the Study Aim to Evaluate the Combined Therapeutic Effects of Dry Needling and Phonophoresis on Myofascial Trigger Points in Patient Suffering From Cervical Spine Postural Deviations. it Focuses on How These Interventions Help Reduce Pain, Relieve Muscle Spasm and Improve Functional Outcomes (DNPP MTrP)
Effects of Dry Needling and Phonophoresis on Myofascial Trigger Points Among Patient With Postural Deviation of Cervical Spine
Postural deviations of the cervical spine, particularly forward head posture (FHP) and altered cervical lordosis, are increasingly common in individuals with prolonged use of computers, mobile phones, and poor sitting posture. These deviations lead to muscular imbalances where weak deep cervical stabilizers coexist with tight, overactive muscles such as the upper trapezius and sternocleidomastoid. The biomechanical consequences include excessive stress on cervical joints, impaired proprioception, reduced cervical range of motion, and a predisposition to chronic neck pain, cervicogenic headaches, and even temporomandibular disorders.
Myofascial trigger points (MTrPs) in the sternocleidomastoid and upper trapezius are frequently implicated in these conditions, contributing to pain, stiffness, and sensorimotor dysfunction. Trigger points are characterized by taut muscle bands, localized hypoxia, biochemical mediators of pain, and neuromuscular hyperexcitability. Treatments such as dry needling (DN) aim to mechanically disrupt this pain-spasm cycle by reducing motor end plate irritability and sympathetic overactivity, whereas phonophoresis (PH) enhances trans-dermal absorption of anti-inflammatory or analgesic drugs using ultrasound, providing a non-invasive alternative for pain management.
Given the high prevalence of cervical postural deviations and the burden of associated pain and disability, there is a need to identify the most effective intervention for MTrPs in this population. This study, therefore, proposes a randomized controlled trial comparing the effects of dry needling and phonophoresis on pain, cervical range of motion, and postural correction in patients with FHP and altered cervical lordosis. The findings aim to guide clinicians in selecting evidence-based treatments to optimize outcomes for patients with cervical spine abnormalities.
Study Design: Randomized Control Trial No of groups: 40 (men and women aged 20-55 year) 20 receiving phonophoresis and 20 receiving Dry Needling.
Outcomes:
- Reduction in Neck Pain
- Cervical Range of Motion
Descripción general del estudio
Estado
Intervención / Tratamiento
Descripción detallada
This randomized controlled trial aims to compare the effectiveness of dry needling and phonophoresis in releasing myofascial trigger points among patients with cervical postural deviations. A total of 40 participants (men and women aged 20-55 years) with chronic neck pain and active trigger points in the upper trapezius and levator scapulae muscles will be recruited using non-probability purposive sampling. Participants will be randomly allocated into two groups (20 each) using a double-dummy, participant-blinded design: one group will receive real dry needling with sham phonophoresis, while the other will receive real phonophoresis with sham dry needling. Both groups will also receive baseline stretching exercises.
Phonophoresis will be applied using diclofenac sodium with pulsed ultrasound, while dry needling will involve insertion of a sterile needle to elicit a local twitch response. Outcomes will be assessed over a 4-week period, focusing on improvement in cervical range of motion, and reduction in neck pain. The study seeks to determine which intervention is more effective for managing myofascial trigger points associated with cervical postural dysfunction in patients with chronic neck pain.
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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-
Punjab Province
-
Lahore, Punjab Province, Pakistán, 57000
- Ghurki Trust Teaching Hospital
-
-
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
- Chronic Neck pain
- Trigger points in Trapezius and Levetor Scapulae
- Duration of Pain from at least 3 months
Exclusion Criteria:
- Person's History of Neck Surgery
- Local Hemmorhage
- Active infections and Open wounds
- Bleeding disorders
- use of alcohol or any material that disturbs the consciousness
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: Group 1
Real Dry needling + sham phonophoresis
|
•0.25 × 40 millimeter sterilized needle, We will insert the steralized needle into subcutaneous tissue in a position perpendicular to muscle.
The needle tip will be inserted into the muscle until a local twitch response is elicited.
The same point will be needled for about 60 seconds by rapid inward and outward needle movements Baseline Treatment is stretching
|
|
Experimental: Group 2
Sham dry needling + real phonophoresis
|
Otros nombres:
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Range Of motion
Periodo de tiempo: 4 weeks
|
Cervical Range of motion.
These ranges are taken by Goniometer.
|
4 weeks
|
|
Numeric Pain Rating Scale
Periodo de tiempo: 4 weeks
|
Reduction in neck pain and for its measurement we use Numeric pain rating scale.
Scale is scored on 0-10 points.
0 means no pain and 10 means severe/ unbearable pain
|
4 weeks
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Silla de estudio: Umber Nawaz, UBAS
Publicaciones y enlaces útiles
Enlaces Útiles
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Dolor
- Manifestaciones neurológicas
- Condiciones Patológicas, Signos y Síntomas
- Signos y síntomas
- Dolor de cuello
- Terapéutica
- Rutas de administración de drogas
- Terapia con drogas
- Terapias complementarias
- Modalidades de fisioterapia
- Compuestos policíclicos
- Espierra
- Embarazos
- Esteroides
- Compuestos de anillo fusionado
- Esteroides, fluorado
- Esparrazadienetrioles
- Dexametasona
- Aguja seca
- Fonoforesis
Otros números de identificación del estudio
- DPT/ERB/28
- U1111-1333-4312 (Identificador de registro: Mahham Ali)
Plan de datos de participantes individuales (IPD)
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Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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