Effectiveness of Dry Needling of Active Trigger Points in Neck Muscles in Patients With Chronic Cervical Pain
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Julian Müller-Thyssen Uriarte
- Phone Number: +34 0633673021
- Email: julianmuller.jmt@gmail.com
Study Locations
-
-
-
Zaragoza, Spain, 50009
- Centro clínico de Fisioterapia OMT-E
-
Contact:
- Jesús Marcen
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Contact:
- Phone Number: +34644161870
- Email: info@centroclinicoomt.es
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dry Needling Group
|
3 treatments of dry needling to inactivate all active trigger points found in patient's cervical muscles.
|
|
Active Comparator: Stretch Group
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3 treatments of stretch applied to all cervical muscles that present active trigger points in patient's cervical muscles.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Cervical Pain Intensity
Time Frame: Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
|
For the Assesment of cervical pain intensity the Numeric Pain Rating Scale (NPRS) was used.
|
Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
|
|
Neck Disability Index
Time Frame: Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
|
For the assesment of perceived neck disability the neck disability index was used.
|
Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
|
|
Pressure Pain Threshold
Time Frame: Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
|
For the assesment of pressure pain threshold of active trigger points a digital algometer was used
|
Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Cervical range of movement
Time Frame: Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
|
For the assesment of cervical range of movement the universal goniometer was used
|
Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
|
|
Cervical muscles Electromyography
Time Frame: Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
|
For the assesment of cervical muscles electromyographic activity Trigno Avanti sensor was used.
|
Change between baseline (immediately before intervention) and post intervention (immediately after intervention), after 1month and 3 months
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- 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.
- 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.
- 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.
- 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.
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- RAT 2022-53
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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