Clinical trial NCT04394741: Effects of Dry Needling on Stiffness in Latent Trigger Points
Official title: Effects of Dry Needling on Stiffness in Latent Myofascial Trigger Points: a Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Trigger Points
Keywords: Pain
Latent trigger point
Stiffness
Dry Needling
Lead sponsor: University of Castilla-La Mancha
Sponsor class: OTHER
First posted: 2020-05-19
Enrollment: 51
Sex: ALL
Minimum age (years): 18
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to determine whether application of Dry Needling (DN) is effective for reduced on Stiffness in Latent trigger point (LTrP) of upper trapezius. The secondary purposes are to determine the correlation on two elastography for stiffness measure (Shear-wave elastography and Strain elastography). Randomized controlled trial, in parallel with cross-control design. Two groups with LTrP in upper trapezius, and will be randomly selected to DN group or Sham-Dn group.


Eligibility criteria: Inclusion Criteria:

* Age between 18 and 30 years
* The presence of LTrP in the middle third of the upper trapezius muscle on the dominant side
* Being able to provide written informed consent
* Being able to follow instructions and realize clinical tests

Exclusion Criteria:

* Any pharmacological therapeutic
* Any medical treatment or physical therapies at cervical region during the 6-month before this study - Any diagnosed health problem
* Any history of head and upper extremity surgery or trauma
* Any red flags to DN, (ie: metabolic diseases, pregnancy, kinesiophobia, Infection, cancer)
* Absence of recurrent history of neck pain
* No neck pain symptomatology the previous 6 months
* Cervical disk herniation

Primary outcomes:
measure: Change on Stiffness (Shear wave elastography and Strain Elastography)
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
Secondary outcomes:
measure: Change in Pain Pressure Threshold (PPT)
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
measure: Change in Thickness of muscle
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
measure: Change in Post-needling soreness
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
Other outcomes:
Locations:
city: Toledo
country: Spain
facility: Performance and Sport Rehabilitation Laboratory
Study officials:
affiliation: Castilla-La Mancha University
name: Javier Abián-Vicén, PhD
role: STUDY_DIRECTOR
References:
citation: Ruiz-Saez M, Fernandez-de-las-Penas C, Blanco CR, Martinez-Segura R, Garcia-Leon R. Changes in pressure pain sensitivity in latent myofascial trigger points in the upper trapezius muscle after a cervical spine manipulation in pain-free subjects. J Manipulative Physiol Ther. 2007 Oct;30(8):578-83. doi: 10.1016/j.jmpt.2007.07.014.
citation: Grabowski PJ, Slane LC, Thelen DG, Obermire T, Lee KS. Evidence of Generalized Muscle Stiffness in the Presence of Latent Trigger Points Within Infraspinatus. Arch Phys Med Rehabil. 2018 Nov;99(11):2257-2262. doi: 10.1016/j.apmr.2018.03.024. Epub 2018 Apr 28.
citation: Maher RM, Hayes DM, Shinohara M. Quantification of dry needling and posture effects on myofascial trigger points using ultrasound shear-wave elastography. Arch Phys Med Rehabil. 2013 Nov;94(11):2146-50. doi: 10.1016/j.apmr.2013.04.021. Epub 2013 May 14.
citation: Luan S, Zhu ZM, Ruan JL, Lin CN, Ke SJ, Xin WJ, Liu CC, Wu SL, Ma C. Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. Am J Phys Med Rehabil. 2019 Aug;98(8):677-684. doi: 10.1097/PHM.0000000000001173.
citation: Sanchez-Infante J, Bravo-Sanchez A, Jimenez F, Abian-Vicen J. Effects of Dry Needling on Muscle Stiffness in Latent Myofascial Trigger Points: A Randomized Controlled Trial. J Pain. 2021 Jul;22(7):817-825. doi: 10.1016/j.jpain.2021.02.004. Epub 2021 Feb 23.