Pain, Neck
Conditions
Brief summary
to compare the effects on pain, disability and psychological factors of the combination of MTrP dry needling and pain neuroscience education to MTrPs dry needing alone and control electrotherapy usual care in patients with chronic neck pain.
Interventions
OTHERDry needling
Insertion of solid filament needles in the muscle
OTHERPain neuroscience education
Explanation of the functioning of the central nervous system, the differences between acute pain and chronic pain and the importance of thoughts and beliefs in the processing and chronification of pain
OTHERConventional treatment
Electrotherapy: Transcutaneous electrical nerve stimulation and microwaves
Sponsors
Universidad Rey Juan Carlos
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Mechanical neck pain for at least 12 weeks * 10% or higher on the Neck Disability Index questionnaire * 20mm or higher on the Visual Analogue Scale (VAS) of neck pain * Presence of at least one active myofascial trigger point
Exclusion criteria
* Neck pain associated with whiplash injuries * Medical red flag history (i.e., tumour, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis) * Neck pain with cervical radiculopathy * Neck pain associated with externalized cervical disc herniation * Fibromyalgia syndrome * Previous neck surgery * Neck pain accompanied by vertigo caused by vertebrobasilar insufficiency or accompanied by non-cervicogenic headaches
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain using Visual Analogue Scale | 3 months | Visual Analogue Scale: consists of a line of 100mm which represents the no pain on the left side of the same and the worst pain imaginable on the right side |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disability using Neck Disability Index | 3 months | Neck disability index: patients ability to function in daily life activities. |
| Kinesiophobia using Tampa Scale of Kinesiophobia | 3 months | Tampa Scale of Kinesiophobia: participants pain-related fear of movement and (re)injury |
| Medication intake | 3 months | Medication use: number of pills |
| Pain anxiety using Pain Anxiety Symptoms Scale | 3 months | Pain Anxiety Symptoms Scale: The anxiety behaviors associated with pain |
| Beck Depression Inventory-II | 3 months | Self-report measure to assess the severity of depressive symptoms |
| Catastrophizing using Pain Catastrophizing Scale | 3 months | Pain Catastrophizing Scale: propensity to catastrophize about pain |
Countries
Spain
Outcome results
None listed