Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Study Overview
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Brief Summary
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To determine the effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Detailed Description
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It is Randomized Controlled trail will be conduct in Mayo Hospital Lahore and Alnoor Hospital Awan town Lahore. Non probability consecutive sampling technique will be used to collect the data. Each group contain the 14 patients, Patient will be divided into two groups. Group A will be experimental group treated by Dry needling and strain counter strain with baseline treatment and Group B will be control group treated by Strain counter strain with baseline treatment(Hot pack 10 mints,stretching,Neck isometrics). Neck Disability index (NDI) ,visual analogue scale(VAS) and goniometer will be used as data collecting tools.

Official Title
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Combined Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Conditions
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Trigger Point Pain, Myofascial

Intervention / Treatment
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* Other: Dry Needling
* Other: Strain counter strain


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with non-specific neck pain, having active myofascial trigger points in upper trapezius muscle. Patient of both gender under the age of 20-40 year bilateral pain involving the upper trapezius a duration of pain of at least 3 months pain localized in the cervical and occipital regions but not in the orofacial region. restricted cervical range of motion(side flexion) Exclusion Criteria: history of traumatic injuries (e.g., contusion, fracture, and whiplash injury) needle phobia patients. systemic diseases such as blood coagula tion disorders, chronic pain syndrome, cancer,allergies fibromyalgia, systemic lupus erythematous, and psoriatic arthritis. cervical spine surgery patients. orofacial pain and temporomandibular disorders neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia) medical diagnosis of any primary headache (tension type or migraine) clinical diagnosis of cervical radiculopathy or myelopathy history of previous physical therapy intervention for the cervical region in last 6 month use of anticoagulants, opioids or antiepileptic medications

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 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 |
| --- | --- |
| Experimental: Dry needling<br>Hot pack 10 mints,stretching,Neck isometrics, dry needling(DN) and Strain counterstrain(SCS) | Other: Dry Needling<br>* Hot pack 10 mints,stretching,Neck isometrics, dry needling(DN) and Strain counterstrain(SCS)<br>|
| Active Comparator: Strain counter strain<br>Hot pack 10 minutes, stretching,Neck isometrics, Strain counter strain (S C S) | Other: Strain counter strain<br>* Hot pack 10 mints, stretchings,Neck isometrics, Strain counterstrain(SCS)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric Pain Rating Scale (NPRS) | The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain). | 4 months | 
| Range of Motion | Standard Goniometer will be used.Higher score shows improvement. | 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Disability | Scoring: For each section the total possible score is 5: if the first statement is marked the section score = 0, if the last statement is marked it = 5. If all ten sections are completed the score is calculated as follows: Example:16 (total scored) 50 (total possible score) x 100 = 32% If one section is missed or not applicable the score is calculated: 16 (total scored) 45 (total possible score) x 100 = 35.5% Minimum Detectable Change (90% confidence): 5 points or 10 %points | 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Dry needling, Myofascial trigger points, Upper Trapezius, Strain counter strain