Effectiveness of Dry Needling and Ischemic Compression in Sternocleidomastoid, on Cervical Motor Control in Patients With Cervical Pain.

Study Overview
=================
Brief Summary
-----------------
This study will compare the effect of dry needling on the active trigger point on sternocleidomastoid versus the effect of dry needling at 1.5 centimeters of active trigger point on sternocleidomastoid, both combined with ischemic compression, on cervical pain and cervical motor control short and medium term.

Official Title
-----------------
Effectiveness of Dry Needling and Ischemic Compression in the Sternocleidomastoid, on Cervical Motor Control in Patients With Cervical Pain, Versus Placebo Technique and Ischemic Compression, Randomized Trial.

Conditions
-----------------
Cervical Pain

Intervention / Treatment
-----------------
* Other: Dry Needling and Ischemic Compression at the Trigger Point
* Other: Dry Needling and Ischemic Compression at 1.5 centimeters from the Trigger Point


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Be between 18 and 65 years old Have pain in the cervical region, which extends from the occipital to the 7th cervical vertebra. Have an active trigger point on the sternocleidomastoid. Exclusion Criteria: Present history of trauma in the neck. Present cervical radiculopathy Present a vestibular pathology Previous surgery on the neck or shoulder area Having a primary headache diagnosis Have received dry needling in the neck in the previous 6 months Present cognitive deficit. Be pregnant Taking anticoagulants. Have phobia to the needles (belonephobia).

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized Clinical Trial (RCT) with two groups.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Dry Needling and Ischemic Compression at the Trigger Point<br>Dry Needling and Ischemic Compression at the Trigger Point | Other: Dry Needling and Ischemic Compression at the Trigger Point<br>* The intervention consist on dry needling in the active trigger point, and next, do ischemic compression in the same point.<br>|
| Active Comparator: Intervention at 1.5 cm from the Trigger Point<br>Dry Needling and Ischemic Compression at 1.5 centimeters from the Trigger Point | Other: Dry Needling and Ischemic Compression at 1.5 centimeters from the Trigger Point<br>* The intervention consist on dry needling at 1.5 centimeters from the active trigger point, and next, do ischemic compression in the same point.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cervical Pain | Changes in the level of Cervical Pain. | Pre-intervention, immediately post-intervention, 1 day, 1 week, 1 month | 
| Cervical Motor Control | Change in the Cervical Motor Control | Pre-intervention, immediately post-intervention, 1 day, 1 week, 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cervical Range of Movement | Changes in grades of cervical movement | Pre-intervention, immediately post-intervention, 1 day, 1 week, 1 month | 
| Coordination of superficial and deep cervical flexor muscles | Changes in the coordination of cervical flexor muscles | Pre-intervention, immediately post-intervention, 1 day, 1 week, 1 month | 
| Cervical Disability | Changes in perceived cervical disability | Pre-intervention,1 month | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Cervical Pain, Motor Control, Sternocleidomastoid, Dry Needling