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Deep dry needling with or without median nerve tension in patients with neck pain

A comparison of effects of deep dry needling with or without median nerve tension in the upper trapezius of patients with neck pain on skin conductance and heart rate variability: a randomised observer-blind clinical trial

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12620000364976
Enrollment
28
Registered
2020-03-16
Start date
2020-04-01
Completion date
2020-04-30
Last updated
2020-03-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The main objective of the study is to analyze which technique in the upper trapezius of subjects with non-specific neck pain increases more the activity of the Autonomic Nervous System, deep dry needling or deep dry needling plus median nerve tension. The hypothesis of this study is that, in patients with neck pain, the analgesia associated to the activation of the Autonomic Nervous System after the practice of deep dry needling in the upper trapezius muscle is intensified when adding median nerve tension.

Interventions

The intervention consists of applying median nerve tension and deep dry needling in the upper trapezius of 14 patients with non-specific neck pain. A physiotherapist will administer the intervention at a single 30 min session, performing the needling plus median nerve tension in the most painful location of the upper trapezius as well as gathering data about every other variables measured. Another physiotherapist will be present for any help requiered. The main variables measured are: - Activa

The intervention consists of applying median nerve tension and deep dry needling in the upper trapezius of 14 patients with non-specific neck pain. A physiotherapist will administer the intervention at a single 30 min session, performing the needling plus median nerve tension in the most painful location of the upper trapezius as well as gathering data about every other variables measured. Another physiotherapist will be present for any help requiered. The main variables measured are: - Activation of the Autonomic Nervous System by measuring skin conductance and heart rate variability: both variables will be monitored by biofeedback NeXus 10 MK-II 5 minutes pre-intervention, during the intervention and 10 minutes post-intervention. - Amount of pain using the Verbal Rating Scale: participants must answer how much pain from zero (no pain) to ten (maximum pain) do they feel both before and after the procedure. - Pressure pain threshold: minimum pressure (mean of three measurements) at which participants experience pain in C5-C6 facet joint will be registered using an analog algometer Wagner Force Dial™ both pre and post-intervention. - 'Pain Catastrophizing Scale' and 'Neck Disability Index': both questionnaires must be filled in before the procedure begins.

Sponsors

Universidad de Alcalá
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator)

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

• Be between 18 and 65 years old • Suffer from non-specific chronic or acute neck pain

Exclusion criteria

• Whiplash • Record of shoulder or spinal pathologies • Neurological disorders • Heart diseases • Inmune system disorders • Fibromyalgia • Epilepsy • Narcolepsy • Coagulation disorders • Use of sedatives, antipsychotics or antidepressants drugs • Irrational fear for needles • Cervical o thoracic skin injuries • Skin disorders • Pregnancy

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026