Effectiveness Taif University P. O. Box 11099 Taif 21944 Effectiveness of Dry Needling in Management of Myofacial Trigger Point

Study Overview
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Brief Summary
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myofascial pain syndrome is considered to be a chronic condition due to sensitive pressure points within the muscle recognized as trigger points Generally the aim of this study will be : To investigate the effectiveness of dry needling on trigger point in trapezius muscle Evaluate the pain level before and after the applications of dry needling on trigger points compare between the effects of dry needling and physical therapy exercise program

Official Title
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Effectiveness of Dry Needling in Management of Myofacial Trigger Point In Trapezius Muscle

Conditions
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Myofacial Trigger Points

Intervention / Treatment
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* Other: Dry needling ,
* Other: usual physical therapy program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinically active trigger point and expression of symptoms of neck pain in trapezius which had lasted for at least 3 months. Having a pain level higher than 4 and lower than 8 on Visual Analogue Scale ( VAS ) Did not receive any other form of neck treatment during the previous month. Exclusion Criteria: Presence of cardiopulmonary disease , the application process requires the subject to be in prone position to expose the area of treatment, this position is un-preferable for cardiopulmonary patients History of neck surgery Trigger point treatment in the last 30 days Any contraindications for dry needling such as local infection, skin disease ,severe postural disorder , tumor , rheumatoid arthritis, cervical spine stenosis and bilateral upper extremity symptoms pregnancy

Ages Eligible for Study
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Minimum Age: 18 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: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br> | Other: Dry needling ,<br>* The intervention group will receive sessions of dry needling to relief myofacial pain on trapezius<br>|
| Active Comparator: Control group<br>Usual physical therapy protocol 4 sessions, two sessions per week each session will include a group of therapeutic exercises | Other: usual physical therapy program<br>* Therapeutic exercise<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain level | Will be determined using the visuals analogue scale (VAS) | 6 weeks | 
| Neck disability index | questionnaire contains 10 items aiming to evaluate the limitation because of neck pain | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Depression | Will be determined using the Beck's Depression Inventory ( BDI) | 6 weeks | 
| Neck Range of motion | Will be measured using CROM | 6 weeks |