Efficacy of the Use of Dry Needling in Conventional Non-invasive Treatment of Acute and Subacute Whiplash

Study Overview
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Brief Summary
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INTRODUCTION: Whiplash is an injury produced by an acceleration-deceleration mechanism that transmits energy to the cervical spine. According to the bibliography, the conservative treatment (motor control exercises and manual therapy) has shown benefits in approaching this lesion, but its efficacy is limited. Dry needling has already shown its usefulness in different musculoskeletal pathologies, however, its efficacy is unknown when it is included in conservative treatment. OBJECTIVES: The objective of this study is to assess the effects of the incorporation of dry needling in the conventional treatment with manual therapy and motor control exercises, compared to the conventional non-invasive treatment in patients with acute or subacute whiplash. HYPOTHESIS: The inclusion of dry needling in conventional non-invasive treatment is more effective than conventional non-invasive treatment in patients with acute or subacute whiplash. METHODS: A randomized clinical trial will be conducted in which the subjects of study will be assigned to two groups, a control group (conventional treatment) and an experimental group (conventional treatment and dry needling).

Official Title
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Efficacy of the Use of Dry Needling in Conventional Non-invasive Treatment of Acute and Subacute Whiplash

Conditions
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Whiplash Injuries

Intervention / Treatment
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* Other: Motor Control
* Other: Manual Therapy
* Other: Dry Needling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Medical Diagnosis of Whiplash Grade I-II in the QTF Neck Pain Whiplash in Acute or Subacute Phase Exclusion Criteria: Pregnancy Belonephobia Cervical Fractures-Dislocations or Neurological Deficit Secondaries to Accident Previous Surgery of the Cervical Spine Circulatory Disease, Respiratory Disease, Neurological Disease, Rheumatologic Disease and Mental Illness Athletes

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Conventional Treatment<br>Motor Control + Manual Therapy | Other: Motor Control<br>* Neck Motor Control<br>Other: Manual Therapy<br>* Massage + Joint Mobilizations<br>|
| Experimental: Experimental Treatment<br>Motor Control + Manual Therapy + Dry Needling | Other: Motor Control<br>* Neck Motor Control<br>Other: Manual Therapy<br>* Massage + Joint Mobilizations<br>Other: Dry Needling<br>* Dry Needling in Neck Muscles<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neck Disability Index. Changes from Baseline | 0-100% (0% = No Disability; 100% = Disability (highest level of disability) | 3 weeks, 6 weeks, 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pressure pain thresholds. Changes from Baseline | The minimum force applied which induces pain. Measured kg/cm2 | 3 weeks, 6 weeks, 3 months | 
| Cervical Range of Movement. Changes from Baseline | Amount of cervical movement using a goniometer | 3 weeks, 6 weeks, 3 months | 
| Kinesophobia. Changes from Baseline | Fear of movement measured by the TAMPA scale | 3 weeks, 6 weeks, 3 months | 
| Cervical Motor Control. Changes from Baseline | measure of cervical joint position sense using a laser | 3 weeks, 6 weeks, 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Dry Needling, Manual Therapy, Motor Control, Whiplash