Exercise<br>Individuals will perform 3 sets of 10 repetitions of eccentric exercise of the infraspinatus muscle after the application of trigger point dry needling | Other: Eccentric Exercise<br>* Individuals will perform 3 sets of 10 repetitions of eccentric exercise of the infraspinatus muscle after the application of trigger point dry needling<br>|
| Sham Comparator: Detuned Ultrasound<br>Individuals will received 10 minutes of detuned ultrasound on the infraspinatus muscle after the application of trigger point dry needling | Other: Detuned Ultrasound<br>* Individuals will received 10 minutes of detuned ultrasound on the infraspinatus muscle after the application of trigger point dry needling<br>|
| Placebo Comparator: Placebo<br>Individuals will not perform any action after the application of trigger point dry needling | Other: Placebo<br>* Individuals will not perform any action after the application of trigger point dry needling<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in post-dry needling pain intensity before and after the intervention | A Numerical Pain Rate Scale (NPRS, 0-10) will be used to record post-dry needling soreness and pain | Baseline, 24 hours after, 48 hours after and 72 hours after treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in spontaneous shoulder pain before and after the intervention | A Numerical Pain Rate Scale (NPRS, 0-10) will be used to assess spontaneous shoulder pain | Baseline and 72 hours after treatment | 
| Changes in disability before and after the intervention | The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire will be used to assess disability induced by shoulder pain. | Baseline and 72 hours after treatment | 
| Changes in functionality before and after the intervention | The Shoulder Pain and Disability Index (SPADI) questionnaire will be used to assess function of the uppr extremity related to shoulder pain | Baseline and 72 hours after treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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trigger points, disability, post-dry needling soreness, eccentric exercise