Clinical trial NCT04285216: Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius
Official title: Combined Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Trigger Point Pain, Myofascial
Keywords: Dry needling
Myofascial trigger points
Upper Trapezius
Strain counter strain
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2020-02-26
Enrollment: 28
Sex: ALL
Minimum age (years): 20
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: To determine the effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Detailed description: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Numeric Pain Rating Scale (NPRS)
timeFrame: 4 months
measure: Range of Motion
timeFrame: 4 months
Secondary outcomes:
measure: Disability
timeFrame: 4 months
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Mayo Hospital
Study officials:
affiliation: Riphah International University
name: Maryam Shabbir, Phd
role: PRINCIPAL_INVESTIGATOR
References:
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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.
citation: Tough EA, White AR, Cummings TM, Richards SH, Campbell JL. Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomised controlled trials. Eur J Pain. 2009 Jan;13(1):3-10. doi: 10.1016/j.ejpain.2008.02.006. Epub 2008 Apr 18.
citation: avaid HMW, Ahmad A, Ajmad F, Liaqat S, Tahir S. Effects of conventional physical therapy with or without strain counterstrain in patients with trigger points of upper trapezius; a randomized controlled clinical trial. Annals of King Edward Medical University. 2016;22(3).
citation: Somprasong S, Mekhora K, Vachalathiti R, Pichaiyongwongdee S. Effects of strain counter-strain and stretching techniques in active myofascial pain syndrome. Journal of physical therapy science. 2011;23(6):889-93.