Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Combined Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

To determine the effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

Study Overview

• Status: Completed
• Conditions: Trigger Point Pain, Myofascial
• Intervention / Treatment: Other: Dry Needling; Other: Strain counter strain

Detailed Description

It is Randomized Controlled trail will be conduct in Mayo Hospital Lahore and Alnoor Hospital Awan town Lahore. Non probability consecutive sampling technique will be used to collect the data. Each group contain the 14 patients, Patient will be divided into two groups. Group A will be experimental group treated by Dry needling and strain counter strain with baseline treatment and Group B will be control group treated by Strain counter strain with baseline treatment(Hot pack 10 mints,stretching,Neck isometrics). Neck Disability index (NDI) ,visual analogue scale(VAS) and goniometer will be used as data collecting tools.

• Study Type: Interventional
• Enrollment (Actual): 28
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Lahore, Pakistan, 54000
    • Mayo Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 38 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patients with non-specific neck pain, having active myofascial trigger points in upper trapezius muscle.
• Patient of both gender under the age of 20-40 year
• bilateral pain involving the upper trapezius
• a duration of pain of at least 3 months
• pain localized in the cervical and occipital regions but not in the orofacial region.
• restricted cervical range of motion(side flexion)

Exclusion Criteria:

• history of traumatic injuries (e.g., contusion, fracture, and whiplash injury)
• needle phobia patients.
• systemic diseases such as blood coagula tion disorders, chronic pain syndrome, cancer,allergies fibromyalgia, systemic lupus erythematous, and psoriatic arthritis.
• cervical spine surgery patients.
• orofacial pain and temporomandibular disorders
• neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia)
• medical diagnosis of any primary headache (tension type or migraine) clinical diagnosis of cervical radiculopathy or myelopathy
• history of previous physical therapy intervention for the cervical region in last 6 month
• use of anticoagulants, opioids or antiepileptic medications

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Dry needling; Hot pack 10 mints,stretching,Neck isometrics, dry needling(DN) and Strain counterstrain(SCS)	Other: Dry Needling; Hot pack 10 mints,stretching,Neck isometrics, dry needling(DN) and Strain counterstrain(SCS)
Active Comparator: Strain counter strain; Hot pack 10 minutes, stretching,Neck isometrics, Strain counter strain (S C S)	Other: Strain counter strain; Hot pack 10 mints, stretchings,Neck isometrics, Strain counterstrain(SCS)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numeric Pain Rating Scale (NPRS)	The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).	4 months
Range of Motion	Standard Goniometer will be used.Higher score shows improvement.	4 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Disability	Scoring: For each section the total possible score is 5: if the first statement is marked the section score = 0, if the last statement is marked it = 5. If all ten sections are completed the score is calculated as follows: Example:16 (total scored) 50 (total possible score) x 100 = 32% If one section is missed or not applicable the score is calculated: 16 (total scored) 45 (total possible score) x 100 = 35.5% Minimum Detectable Change (90% confidence): 5 points or 10 %points	4 months

Collaborators and Investigators

• Sponsor: Riphah International University

Publications and helpful links

General Publications

• Tough EA, White AR, Cummings TM, Richards SH, Campbell JL. Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomised controlled trials. Eur J Pain. 2009 Jan;13(1):3-10. doi: 10.1016/j.ejpain.2008.02.006. Epub 2008 Apr 18.
• Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. J Am Board Fam Med. 2010 Sep-Oct;23(5):640-6. doi: 10.3122/jabfm.2010.05.090296.
• Gerwin RD, Shannon S, Hong CZ, Hubbard D, Gevirtz R. Interrater reliability in myofascial trigger point examination. Pain. 1997 Jan;69(1-2):65-73. doi: 10.1016/s0304-3959(96)03248-4.
• Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Anesthesiol Clin. 2007 Dec;25(4):841-51, vii-iii. doi: 10.1016/j.anclin.2007.07.003.
• Fischer AA. Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain. 1987 Jul;30(1):115-126. doi: 10.1016/0304-3959(87)90089-3.
• avaid HMW, Ahmad A, Ajmad F, Liaqat S, Tahir S. Effects of conventional physical therapy with or without strain counterstrain in patients with trigger points of upper trapezius; a randomized controlled clinical trial. Annals of King Edward Medical University. 2016;22(3).
• Somprasong S, Mekhora K, Vachalathiti R, Pichaiyongwongdee S. Effects of strain counter-strain and stretching techniques in active myofascial pain syndrome. Journal of physical therapy science. 2011;23(6):889-93.

Study record dates

Study Major Dates

• Study Start (Actual): September 15, 2019
• Primary Completion (Actual): June 20, 2020
• Study Completion (Actual): August 28, 2020

Study Registration Dates

• First Submitted: February 11, 2020
• First Submitted That Met QC Criteria: February 25, 2020
• First Posted (Actual): February 26, 2020

Study Record Updates

• Last Update Posted (Actual): September 22, 2020
• Last Update Submitted That Met QC Criteria: September 18, 2020
• Last Verified: September 1, 2020

More Information

Terms related to this study

• Keywords: Dry needling; Myofascial trigger points; Upper Trapezius; Strain counter strain
• Additional Relevant MeSH Terms: Wounds and Injuries; Musculoskeletal Diseases; Muscular Diseases; Myofascial Pain Syndromes; Sprains and Strains
• Other Study ID Numbers: MSOMPT/Spring19/031 Aqsa Aroob

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No