- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03787706
Dry Needling and Electromyographic Changes in Neck Pain
September 27, 2021 updated by: César Fernández-de-las-Peñas, Universidad Rey Juan Carlos
Electromyographic Changes in the Cranio-Cervical Flexion Test After Dry Needling of the Upper Trapezius Muscle in Patients With Mechanical Neck Pain
There is evidence suggesting that patients with mechanical neck pain exhibit higher activity of the superficial neck flexor muscles during the execution of the cranio-cervical flexion test.
In addition, some studies have reported the presence of active trigger points in the neck flexor and extensor muscles.
Since preliminary evidence suggests that trigger points can affect motor control behaviour, it is possible that management of these trigger points with dry needling could be effective for improving muscle activity during low-load activities, such as the cranio-cervical flexion test.
Therefore, the aim of this study will be to investigate the effects on electromyographical activity, pressure pain thresholds and cervical range of motion after the application of dry needling over active TrPs in the upper trapezius muscle in patients with mechanical neck pain.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
50
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Madrid
-
Alcorcon, Madrid, Spain, 28921
- César Fernández-de-las-Peñas
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 55 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
Generalized neck-shoulder pain with symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature.
Exclusion Criteria:
- whiplash injury;
- previous cervical or thoracic surgery;
- cervical radiculopathy or myelopathy;
- diagnosis of fibromyalgia syndrome;
- having undergone physical therapy in the previous 6 months;
- less than 18 or greater than 55 years of age
- fear to needles
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Dry needling
Patients will receive dry needling over active trigger points in the upper trapezius muscle
|
Patients will receive dry needling over active trigger points in the upper trapezius muscle
|
Active Comparator: Manual Therapy
Patients will receive a manual compression for 30seconds over active trigger points in the upper trapezius muscle
|
Patients will receive a manual compression for 30seconds over active trigger points in the upper trapezius muscle
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in electromyographic activity of the neck superficial flexor muscles before and after the intervention
Time Frame: Baseline and 5 minutes after treatment
|
Bipolar surface EMG will be recorded with pairs of electrodes positioned 20mm apart and fixed firmly with an adhesive tape bilaterally over the sternocleidomastoid, the anterior scalene, the upper trapezius and the splenius capitis muscles.
|
Baseline and 5 minutes after treatment
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in neck pain intensity with a numerical pain rate scale before and after the intervention
Time Frame: Baseline and 5 minutes after treatment
|
A Numerical Pain Rate Scale (NPRS, 0-10) will be used to assess spontaneous neck pain intensity
|
Baseline and 5 minutes after treatment
|
Changes in widespread pressure pain sensitivity before and after the intervention
Time Frame: Baseline and 5 minutes after treatment
|
Pressure pain thresholds will be assessed over C5/C6 zygapophyseal joints, second metacarpal, and tibialis anterior muscle
|
Baseline and 5 minutes after treatment
|
Changes in cervical range of motion before and after the intervention
Time Frame: Baseline and 5 minutes after treatment
|
Active cervical range of motion will be assessed with a Cervical Range of Motion (CROM) device in all cervical motions
|
Baseline and 5 minutes after treatment
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 15, 2019
Primary Completion (Actual)
June 15, 2021
Study Completion (Actual)
September 1, 2021
Study Registration Dates
First Submitted
December 22, 2018
First Submitted That Met QC Criteria
December 22, 2018
First Posted (Actual)
December 26, 2018
Study Record Updates
Last Update Posted (Actual)
September 29, 2021
Last Update Submitted That Met QC Criteria
September 27, 2021
Last Verified
September 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- URJC3010201812618
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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