Effects of Dry Needling on Stiffness in Latent Trigger Points
2020年9月30日 更新者：University of Castilla-La Mancha
Effects of Dry Needling on Stiffness in Latent Myofascial Trigger Points: a Randomized Controlled Trial
The purpose of this study is to determine whether application of Dry Needling (DN) is effective for reduced on Stiffness in Latent trigger point (LTrP) of upper trapezius.
The secondary purposes are to determine the correlation on two elastography for stiffness measure (Shear-wave elastography and Strain elastography).
Randomized controlled trial, in parallel with cross-control design.
Two groups with LTrP in upper trapezius, and will be randomly selected to DN group or Sham-Dn group.
研究概览
研究类型
介入性
注册 (实际的)
51
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Toledo、西班牙、45071
- Performance and Sport Rehabilitation Laboratory
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 至 30年 (成人)
接受健康志愿者
是的
有资格学习的性别
全部
描述
Inclusion Criteria:
- Age between 18 and 30 years
- The presence of LTrP in the middle third of the upper trapezius muscle on the dominant side
- Being able to provide written informed consent
- Being able to follow instructions and realize clinical tests
Exclusion Criteria:
- Any pharmacological therapeutic
- Any medical treatment or physical therapies at cervical region during the 6-month before this study - Any diagnosed health problem
- Any history of head and upper extremity surgery or trauma
- Any red flags to DN, (ie: metabolic diseases, pregnancy, kinesiophobia, Infection, cancer)
- Absence of recurrent history of neck pain
- No neck pain symptomatology the previous 6 months
- Cervical disk herniation
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：双倍的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：深干针
干预-干针：深度干针进入上斜方肌隐性激痛点
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深干针刺入上斜方肌的潜在激痛点部位。 1次在上斜方肌上，上下移动针十次。 |
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假比较器：假干针
对照干针：假干针进入上斜方肌的潜在触发点
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深干针刺入上斜方肌的潜在激痛点部位。 1次在上斜方肌上，上下移动针十次。 Sham Dry Needling into the site of the latent Trigger Point of the upper trapezius muscle with non-penetrating needles 1 session in upper trapezius muscle moving the needle up and down ten times. |
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Change on Stiffness (Shear wave elastography and Strain Elastography)
大体时间：Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
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Shear-wave Elastography (SWE) as assessed using an Logiq S8 US system (GE Healthcare). The stiffness was determined with measuring velocity of shear waves in trapezius muscle on SWE exam. Strain elastography (SEL) as assessed using an Logiq S8 US system (GE Healthcare). The stiffness was determined by applying light repetitive compression with the hand-held transducer |
Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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疼痛压力阈值的变化 (PPT)
大体时间：基线、治疗后30分钟、治疗后24小时、治疗后72小时
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由手动机械式海藻计评估的压痛阈值。
PPT 是产生疼痛的最小压力，用于评估伤害性处理或痛觉过敏的异常。
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基线、治疗后30分钟、治疗后24小时、治疗后72小时
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Change in Thickness of muscle
大体时间：Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
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The muscle was scanned in the longitudinal and axial planes, taking care to avoid anisotropy.
B-Mode gray scale was employed to measure muscle thickness
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Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
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Change in Post-needling soreness
大体时间：Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
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The procedure performed was the subject had to characterize the level of pain using a visual analog scale (VAS), ranging from 0mm (no pain) to 10mm (worst imaginable pain)
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Baseline, at 30 minutes after treatment, at 24 hours after treatment, at 72 hours after treatment
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 研究主任：Javier Abián-Vicén, PhD、Castilla-La Mancha University
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Maher RM, Hayes DM, Shinohara M. Quantification of dry needling and posture effects on myofascial trigger points using ultrasound shear-wave elastography. Arch Phys Med Rehabil. 2013 Nov;94(11):2146-50. doi: 10.1016/j.apmr.2013.04.021. Epub 2013 May 14.
- Ruiz-Saez M, Fernandez-de-las-Penas C, Blanco CR, Martinez-Segura R, Garcia-Leon R. Changes in pressure pain sensitivity in latent myofascial trigger points in the upper trapezius muscle after a cervical spine manipulation in pain-free subjects. J Manipulative Physiol Ther. 2007 Oct;30(8):578-83. doi: 10.1016/j.jmpt.2007.07.014.
- Grabowski PJ, Slane LC, Thelen DG, Obermire T, Lee KS. Evidence of Generalized Muscle Stiffness in the Presence of Latent Trigger Points Within Infraspinatus. Arch Phys Med Rehabil. 2018 Nov;99(11):2257-2262. doi: 10.1016/j.apmr.2018.03.024. Epub 2018 Apr 28.
- Luan S, Zhu ZM, Ruan JL, Lin CN, Ke SJ, Xin WJ, Liu CC, Wu SL, Ma C. Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. Am J Phys Med Rehabil. 2019 Aug;98(8):677-684. doi: 10.1097/PHM.0000000000001173.
- Sanchez-Infante J, Bravo-Sanchez A, Jimenez F, Abian-Vicen J. Effects of Dry Needling on Muscle Stiffness in Latent Myofascial Trigger Points: A Randomized Controlled Trial. J Pain. 2021 Jul;22(7):817-825. doi: 10.1016/j.jpain.2021.02.004. Epub 2021 Feb 23.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2020年6月1日
初级完成 (实际的)
2020年7月31日
研究完成 (实际的)
2020年8月31日
研究注册日期
首次提交
2020年5月10日
首先提交符合 QC 标准的
2020年5月14日
首次发布 (实际的)
2020年5月19日
研究记录更新
最后更新发布 (实际的)
2020年10月5日
上次提交的符合 QC 标准的更新
2020年9月30日
最后验证
2020年9月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.