Dry Needling & Trigger Point Compression Release in Neck Pain

A Randomized Clinical Trial To Review The Effectiveness Of Dry Needling Versus Trigger Point Compression Release Among Patients With Neck Pain

This randomized control trial was conducted to investigate the efficacy of trigger point dry needling which is a modern treatment intervention compared with ischemic compression release in the patients having neck pain due to myofascial trigger points.

Study Overview

• Status: Completed
• Conditions: Neck Pain; Trigger Point Pain, Myofascial; Muscle Tightness; Neck Muscle Issue; Neckache
• Intervention / Treatment: Other: Dry Needling

Detailed Description

Many treatment protocols have been used in the clinical arena for the improvement of neck pain but un-availability of follow-up studies and lack of evidence of modern treatment interventions are few shortcomings a researcher faces. Thus, a need stands up to address these perspectives for newer treatment strategies. This randomized control trial is conducted to investigate the efficacy of trigger point dry needling which is a modern treatment intervention compared with ischemic compression release in the patients having neck pain due to myofascial trigger points. Findings of this research will assist in creating awareness about better treatment intervention for trigger point release among medical community.

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Islamabad, Pakistan, 45400
    • Bashir Institute of Health Sciences,Bashir General & Dental Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Patients between the age group of 20 to 40 years.
• Both Male and female patients.
• Patients presenting with neck pain due to MTrP's.
• The presence of a palpable taut band in the neck region.
• Patients reporting typically referred pain pattern of the MTrP in response to compression.

Exclusion Criteria:

• Patients with any associated comorbidities such as hypertension and diabetes.
• Patients with known history of fibromyalgia syndrome, whiplash injury, cervical spine surgery fracture and cervical radiculopathy.
• Patients with any systemic disease such as rheumatism and tuberculosis or cervical myelopathy and multiple sclerosis.
• Patients with history of myofascial trigger point therapy one month prior to enrollment.
• Patients with non-cooperative attitude, fear or any contraindications to needling.

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 Group; Received dry needling through the insertion of fusiform needle for the trigger point release on 3 days a week aimed at pain relief.	Other: Dry Needling; Dry Needling includes the insertion of a fine, strong filiform needle without presentation of any pain relieving medicine. Ischemic pressure is usually applied to trigger point, in what is known as trigger point therapy, where enough continuous pressure is applied to a trigger point within a tolerable measure of pain, and as discomfort is decreased, extra pressure is gradually applied; Other Names: Ischemic Compression
Active Comparator: Ischemic Compression Group; Received ischemic compression release through thumb pressure for trigger points on 3 days a week.	Other: Dry Needling; Dry Needling includes the insertion of a fine, strong filiform needle without presentation of any pain relieving medicine. Ischemic pressure is usually applied to trigger point, in what is known as trigger point therapy, where enough continuous pressure is applied to a trigger point within a tolerable measure of pain, and as discomfort is decreased, extra pressure is gradually applied; Other Names: Ischemic Compression

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Pain assessed through Visual Analogue Pain Scale	To measure the change in terms of betterment or aggravation in the intensity of pain baseline then after week 1,week 2 and after week 3.	Data was Collected at Baseline and after week 1,2 & 3.
Change in degree of disability assessed through Northwick Park Neck Pain Questionnaire.	To measure change in the intensity of neck pain and the consequent patient disabilities at baseline then after week 1,week 2 and after week 3.	Data was Collected at Baseline and after week 1,2 & 3.

Collaborators and Investigators

• Sponsor: Health Education Research Foundation (HERF)

Study record dates

Study Major Dates

• Study Start (Actual): June 1, 2021
• Primary Completion (Actual): September 30, 2021
• Study Completion (Actual): October 31, 2021

Study Registration Dates

• First Submitted: April 26, 2023
• First Submitted That Met QC Criteria: May 13, 2023
• First Posted (Actual): May 23, 2023

Study Record Updates

• Last Update Posted (Actual): May 23, 2023
• Last Update Submitted That Met QC Criteria: May 13, 2023
• Last Verified: May 1, 2023

More Information

Terms related to this study

• Keywords: Dry Needling; Neck Pain; Ischemic Compression
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Musculoskeletal Diseases; Muscular Diseases; Neck Pain; Myofascial Pain Syndromes
• Other Study ID Numbers: 070/BPMI/ Saad Tariq DPT

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