Clinical trial NCT04466813: Effect of Dry Needling on Muscle Mechanical Properties and Muscle Contractility in Latent Trigger Points
Official title: Effects of Dry Needling on Stiffness in Latent Trigger Points a Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Trigger Point Pain, Myofascial
Keywords: Latent trigger point
Dry needling
Myotonometer
Tensiomyography
Lead sponsor: University of Castilla-La Mancha
Sponsor class: OTHER
First posted: 2020-07-10
Enrollment: 50
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 improved Muscle Mechanical Properties and Muscle Contractility in Latent Trigger Points point (LTrP) of upper trapezius. 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 in Stiffness
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
measure: Change in Maximal Radial Displacement (Dm)
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
Secondary outcomes:
measure: Change in Oscillation Frequency
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
measure: Change in Decrement (elasticity)
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
measure: Change in Mechanical Stress Relaxation Time [ms]
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
measure: Change in Ratio of deformation and Relaxation time, characterising Creep (Deborah number)
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
measure: Change in Contraction time (Tc)
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
measure: Change in Delay time (Td)
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
measure: Change in Sustain time (Ts)
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
measure: Change in Relaxation time (Tr)
timeFrame: Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
measure: Change in Pressure Pain Perception (PPP)
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: Sanchez-Infante J, Bravo-Sanchez A, Jimenez F, Abian-Vicen J. Effects of dry needling on mechanical and contractile properties of the upper trapezius with latent myofascial trigger points: A randomized controlled trial. Musculoskelet Sci Pract. 2021 Dec;56:102456. doi: 10.1016/j.msksp.2021.102456. Epub 2021 Sep 3.