- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04295200
Muscle Activity and Kinematic Changes With Dry Needling
August 30, 2021 updated by: April Brown, Louisiana State University Health Sciences Center Shreveport
Changes in Muscle Activity, Squat, and Gait Kinematics After Dry Needling Treatment of the Low Back: A Pilot Study
This study assesses the effects of dry needling with electrical stimulation to the low back on muscle activity and changes in movement.
The investigators hypothesize that dry needling and electrical stimulation will elicit changes in muscle activity as well as changes in movement.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
This study will utilize a Vicon motion capture system in conjunction with a Noraxon wireless surface electromyography system to analyze movements and muscle activity of each participant pre and post needling.
Study Type
Interventional
Enrollment (Actual)
20
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
-
-
Louisiana
-
Shreveport, Louisiana, United States, 71103
- LSU Health Science Center
-
-
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 60 years (Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- English speaking individuals between the ages of 18 and 60 years old
- without current complaint of low back pain
- no history of low back or lower extremity surgery
Exclusion Criteria:
- individuals with current complaint of low back pain,
- lumbar radicular symptoms
- history of low back surgery or lower extremity surgery
- pregnancy or planning to become pregnant,
- currently taking immunosuppressant or anticoagulation use with INR not within therapeutic range
- needle phobia
- osteoporosis will be excluded
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: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Dry needling with electrical stimulation
Use of dry needles (this is the generic name for sterile, solid filament needles) are inserted into the lumbar multifidi.
Intramuscular electrical stimulation will then be applied by attaching a six-lead electrical stimulation unit to the needles.
Electrical stimulation will be applied through the needles at the participant's desired frequency (between 4-6 Hz) and for up to 10 minutes total.
|
Paravertebral dry needling to L3, 4, 5 multifidi.
Electrical stimulation will be applied through the needles for up to 10 minutes total or to the participant's tolerance.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Muscle activity changes
Time Frame: pre/ post dry needling treatment. Participants' EMG will be recorded over a series of movements of the lumbar spine, will immediately be dry needled with electrical stimulation for up to 10 minutes, then will be immediately reassessed. Total time 2 hours
|
activity measured and quantified from the amplitude (mV) of the surface EMG electrodes
|
pre/ post dry needling treatment. Participants' EMG will be recorded over a series of movements of the lumbar spine, will immediately be dry needled with electrical stimulation for up to 10 minutes, then will be immediately reassessed. Total time 2 hours
|
Kinematic changes
Time Frame: Participants kinematics will be recorded over a series of movements of the lumbar spine, will immediately be dry needled with electrical stimulation for up to 10 minutes, then will be immediately reassessed. Total time 2 hours
|
Measurement of lumbopelvic angles during range of motion activities
|
Participants kinematics will be recorded over a series of movements of the lumbar spine, will immediately be dry needled with electrical stimulation for up to 10 minutes, then will be immediately reassessed. Total time 2 hours
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: April J Brown, DPT, LSU Health Science Center Shreveport
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.
General Publications
- Ge HY, Fernandez-de-Las-Penas C, Yue SW. Myofascial trigger points: spontaneous electrical activity and its consequences for pain induction and propagation. Chin Med. 2011 Mar 25;6:13. doi: 10.1186/1749-8546-6-13.
- Lucas KR, Rich PA, Polus BI. Muscle activation patterns in the scapular positioning muscles during loaded scapular plane elevation: the effects of Latent Myofascial Trigger Points. Clin Biomech (Bristol, Avon). 2010 Oct;25(8):765-70. doi: 10.1016/j.clinbiomech.2010.05.006. Epub 2010 Jul 27.
- Jayaseelan DJ, Moats N, Ricardo CR. Rehabilitation of proximal hamstring tendinopathy utilizing eccentric training, lumbopelvic stabilization, and trigger point dry needling: 2 case reports. J Orthop Sports Phys Ther. 2014 Mar;44(3):198-205. doi: 10.2519/jospt.2014.4905. Epub 2013 Nov 21.
- Koppenhaver SL, Walker MJ, Su J, McGowen JM, Umlauf L, Harris KD, Ross MD. Changes in lumbar multifidus muscle function and nociceptive sensitivity in low back pain patient responders versus non-responders after dry needling treatment. Man Ther. 2015 Dec;20(6):769-76. doi: 10.1016/j.math.2015.03.003. Epub 2015 Mar 13.
- Rainey CE. The use of trigger point dry needling and intramuscular electrical stimulation for a subject with chronic low back pain: a case report. Int J Sports Phys Ther. 2013 Apr;8(2):145-61.
