Clinical trial NCT06149442: The Importance of the Number of Incisions in the Effectiveness of Dry Needling
Official title: Effectiveness of the Dry Needling Technique According to the Number of Incisions in the Treatment of Neck Pain
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Neck Pain
Keywords: dry needling
myofascial trigger point
Lead sponsor: University of Alcala
Sponsor class: OTHER
First posted: 2023-11-29
Enrollment: 90
Sex: ALL
Minimum age (years): 18
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The dry needling technique is a procedure increasingly used by health professionals.

Dry needling consists of the use of a filiform needle to treat musculoskeletal pain. Currently, the mechanisms by which it is an effective technique are not well understood. One of the aspects not yet evaluated is the best dose in terms of the number of times it is necessary to insert the needle into the patient to achieve the best result.

This research work aims to assess which treatment obtains the best results in the management of patients with chronic neck pain.

Detailed description: With the objective of demonstrating how the dose used during the application of the dry needling technique is related to the effectiveness of the treatment, we have designed a study where three different doses of the dry needling technique for the treatment of myofascial trigger points will be compared in the upper trapezius muscle in participants with neck pain.

Randomly, the participants will be distributed to each of the treatment groups and we will measure how the effectiveness of each of the applied doses determines the result of the application of the dry needling technique in the treatment of neck pain.

Eligibility criteria: Inclusion Criteria:

* Nonspecific mechanical neck pain for more than 3 months.
* Neck pain of at least VAS 5/10.
* Reproduction of pain and symptoms subjects on palpation.
* Pain on passive stretching of the muscle.

Exclusion Criteria:

* Subjects with previous surgical intervention.
* Subjects undergoing other intervention (rehabilitation/medication).
* Positive findings that raise suspicion of cervical radiculopathy:
* Subjects diagnosed: degenerative arthropathies, inflammatory, systemic conditions (fibromyalgia).
* Cardiovascular diseases.
* Whiplash or whiplash.
* Belenophobia.
* Dizziness and vertigo.
* Pregnant.
* Thyroid disorders.

Primary outcomes:
measure: Neck pain
timeFrame: Change From Baseline in Pain Scores on the Visual Analog Scale at one month.
Secondary outcomes:
measure: Disability (Neck disability index)
timeFrame: Change From Baseline in Pain Scores on the Visual Analog Scale at one month.
measure: Pain catastrophizing
timeFrame: Change From Baseline in Pain Scores on the Visual Analog Scale at one month.
measure: kinesiophobia
timeFrame: Change From Baseline in Pain Scores on the Visual Analog Scale at one month.
measure: The Global Rating of Change (GRoC)
timeFrame: Change From Baseline in Pain Scores on the Visual Analog Scale at one month.
Other outcomes:
Locations:
city: Alcalá De Henares
country: Spain
facility: Centro Investigación Fisioterapia y Dolor
state: Madrid
city: Alcalá de Henares
country: Spain
facility: Physiotherapy and Pain Institute
state: Madrid
Study officials:
affiliation: Alcalá University
name: Daniel Pecos-Martin, PhD
role: STUDY_DIRECTOR
References: