Clinical trial NCT05668728: Dry Needling for Myofascial Pain Syndrome
Official title: A Comparison for 3 Different Dry Needling Techniques for Myofacial Pain Syndrome Causing Servical Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Myofascial Pain Syndromes
Neck Pain
Keywords: Dry Needling
Neck Pain
Myofascial Pain Syndromes
Lead sponsor: Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
Sponsor class: OTHER
First posted: 2022-12-30
Enrollment: 45
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: 3 GROUPS DİFFERENT TYPES OF DRY NEEDLİNG
Primary purpose: TREATMENT

Brief summary: Myofascial pain syndrome (MAS) is defined as a regional painful syndrome characterized by pain and tenderness in a muscle group or a muscle, a taut band within the muscle, pain reflected by pressing, and the presence of trigger points. It causes localized muscle pain in the shoulder and neck. The frequency of mas is around 12% in the normal population, and its frequency increases in those with chronic diseases. It is more common in the 30-60 age range and in the female population. Mechanical causes such as micro-macro trauma, nociceptive disorders, physical fatigue, psychological stress and genetic factors are blamed in its etiopathogenesis. Painful myofascial trigger points may occur by pressing on all muscles in the body, although it is more common in the trazius muscle, especially in those who work at a desk, who are constantly in a certain position, and who are sedentary. Myofascial trigger points are often detected by examination.

Detailed description: There is a difference between the pain, neck extension range of motion, neck functional status of 3 different dry needling methods used in routine treatment in patients with myofascial pain syndrome. The investigators set out by thinking which method is more appropriate to choose in our practice. When the investigators examined the literature, the investigators could not find a study comparing these methods. However, at the points where sham needling, lidocaine administration, ozone cost, kinesiotaping methods and dry needling are compared by using these methods separately, regardless of the method of dry needling, there is a significant improvement in functional status, pain score, attachments, improvement expenses in the range of motion. However, the investigators think that it will contribute to a study literature on the protection of these purposes more clearly.

Eligibility criteria: Inclusion Criteria:

* Among the patients who applied to Sultan 2. Abdulhamid Han Hospital Physical Medicine and Rehabilitation Department and were diagnosed with myofascial pain syndrome
* Decided to receive dry needling treatment
* Between the ages of 18 and 65
* At least 1 painful myofascial trigger point in the m.trapezius, m.levator scapula muscles
* Patients with neck pain lasting less than 6 months

Exclusion Criteria:

* Those with a history of cervical operation
* Those who have a history of shoulder operation
* Patients with radiculopathy as a result of the examination
* Those who have been injected into the determined area in the last 3 months
* Those diagnosed with fibromyalgia according to the 2018 fibromyalgia scale
* Those with cervical disc herniation in the MR imaging taken within the last 1 year
* Pregnant/pregnant women
* Those who are allergic to silver
* Those with a history of malignancy
* Those with positive red flags
* Those with known rheumatological disease
* Those who do not accept dry needling
* Those with cognitive impairment
* Those who have local infection in the application area

Primary outcomes:
measure: Visuel Analog Scale
timeFrame: one month
Secondary outcomes:
measure: Neck Disability Index
timeFrame: one month
measure: European Quality of Life 5 Dimensions 3 Level Version
timeFrame: One month
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Sultan 2. Abdulhamid Han Training and Research Hospital
Study officials:
affiliation: Sultan II. Abdulhamidhan Training and Research Hospital
name: Emre Ata, Ass.Prof.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Stieven FF, Ferreira GE, Wiebusch M, de Araujo FX, da Rosa LHT, Silva MF. Dry Needling Combined With Guideline-Based Physical Therapy Provides No Added Benefit in the Management of Chronic Neck Pain: A Randomized Controlled Trial. J Orthop Sports Phys Ther. 2020 Aug;50(8):447-454. doi: 10.2519/jospt.2020.9389. Epub 2020 Apr 9.
citation: Gattie E, Cleland JA, Snodgrass S. The Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther. 2017 Mar;47(3):133-149. doi: 10.2519/jospt.2017.7096. Epub 2017 Feb 3.
citation: Raeissadat SA, Rayegani SM, Sadeghi F, Rahimi-Dehgolan S. Comparison of ozone and lidocaine injection efficacy vs dry needling in myofascial pain syndrome patients. J Pain Res. 2018 Jun 29;11:1273-1279. doi: 10.2147/JPR.S164629. eCollection 2018.