Clinical trial NCT04568915: Dry Needling and Maitland Joint Mobilization Techniques in Patients With Myofacial Chronic Neck Pain
Official title: Comparison Between Dry Needling and Maitland Joint Mobilization Techniques in Patients With Myofacial Chronic Neck Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Myofacial Pain
Neck Pain
Keywords: Neck Pain
Myofacial Pain
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2020-09-29
Enrollment: 30
Sex: ALL
Minimum age (years): 25
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of my research is to compare the effects of dry needling and Maitland mobilization in chronic myofacial neck pain

Detailed description: To distinguish which technique is most effective in pain reduction and range gain because in chronic cases there is involvement of fascia, muscles and joints due to prolonged stress on any of the component affecting the other. Hence, the study will help to design a treatment plan with more accurate intervention. After sample collection according to selection criteria treatment sessions will be given to both groups for 6 weeks. Data will be collected at baseline, then after 2 weeks, 4 weeks and at 8th week. Tools for data collection are Visual analogue scale, Neck Disability Index and Goniometer. For statistical analysis SPSS 22 will be used. Intra group difference will be calculated by repeated measurement ANOVA / Friedman test and inter group analysis will be done by Independent sample t test. Descriptive data will be expressed in terms of frequency and proportions.

Eligibility criteria: Inclusion Criteria:

* Bilateral pain involving the upper trapezius and elevator muscle of the scapula;
* Duration of pain of at least 3 months;
* A pain intensity corresponding to at least 20 mm on a 100 mm visual analogue scale (VAS)
* Neck pain with symptoms provoked by either neck postures or neck movement;
* Pain localized at least in the cervical and occipital regions but not in the orofacial region;
* Neck disability index (NDI) greater than or equal to 15 points;
* Restricted cervical range of movements (flexion, extension, rotation, and sidebending); (i) Presence of bilateral MTrPs in upper trapezius and levator scapulae muscles

Exclusion Criteria:

* Any signs, symptoms, or history of the following diseases:
* Orofacial pain and temporo-mandibular disorders
* A history of traumatic injuries (e.g., contusion, fracture, and whiplash injury);
* Systemic diseases such as fibromyalgia, systemic erythematous lupus, and arthritis; (d) Neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia);
* Concomitant medical diagnosis of any primary headache (tension type or migraine);
* Unilateral neck pain;
* Cervical spine surgery;
* Clinical diagnosis of cervical radiculopathy or myelopathy;
* Needle phobia;
* History of previous physical therapy intervention for the cervical region in last 6 months.

Primary outcomes:
measure: Numeric Pain Rating Scale NPRS
timeFrame: 4 months
measure: Range of Motion
timeFrame: 4 months
measure: Disability
timeFrame: 4 months
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah IU
Study officials:
affiliation: Riphah International University
name: Maryam Shabbir, PHD
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Dunning J, Butts R, Mourad F, Young I, Flannagan S, Perreault T. Dry needling: a literature review with implications for clinical practice guidelines. Phys Ther Rev. 2014 Aug;19(4):252-265. doi: 10.1179/108331913X13844245102034.
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citation: Tekin L, Akarsu S, Durmus O, Cakar E, Dincer U, Kiralp MZ. The effect of dry needling in the treatment of myofascial pain syndrome: a randomized double-blinded placebo-controlled trial. Clin Rheumatol. 2013 Mar;32(3):309-15. doi: 10.1007/s10067-012-2112-3. Epub 2012 Nov 9.