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
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
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.
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
-
-
Punjab Province
-
Lahore, Punjab Province, Pakistan, 57000
- Ghurki Trust Teaching Hospital
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La description
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 d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: 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
|
|
Expérimental: Group 2
Sham dry needling + real phonophoresis
|
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Range Of motion
Délai: 4 weeks
|
Cervical Range of motion.
These ranges are taken by Goniometer.
|
4 weeks
|
|
Numeric Pain Rating Scale
Délai: 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
|
Collaborateurs et enquêteurs
Les enquêteurs
- Chaise d'étude: Umber Nawaz, UBAS
Publications et liens utiles
Liens utiles
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
- La douleur
- Manifestations neurologiques
- Conditions pathologiques, signes et symptômes
- Signes et symptômes
- La douleur du cou
- Thérapeutique
- Voies d'administration du médicament
- Pharmacothérapie
- Thérapies complémentaires
- Modalités de physiothérapie
- Composés polycycliques
- Prégnades
- Grossesse
- Stéroïdes
- Composés à anneau fusionné
- Stéroïdes, fluorés
- Grossissement
- Dexaméthasone
- Aiguille sèche
- Phonophorèse
Autres numéros d'identification d'étude
- DPT/ERB/28
- U1111-1333-4312 (Identificateur de registre: Mahham Ali)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Informations sur les médicaments et les dispositifs, documents d'étude
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