- Koppenhaver SL, Walker MJ, Rettig C, Davis J, Nelson C, Su J, Fernandez-de-Las-Penas C, Hebert JJ. The association between dry needling-induced twitch response and change in pain and muscle function in patients with low back pain: a quasi-experimental study. Physiotherapy. 2017 Jun;103(2):131-137. doi: 10.1016/j.physio.2016.05.002. Epub 2016 May 20.
- Dar G, Hicks GE. The immediate effect of dry needling on multifidus muscles' function in healthy individuals. J Back Musculoskelet Rehabil. 2016 Apr 27;29(2):273-278. doi: 10.3233/BMR-150624.
- Liu L, Huang QM, Liu QG, Thitham N, Li LH, Ma YT, Zhao JM. Evidence for Dry Needling in the Management of Myofascial Trigger Points Associated With Low Back Pain: A Systematic Review and Meta-Analysis. Arch Phys Med Rehabil. 2018 Jan;99(1):144-152.e2. doi: 10.1016/j.apmr.2017.06.008. Epub 2017 Jul 8.
- Association APT. Dry needling in clinical practice:an educational resource paper. Alexandria, VA: American Physical Therapy Association; 2013.
- Therapy FoSBoP. Dry Neelding Resource Paper (Intramuscular Manual Therapy). 4th ed. Alexandria, VA: Federation of State Boards of Physical Therapy; 2013.
- Caldwell J. Attorney General Opinion 14-0216. In: Justice2015.
- Abbaszadeh-Amirdehi M, Ansari NN, Naghdi S, Olyaei G, Nourbakhsh MR. Neurophysiological and clinical effects of dry needling in patients with upper trapezius myofascial trigger points. J Bodyw Mov Ther. 2017 Jan;21(1):48-52. doi: 10.1016/j.jbmt.2016.04.014. Epub 2016 Apr 14.
- Haser C, Stoggl T, Kriner M, Mikoleit J, Wolfahrt B, Scherr J, Halle M, Pfab F. Effect of Dry Needling on Thigh Muscle Strength and Hip Flexion in Elite Soccer Players. Med Sci Sports Exerc. 2017 Feb;49(2):378-383. doi: 10.1249/MSS.0000000000001111.
- Dunning J, Butts R, Young I, Mourad F, Galante V, Bliton P, Tanner M, Fernandez-de-Las-Penas C. Periosteal Electrical Dry Needling as an Adjunct to Exercise and Manual Therapy for Knee Osteoarthritis: A Multicenter Randomized Clinical Trial. Clin J Pain. 2018 Dec;34(12):1149-1158. doi: 10.1097/AJP.0000000000000634.
- Unverzagt C, Berglund K, Thomas JJ. DRY NEEDLING FOR MYOFASCIAL TRIGGER POINT PAIN: A CLINICAL COMMENTARY. Int J Sports Phys Ther. 2015 Jun;10(3):402-18.
- Ge HY, Monterde S, Graven-Nielsen T, Arendt-Nielsen L. Latent myofascial trigger points are associated with an increased intramuscular electromyographic activity during synergistic muscle activation. J Pain. 2014 Feb;15(2):181-7. doi: 10.1016/j.jpain.2013.10.009. Epub 2013 Nov 2.
- Ibarra JM, Ge HY, Wang C, Martinez Vizcaino V, Graven-Nielsen T, Arendt-Nielsen L. Latent myofascial trigger points are associated with an increased antagonistic muscle activity during agonist muscle contraction. J Pain. 2011 Dec;12(12):1282-8. doi: 10.1016/j.jpain.2011.09.005. Epub 2011 Nov 11.
- Baima J, Isaac Z. Clean versus sterile technique for common joint injections: a review from the physiatry perspective. Curr Rev Musculoskelet Med. 2008 Jun;1(2):88-91. doi: 10.1007/s12178-007-9011-2.
- Administration FaD. Code of Federal Regulations Title 21. 2018; https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/cfrsearch.cfm?fr=880.5580. Accessed March 24, 2019.
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)
December 16, 2019
Primary Completion (Actual)
June 16, 2021
Study Completion (Actual)
June 16, 2021
Study Registration Dates
First Submitted
February 22, 2020
First Submitted That Met QC Criteria
March 2, 2020
First Posted (Actual)
March 4, 2020
Study Record Updates
Last Update Posted (Actual)
August 31, 2021
Last Update Submitted That Met QC Criteria
August 30, 2021
Last Verified
August 1, 2021
More Information
Terms related to this study
Other Study ID Numbers
- IRB00001301
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
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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