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Dry Needling and Electromyographic Changes in Neck Pain

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ClinicalTrials.gov Identifier: NCT03787706
Recruitment Status : Recruiting
First Posted : December 25, 2018
Last Update Posted : June 14, 2019
Sponsor:
Information provided by (Responsible Party):
César Fernández-de-las-Peñas, Universidad Rey Juan Carlos

Brief Summary:
There is evidence suggesting that patients with mechanical neck pain exhibit higher activity of the superficial neck flexor muscles during the execution of the cranio-cervical flexion test. In addition, some studies have reported the presence of active trigger points in the neck flexor and extensor muscles. Since preliminary evidence suggests that trigger points can affect motor control behaviour, it is possible that management of these trigger points with dry needling could be effective for improving muscle activity during low-load activities, such as the cranio-cervical flexion test. Therefore, the aim of this study will be to investigate the effects on electromyographical activity, pressure pain thresholds and cervical range of motion after the application of dry needling over active TrPs in the upper trapezius muscle in patients with mechanical neck pain.

Condition or disease Intervention/treatment Phase
Neck Pain Other: Dry Needling Other: Manual Therapy Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 40 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Electromyographic Changes in the Cranio-Cervical Flexion Test After Dry Needling of the Upper Trapezius Muscle in Patients With Mechanical Neck Pain
Actual Study Start Date : January 15, 2019
Estimated Primary Completion Date : December 15, 2019
Estimated Study Completion Date : December 15, 2019

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Dry needling
Patients will receive dry needling over active trigger points in the upper trapezius muscle
Other: Dry Needling
Patients will receive dry needling over active trigger points in the upper trapezius muscle

Active Comparator: Manual Therapy
Patients will receive a manual compression for 30seconds over active trigger points in the upper trapezius muscle
Other: Manual Therapy
Patients will receive a manual compression for 30seconds over active trigger points in the upper trapezius muscle




Primary Outcome Measures :
  1. Changes in electromyographic activity of the neck superficial flexor muscles before and after the intervention [ Time Frame: Baseline and 5 minutes after treatment ]
    Bipolar surface EMG will be recorded with pairs of electrodes positioned 20mm apart and fixed firmly with an adhesive tape bilaterally over the sternocleidomastoid, the anterior scalene, the upper trapezius and the splenius capitis muscles.


Secondary Outcome Measures :
  1. Changes in neck pain intensity with a numerical pain rate scale before and after the intervention [ Time Frame: Baseline and 5 minutes after treatment ]
    A Numerical Pain Rate Scale (NPRS, 0-10) will be used to assess spontaneous neck pain intensity

  2. Changes in widespread pressure pain sensitivity before and after the intervention [ Time Frame: Baseline and 5 minutes after treatment ]
    Pressure pain thresholds will be assessed over C5/C6 zygapophyseal joints, second metacarpal, and tibialis anterior muscle

  3. Changes in cervical range of motion before and after the intervention [ Time Frame: Baseline and 5 minutes after treatment ]
    Active cervical range of motion will be assessed with a Cervical Range of Motion (CROM) device in all cervical motions



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Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Generalized neck-shoulder pain with symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature.

Exclusion Criteria:

  • whiplash injury;
  • previous cervical or thoracic surgery;
  • cervical radiculopathy or myelopathy;
  • diagnosis of fibromyalgia syndrome;
  • having undergone physical therapy in the previous 6 months;
  • less than 18 or greater than 55 years of age
  • fear to needles

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03787706


Contacts
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Contact: César Fernández-de-las-Peñas 914888884 cesarfdlp@yahoo.es

Locations
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Spain
Cesar Fernandez-de-Las-Peñas Recruiting
Alcorcon, Madrid, Spain, 28921
Contact: CESAR FERNANDEZ-DE-LAS-PEÑAS, PhD    + 34 91 488 88 84    cesar.fernandez@urjc.es   
Sponsors and Collaborators
Universidad Rey Juan Carlos

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Responsible Party: César Fernández-de-las-Peñas, Director of Department, Universidad Rey Juan Carlos
ClinicalTrials.gov Identifier: NCT03787706     History of Changes
Other Study ID Numbers: URJC3010201812618
First Posted: December 25, 2018    Key Record Dates
Last Update Posted: June 14, 2019
Last Verified: June 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by César Fernández-de-las-Peñas, Universidad Rey Juan Carlos:
Neck Pain
Trigger points
Dry needling
Cranio-cervical flexion test

Additional relevant MeSH terms:
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Neck Pain
Pain
Neurologic Manifestations
Signs and Symptoms