Clinical trial NCT04900857: Comparison of Vibration and Dry Needle in Trigger Point Therapy
Official title: Comparison of Vibration Applied to the Trigger Point and Dry Needle in Acute Myofascial Pain Syndrome: a Prospective Randomized Controlled Research
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Myofascial Pain Syndrome
Trigger Point Pain, Myofascial
Keywords: Myofascial Pain Syndrome
Trigger Point
Dry Needling
Vibration
Lead sponsor: Istanbul Physical Medicine Rehabilitation Training and Research Hospital
Sponsor class: OTHER_GOV
First posted: 2021-05-25
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Prospective randomized controlled trial
Primary purpose: TREATMENT

Brief summary: The aim of this study is to compare the effects of localized vibration and dry needling applied to the trigger point in the individuals with acute myofascial pain syndrome.Pressure pain threshold (PPT) was used for the primary outcome measure of the study, and pain intensity, pain tolerance and short form (SF-36) were used for secondary outcome measures.

Detailed description: The patients were divided into two groups as dry needling and localized vibration using the permuted block randomization method. The study was completed with 20 (17 women, 3 men) in the dry needling group and 20 in localized vibration (15 women, 5 men). In both applications, a total of 3 sessions were made to the patients at 1-day intervals.Patients' age, gender, duration of pain, localization, presence of additional disease, drug use were questioned and recorded. Pressure pain threshold (PPT) was used for the primary outcome measure of the study, and pain intensity, pain tolerance and short form (SF-36) were used for secondary outcome measures. All evaluation criteria except SF-36 were made before, immediately after and 1 day after each session, 1 week after the last session. SF-36 was evaluated before the 1st session treatment, after the 3rd session treatment and 1 week after the 3rd session treatment.

Eligibility criteria: Inclusion Criteria:

* At least one active myofascial trigger point in the upper trapezius muscle
* Symptoms lasting 1 day to 2 weeks
* Cases who did not receive any physical therapy or medication to relieve pain

Exclusion Criteria:

* Sensory defect in the area to be treated with vibration
* Active inflammatory, rheumatological or infectious disease
* Peripheral nerve lesions such as polyneuropathy, radiculopathy
* Having a cardiac disorder (rhythm / conduction disorder, cardiac pacemaker, ischemic heart disease)
* Diagnosis of fibromyalgia or other common musculoskeletal pain syndromes with an intact skin surface in the area to be vibrated
* Patients with a history of panic attacks

Primary outcomes:
measure: Pressure pain threshold
timeFrame: Change from baseline pressure pain threshold score at immediately after, 1 day after and 1 week after the last session
Secondary outcomes:
measure: Visual analog scale
timeFrame: Change from baseline VAS score at immediately after, 1 day after and 1 week after the last session
measure: Pain tolerance
timeFrame: Change from baseline Pain tolerance score at immediately after, 1 day after and 1 week after the last session
measure: Short Form 36 (SF-36)
timeFrame: Change from baseline Short Form 36 score at immediately after the 3rd session and 1 week after the treatment
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul Physical Medicine Rehabilitation Training & Research Hospital
Study officials:
affiliation: Istanbul Physical Medicine Rehabilitation Training & Research Hospital
name: Nurdan Paker, Prof
role: STUDY_CHAIR
References:
citation: Duenas L, Zamora T, Lluch E, Artacho-Ramirez MA, Mayoral O, Balasch S, Balasch-Bernat M. The effect of vibration therapy on neck myofascial trigger points: A randomized controlled pilot study. Clin Biomech (Bristol). 2020 Aug;78:105071. doi: 10.1016/j.clinbiomech.2020.105071. Epub 2020 Jun 3.
citation: Hong CZ. Lidocaine injection versus dry needling to myofascial trigger point. The importance of the local twitch response. Am J Phys Med Rehabil. 1994 Jul-Aug;73(4):256-63. doi: 10.1097/00002060-199407000-00006.
citation: Issurin VB. Vibrations and their applications in sport. A review. J Sports Med Phys Fitness. 2005 Sep;45(3):324-36.
citation: Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. J Am Board Fam Med. 2010 Sep-Oct;23(5):640-6. doi: 10.3122/jabfm.2010.05.090296.