Radiculopathy. Other spondylosis with radiculopathy
Conditions
Interventions
Intervention 1: Intervention group: Participants in the intervention group will receive dry needling treatment for the levator scapulae muscle in addition to routine physiotherapy.To perform dry needl
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 55 Years
Inclusion criteria
Inclusion criteria: Individuals medically diagnosed with radiculopathy and experiencing neck pain radiating to one of the upper limbs. Neck and upper limb pain intensity between 3 and 8 based on the Numerical Rating Scale (NRS). At least one month has passed since symptom onset. Presence of an active trigger point in the affected levator scapula muscle (diagnosed by a physiotherapist based on Travell & Simons criteria: (1) palpation of a taut band in the target muscle, (2) identification of a tender spot within the taut band, (3) reproduction of pain similar to the patient's complaint, and (4) painful limitation of the muscle's range of motion. Individuals with at least three of these criteria are considered to have an active trigger point and will be included in the study).
Exclusion criteria
Exclusion criteria: History of previous neck surgery History of malignancy in the cervical or thoracic region Skin disorders in the neck and shoulder area Fear of needles Lack of cooperation during treatment Presence of cognitive impairment Previous neurological injuries in the upper limb Hyperreflexia Patients diagnosed with myelopathy History of trauma to the neck, thoracic, or shoulder area Use of anticoagulant medications Pregnancy or possibility of pregnancy Presence of rheumatoid conditions Nerve entrapment in the upper limb or brachial plexus Possibility of spinal cyst or tumor Contraindications for electrotherapy Previous physiotherapy treatment for the same condition within the past month
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: Base line, at the beginning and end of each session, and again one month after the treatment. Method of measurement: NRS. | — |
Secondary
| Measure | Time frame |
|---|---|
| Cervical Range of Motion. Timepoint: Before starting the treatment and at the end of the tenth session. Method of measurement: Goniometer.;Neck Disability. Timepoint: Before starting the treatment and after the final session and one month after the last treatment session. Method of measurement: Neck Disability Index Questionnaire.;Quality of Life. Timepoint: After the final session and one month after the last treatment session. Method of measurement: SF-36 Questionnaire.;The Exercise Adherence. Timepoint: After the final session and one month after the last treatment session. Method of measurement: The Exercise Adherence Rating Scale Questionnaire.;Patient Satisfaction. Timepoint: After the final session and one month after the last treatment session. Method of measurement: Patient Satisfaction Questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactHakimeh adigozali
Tabriz University of Medical Sciences
Outcome results
None listed