- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05995639
Dry Needling Versus Ozone in Myofascial Pain Syndrome
Comparison of the Effects of Dry Needling and Ozone Treatment on Pain and Functionality in Myofascial Pain Syndrome of the Upper Trapezius
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Mustafa H Temel, M.D.
- Phone Number: +905342714872
- Email: mhuseyintemel@gmail.com
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Adults (18-65 years) with diagnosed myofascial pain syndrome affecting the upper trapezius area Willing and able to provide informed consent Able to comprehend and complete study-related assessments Diagnosed with myofascial pain syndrome affecting the upper trapezius area, based on clinical assessment and Simons and Travell criteria No prior exposure to dry needling or ozone therapy for myofascial pain syndrome Medically stable and cleared by a physician for study participation No active musculoskeletal injuries or conditions in the upper trapezius area No participation in similar interventions within the last 6 months
Exclusion Criteria:
Individuals with known contraindications to dry needling or ozone therapy Severe cardiovascular conditions or uncontrolled hypertension Active infections or skin conditions at treatment sites Known bleeding disorders or anticoagulant use Diagnosed with any other chronic pain syndrome not related to myofascial pain syndrome Any ongoing litigation or compensation claims related to pain conditions Recent trauma or surgery in the upper trapezius area Previous adverse reactions to dry needling or ozone therapy Participation in other investigational studies within the last 3 months History of psychological conditions that might interfere with assessment Pregnant or breastfeeding History of malignancy or immunocompromised status Neurological disorders affecting upper trapezius function Severe cognitive impairments that hinder assessment Inability to commit to the study duration or follow-up assessments Any change in medication regimen that might impact pain or functionality during the study period
Study Plan
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 |
---|---|
No Intervention: Control Group
Patients who will undergo an exercise treatment for the UT.
The exercise therapy will focus on stretching exercises for the UT.
Exercise therapy will undergo 2 weeks.
|
|
Active Comparator: Dry Needling Group
Patients who will undergo DN treatment for the UT.
A clinician with 5 years of DN experience will assess patients and apply DN treatment.
The active trigger points will be diagnosed by the criteria described by Simons and Travell.
0.25x25mm acupuncture needles will be used.
DN will be performed with fast in fast out technique and needling will continue until a local twitch response is elicited.
Treatment will be applied 3 times, one week apart.
|
Dry needling is an evidence-based therapeutic procedure used primarily in musculoskeletal rehabilitation.
It involves inserting thin needles into specific trigger points in muscles, tendons, or fascia, aiming to alleviate pain and improve musculoskeletal function.
Unlike acupuncture, dry needling focuses on resolving myofascial pain and dysfunction by directly targeting trigger points, often identified through palpation and anatomical understanding.
Academic exploration of dry needling delves into its physiological mechanisms, clinical effectiveness, and potential integration into comprehensive treatment strategies.
|
Active Comparator: Ozone Group
Patients who will undergo ozone treatment for the UT.
A clinician with 10 years of ozone experience will assess patients and apply ozone treatment.
12 gamma ozone will be used.
Patients will be injected with ozone in UT with most sensitive parts.
Treatment will be applied 3 times, one week apart.
|
Intramuscular ozone injection is a therapeutic intervention utilized within the context of musculoskeletal care, particularly for individuals grappling with conditions such as myofascial pain syndrome and related neuromuscular issues.
This technique involves the controlled introduction of ozone gas, a chemically reactive form of oxygen, directly into targeted muscle tissue through an injection.
This intramuscular administration is guided by precise anatomical knowledge and is designed to harness the potential therapeutic benefits of ozone's reactive properties.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain measured by Visual Analog Scale
Time Frame: First day, after first week, after three weeks, after one month
|
The Visual Analog Scale (VAS) is a widely used pain assessment tool in clinical settings.
It involves a simple linear scale typically ranging from 0 to 10, where individuals mark a point to indicate their pain intensity level.
The left end of the scale represents "no pain," assigned a value of 0, while the right end corresponds to "worst possible pain," denoted as 10.
By gauging pain subjectively through this visual representation, the VAS provides a quantifiable measure of pain intensity, enabling healthcare professionals to track changes in pain over time and tailor treatment strategies accordingly.
|
First day, after first week, after three weeks, after one month
|
Quality of Life Measured by Neck Disability Index
Time Frame: First day, after first week, after three weeks, after one month
|
The Neck Disability Index (NDI) is a widely used tool to assess the impact of neck-related conditions on an individual's quality of life.
It consists of a questionnaire that comprises ten items, each addressing different aspects of daily functioning and discomfort related to neck pain.
Participants rate their level of difficulty in various activities such as lifting, reading, and sleeping on a scale from 0 to 5. The total score is then calculated and expressed as a percentage, providing valuable insights into the extent of neck-related disability and its effect on overall quality of life.
The NDI aids clinicians in evaluating treatment outcomes, designing intervention plans, and monitoring improvements in neck-related functionality.
|
First day, after first week, after three weeks, after one month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Range of Motion Measured by Goniometer
Time Frame: First day, after first week, after three weeks, after one month
|
A goniometer is a standard instrument used to measure the range of motion (ROM) of the neck joints.
It consists of arms and a protractor that allows clinicians to precisely quantify the angles achieved during various neck movements.
During assessment, the patient is guided through specific motions like flexion, extension, rotation, and lateral bending, while the goniometer's arms are aligned with the corresponding body landmarks.
The resulting measurements provide objective data about the neck's flexibility and mobility, aiding healthcare professionals in diagnosing musculoskeletal conditions, planning treatment strategies, and tracking progress over time.
|
First day, after first week, after three weeks, after one month
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Mustafa H Temel, M.D., Uskudar State Hospital
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- DnvsO
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
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.
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