Dry Needling & Trigger Point Compression Release in Neck Pain

Study Overview
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Brief Summary
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This randomized control trial was conducted to investigate the efficacy of trigger point dry needling which is a modern treatment intervention compared with ischemic compression release in the patients having neck pain due to myofascial trigger points.

Detailed Description
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Many treatment protocols have been used in the clinical arena for the improvement of neck pain but un-availability of follow-up studies and lack of evidence of modern treatment interventions are few shortcomings a researcher faces. Thus, a need stands up to address these perspectives for newer treatment strategies. This randomized control trial is conducted to investigate the efficacy of trigger point dry needling which is a modern treatment intervention compared with ischemic compression release in the patients having neck pain due to myofascial trigger points. Findings of this research will assist in creating awareness about better treatment intervention for trigger point release among medical community.

Official Title
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A Randomized Clinical Trial To Review The Effectiveness Of Dry Needling Versus Trigger Point Compression Release Among Patients With Neck Pain

Conditions
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Neck Pain, Trigger Point Pain, Myofascial, Neck Muscle Issue, Muscle Tightness, Neckache

Intervention / Treatment
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* Other: Dry Needling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients between the age group of 20 to 40 years. Both Male and female patients. Patients presenting with neck pain due to MTrP's. The presence of a palpable taut band in the neck region. Patients reporting typically referred pain pattern of the MTrP in response to compression. Exclusion Criteria: Patients with any associated comorbidities such as hypertension and diabetes. Patients with known history of fibromyalgia syndrome, whiplash injury, cervical spine surgery fracture and cervical radiculopathy. Patients with any systemic disease such as rheumatism and tuberculosis or cervical myelopathy and multiple sclerosis. Patients with history of myofascial trigger point therapy one month prior to enrollment. Patients with non-cooperative attitude, fear or any contraindications to needling.

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 Group<br>Received dry needling through the insertion of fusiform needle for the trigger point release on 3 days a week aimed at pain relief. | Other: Dry Needling<br>* Dry Needling includes the insertion of a fine, strong filiform needle without presentation of any pain relieving medicine. Ischemic pressure is usually applied to trigger point, in what is known as trigger point therapy, where enough continuous pressure is applied to a trigger point within a tolerable measure of pain, and as discomfort is decreased, extra pressure is gradually applied<br>* Other names: Ischemic Compression;|
| Active Comparator: Ischemic Compression Group<br>Received ischemic compression release through thumb pressure for trigger points on 3 days a week. | Other: Dry Needling<br>* Dry Needling includes the insertion of a fine, strong filiform needle without presentation of any pain relieving medicine. Ischemic pressure is usually applied to trigger point, in what is known as trigger point therapy, where enough continuous pressure is applied to a trigger point within a tolerable measure of pain, and as discomfort is decreased, extra pressure is gradually applied<br>* Other names: Ischemic Compression;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Pain assessed through Visual Analogue Pain Scale | To measure the change in terms of betterment or aggravation in the intensity of pain baseline then after week 1,week 2 and after week 3. | Data was Collected at Baseline and after week 1,2 & 3. | 
| Change in degree of disability assessed through Northwick Park Neck Pain Questionnaire. | To measure change in the intensity of neck pain and the consequent patient disabilities at baseline then after week 1,week 2 and after week 3. | Data was Collected at Baseline and after week 1,2 & 3. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Dry Needling, Ischemic Compression, Neck Pain