Clinical trial NCT06257992: Effectiveness of Dry Needling of Active Trigger Points in Neck Muscles in Patients With Chronic Cervical Pain
Official title: Effectiveness of Dry Needling of Active Trigger Points in Neck Muscles in Patients With Chronic Cervical Pain
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Cervical Pain
Lead sponsor: Universidad de Zaragoza
Sponsor class: OTHER
First posted: 2024-02-14
Enrollment: 52
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Randomized Single-Blind Clinical Trial in which the treatment will be administered through 3 sessions of dry needling in the cervical muscles's active trigger points in patients with chronic cervical pain.


Eligibility criteria: Inclusion Criteria:

* Be older than 18 years old
* Sign informed consent form prior to participating in this study
* Have chronic cervical pain diagnosis of their primary care doctor.
* Have one or more active myofascial trigger point in the cervical muscles according to the criteria established by Simons et al.

Exclusion Criteria:

* Major trauma on cervical spine stated from the medical history
* Inflammatory, hormonal or neurological disorders
* Have contraindication to conservative or invasive physiotherapy (infection, fever, hypothyroidism, wound in the puncture area, metal allergies, cancer or systemic diseases, or belonephobia)
* Having received physiotherapy treatment for the condition in the past month

Primary outcomes:
measure: Cervical Pain Intensity
timeFrame: Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
measure: Neck Disability Index
timeFrame: Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
measure: Pressure Pain Threshold
timeFrame: Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
Secondary outcomes:
measure: Cervical range of movement
timeFrame: Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
measure: Cervical muscles Electromyography
timeFrame: Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
Other outcomes:
Locations:
city: Zaragoza
country: Spain
facility: Centro Clínico de Fisioterapia OMT-E
Study officials:
References:
citation: Cerezo-Tellez E, Torres-Lacomba M, Fuentes-Gallardo I, Perez-Munoz M, Mayoral-Del-Moral O, Lluch-Girbes E, Prieto-Valiente L, Falla D. Effectiveness of dry needling for chronic nonspecific neck pain: a randomized, single-blinded, clinical trial. Pain. 2016 Sep;157(9):1905-1917. doi: 10.1097/j.pain.0000000000000591.
citation: Fernandez-de-las-Penas C, Alonso-Blanco C, Miangolarra JC. Myofascial trigger points in subjects presenting with mechanical neck pain: a blinded, controlled study. Man Ther. 2007 Feb;12(1):29-33. doi: 10.1016/j.math.2006.02.002.
citation: Navarro-Santana MJ, Sanchez-Infante J, Gomez-Chiguano GF, Cleland JA, Fernandez-de-Las-Penas C, Martin-Casas P, Plaza-Manzano G. Dry Needling Versus Trigger Point Injection for Neck Pain Symptoms Associated with Myofascial Trigger Points: A Systematic Review and Meta-Analysis. Pain Med. 2022 Mar 2;23(3):515-525. doi: 10.1093/pm/pnab188.
citation: Ball AM, Finnegan M, Koppenhaver S, Freres W, Dommerholt J, Mayoral Del Moral O, Bron C, Moore R, Ball EE, Gaffney EE. The relative risk to the femoral nerve as a function of patient positioning: potential implications for trigger point dry needling of the iliacus muscle. J Man Manip Ther. 2019 Jul;27(3):162-171. doi: 10.1080/10669817.2019.1568699. Epub 2019 Feb 20.