- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05744778
The Effect of Dry Needling Treatment Combined With Physical Therapy in Patients With Cervical Spondylosis
The Effect of Dry Needling Treatment Combined With Physical Therapy in Patients With Cervical Spondylosis: A Randomized Controlled Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Among the evaluated patients, the patients meeting the inclusion and exclusion criteria will be randomized into 2 groups using the random numbers table.
While physical therapy and rehabilitation program will be applied to one group, dry needling treatment will be applied to the trigger points in the upper trapezius region with the same program to the other group. Patients will be evaluated before treatment (day 0) and at the end of treatment (day 21).
The randomization and evaluation of the patients will be done by Gül Tuğba Bulut, while the injection of the patients will be done by Alper Mengi.
Gender, age, education level, occupation, neck pain duration, body mass index of the patients included in the study will be recorded.
The patients will be evaluated in terms of pain intensity, number of active trigger points in the upper trapezius muscle, functional status, quality of life, anxiety and depression at before (day 0) and after treatment (day 21).
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Istanbul, Turkey
- Istanbul Training and Research Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Having neck pain for at least 3 months
- Restriction of neck movements and/or pain during movement
- Tenderness in neck paravertebral muscles and neural foramen with compression
- Detection of narrowing of intervertebral disc spaces, subchondral sclerosis, osteophyte on cervical radiograph
- Active trigger point in the upper trapezius muscle during the examination.
Exclusion Criteria:
- Having motor, sensory or reflex abnormalities due to spinal root compression
- Whiplash injuries
- Cervical spinal stenosis
- Having undergone cervical vertebra surgery
- History of interventional procedure on the cervical region in the last 6 months
- Central or peripheral nervous system disorders
- Spondylolisthesis
- Inflammatory neck pain
- History of infectious, chronic inflammatory disease, malignancy
- Not being cooperative
- Having open wounds, infections or sensory defects on the skin where the application will be made
- Fibromyalgia
- Advanced osteoporosis or osteomalacia
- Active psychiatric illness.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Physical therapy and rehabilitation
The patient group who underwent physical therapy and rehabilitation.
|
The physical therapy and rehabilitation group will consist of patients who will be applied the same exercise program together with the same physical therapy applications (superficial heat (infrared lamp), transcutaneous electrical nerve stimulation (TENS) and therapeutic ultrasound (TUS)) 5 sessions per week for 3 weeks.
|
Experimental: Dry needling
The patient group who underwent dry needling for trigger points in the upper trapezius muscle along with physical therapy and rehabilitation.
|
The physical therapy and rehabilitation group will consist of patients who will be applied the same exercise program together with the same physical therapy applications (superficial heat (infrared lamp), transcutaneous electrical nerve stimulation (TENS) and therapeutic ultrasound (TUS)) 5 sessions per week for 3 weeks.
In addition to the physical therapy and exercise program, the dry needling group will consist of patients who have had 3 sessions of dry needling applied to the trigger points in the trapezius muscle, 5 days apart.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain severity
Time Frame: 1 day
|
Pain intensity will be questioned by visual analog scale (VAS) as pain intensity at movement, rest, and night.
A horizontal straight line 10 cm long will be used in the VAS assessment.
0 will be considered as no pain, 10 will be considered as the most severe pain.
Movement pain will be questioned as the average of the pain felt while the patients are doing their daily routine, rest pain will be the average of the pain felt when the patients are not doing any activity during the day, and night pain will be the average of the neck pain when they wake up or wake up from sleep.
|
1 day
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of active trigger points
Time Frame: 1 day
|
The upper trapezius muscle of the patient lying in the prone position will be examined and the location and number of active trigger points determined as a result of the examination will be recorded.
|
1 day
|
Functional status
Time Frame: 1 day
|
The Neck Pain and Disability Scale (NPAD) will be used to measure the functional status of patients due to neck pain.
NPAD consists of 20 questions including the effect of neck pain on emotional state and cognitive function and the relationship of neck pain with daily living activities.
Each question takes a value between 0 and 5. Accordingly, 0 represents normal function and 5 represents the worst condition resulting from the pain problem.
The total score of the scale, which takes a value between 0 and 100, is obtained by summing the scores of all questions.
|
1 day
|
Life quality
Time Frame: 1 day
|
Short Form-12 (SF-12) will be used to evaluate the quality of life of the patients.
SF-12 was created as a shorter form by taking 12 different items from 8 different subheadings of SF-36.
It has 2 sub-parameters as physical and mental health.
Higher scores indicate better health.
|
1 day
|
Anxiety and depression
Time Frame: 1 day
|
Patients will be evaluated with the Hospital Anxiety and Depression Score (HADS) in terms of anxiety and depression.
HADS consists of 14 questions in total.
The minimum score for the anxiety and depression subscales is 0, and the maximum score is 21.
An increase in the score on the scale means that the severity of anxiety and depression increases.
The cut-off points were determined as 10 for the anxiety subscale and 7 for the depression subscale.
|
1 day
|
Collaborators and Investigators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 27.01.2023/15
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.
Clinical Trials on Physical Therapy
-
University of SevilleCompletedGait | Physical Therapy | Sports Physical Therapy | Exercise TherapySpain
-
Reynolds Army Community HospitalTemple University; Brooke Army Medical CenterUnknownPhysical Therapy Direct Access | Physical Therapy Primary CareUnited States
-
Muğla Sıtkı Koçman UniversityCompletedPhysical TherapyTurkey
-
Shanghai Mental Health CenterQingdao Mental Health CenterActive, not recruiting
-
Ankara Yildirim Beyazıt UniversityCompleted
-
Rothman Institute OrthopaedicsCompleted
-
NYU Langone HealthRecruiting
-
University of UtahActive, not recruiting
-
University of Sao PauloUnknownFrail Elderly | Exercise Therapy | Physical Therapy Techniques
-
Dokuz Eylul UniversityRecruitingSports Physical TherapyTurkey
Clinical Trials on Physical therapy and rehabilitation
-
Riphah International UniversityCompleted
-
Washington University School of MedicineEunice Kennedy Shriver National Institute of Child Health and Human Development...CompletedParkinson DiseaseUnited States
-
Universidade Metodista de PiracicabaUniversidade do Estado do ParáCompleted
-
Hacettepe UniversityCompleted
-
Sherin Hassan Mohammed MehaniCompletedMechanical Ventilation ComplicationEgypt
-
Riphah International UniversityCompleted
-
Majmaah UniversityKing Fahad Medical CityNot yet recruitingFatigue | Muscle Weakness | Stress, Emotional | Dyspnea | Physical Inactivity | Cardiopulmonary Arrest
-
General Hospital of Chinese Armed Police ForcesCompleted
-
Virginia Commonwealth UniversityArcadia University; National Athletic Trainers' Association Research & Education... and other collaboratorsCompletedShoulder Impingement SyndromeUnited States
-
Washington University School of MedicineEnrolling by invitationMotor Neuron Disease | Amyotrophic Lateral Sclerosis | Lou Gehrig Disease | Familial Amyotrophic Lateral Sclerosis | Motor Neuron Disease, FamilialUnited States